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Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data

BACKGROUND: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. METHOD: Using linear regression, with auto‐regressive errors, we examined relationships between variab...

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Autores principales: Langdon, Peter E., Thompson, Paul A., Shepstone, Lee, Perez‐Olivas, Gisela, Melvin, Clare L., Barnoux, Magali, Alexander, Regi, Roy, Ashok, Devapriam, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100524/
https://www.ncbi.nlm.nih.gov/pubmed/36380661
http://dx.doi.org/10.1111/jar.13051
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author Langdon, Peter E.
Thompson, Paul A.
Shepstone, Lee
Perez‐Olivas, Gisela
Melvin, Clare L.
Barnoux, Magali
Alexander, Regi
Roy, Ashok
Devapriam, John
author_facet Langdon, Peter E.
Thompson, Paul A.
Shepstone, Lee
Perez‐Olivas, Gisela
Melvin, Clare L.
Barnoux, Magali
Alexander, Regi
Roy, Ashok
Devapriam, John
author_sort Langdon, Peter E.
collection PubMed
description BACKGROUND: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. METHOD: Using linear regression, with auto‐regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021. RESULTS: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post‐admission CTRs were associated with increased discharges over time. CONCLUSIONS: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.
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spelling pubmed-101005242023-04-14 Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data Langdon, Peter E. Thompson, Paul A. Shepstone, Lee Perez‐Olivas, Gisela Melvin, Clare L. Barnoux, Magali Alexander, Regi Roy, Ashok Devapriam, John J Appl Res Intellect Disabil Original Articles BACKGROUND: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. METHOD: Using linear regression, with auto‐regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021. RESULTS: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post‐admission CTRs were associated with increased discharges over time. CONCLUSIONS: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased. Blackwell Publishing Ltd 2022-11-15 2023-01 /pmc/articles/PMC10100524/ /pubmed/36380661 http://dx.doi.org/10.1111/jar.13051 Text en © 2022 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Langdon, Peter E.
Thompson, Paul A.
Shepstone, Lee
Perez‐Olivas, Gisela
Melvin, Clare L.
Barnoux, Magali
Alexander, Regi
Roy, Ashok
Devapriam, John
Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title_full Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title_fullStr Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title_full_unstemmed Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title_short Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data
title_sort psychiatric inpatient admissions and discharges of people with intellectual disabilities: a time series analysis of english national data
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100524/
https://www.ncbi.nlm.nih.gov/pubmed/36380661
http://dx.doi.org/10.1111/jar.13051
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