An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour
Aims and method NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary ana...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-02-01
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| Series: | BJPsych Bulletin |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469423000943/type/journal_article |
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| author | Lucretia Thomas Brynmor Lloyd-Evans Louise Marston Angela Hassiotis |
| author_facet | Lucretia Thomas Brynmor Lloyd-Evans Louise Marston Angela Hassiotis |
| author_sort | Lucretia Thomas |
| collection | DOAJ |
| description | Aims and method
NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary analysis of data from the IST-ID study aimed to investigate IST characteristics that relate to clinical outcomes. The primary outcome was mean change in the total score on the Aberrant Behavior Checklist and its subscales.
Results
A measure of mental illness severity was the only variable associated with our primary outcome of reduction in challenging behaviour. Accommodation type, affective status and gender were associated with the subdomains of irritability, hyperactivity and lethargy in unadjusted and adjusted analyses.
Clinical implications
Our findings indicate that variation in clinical outcomes is influenced by individual rather than organisational factors. Further research on the theoretical fidelity of the IST-ID model is needed.
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| format | Article |
| id | doaj-art-7d3cf754b319401884611436084a4a0f |
| institution | Kabale University |
| issn | 2056-4694 2056-4708 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj-art-7d3cf754b319401884611436084a4a0f2025-02-10T09:26:20ZengCambridge University PressBJPsych Bulletin2056-46942056-47082025-02-014951010.1192/bjb.2023.94An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviourLucretia Thomas0https://orcid.org/0000-0002-7005-4894Brynmor Lloyd-Evans1https://orcid.org/0000-0001-9866-788XLouise Marston2https://orcid.org/0000-0002-9973-1131Angela Hassiotis3https://orcid.org/0000-0002-9800-3909Homerton University Hospital, London, UKUniversity College London, London, UKUniversity College London, London, UKUniversity College London, London, UKAims and method NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary analysis of data from the IST-ID study aimed to investigate IST characteristics that relate to clinical outcomes. The primary outcome was mean change in the total score on the Aberrant Behavior Checklist and its subscales. Results A measure of mental illness severity was the only variable associated with our primary outcome of reduction in challenging behaviour. Accommodation type, affective status and gender were associated with the subdomains of irritability, hyperactivity and lethargy in unadjusted and adjusted analyses. Clinical implications Our findings indicate that variation in clinical outcomes is influenced by individual rather than organisational factors. Further research on the theoretical fidelity of the IST-ID model is needed. https://www.cambridge.org/core/product/identifier/S2056469423000943/type/journal_articleIntellectual disabilityintensive support teamscrisis carechallenging behaviourcommunity mental health teams |
| spellingShingle | Lucretia Thomas Brynmor Lloyd-Evans Louise Marston Angela Hassiotis An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour BJPsych Bulletin Intellectual disability intensive support teams crisis care challenging behaviour community mental health teams |
| title | An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| title_full | An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| title_fullStr | An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| title_full_unstemmed | An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| title_short | An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| title_sort | investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour |
| topic | Intellectual disability intensive support teams crisis care challenging behaviour community mental health teams |
| url | https://www.cambridge.org/core/product/identifier/S2056469423000943/type/journal_article |
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