Morrissey Catrin, Langdon Peter E, Geach Nicole, Chester Verity, Ferriter Michael, Lindsay William R, McCarthy Jane, Devapriam John, Walker Dawn-Marie, Duggan Conor, Alexander Regi
, PhD, Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, and Complex and Forensic Service, Lincolnshire Partnership NHS Foundation Trust, Lincoln, UK.
, PhD, Tizard Centre, University of Kent, Canterbury, and Broadland Clinic, Hertfordshire Partnership University NHS Foundation Trust in Norfolk, Norwich, UK.
BJPsych Open. 2017 Feb 13;3(1):41-56. doi: 10.1192/bjpo.bp.116.003616. eCollection 2017 Jan.
There is limited empirical information on service-level outcome domains and indicators for the large number of people with intellectual disabilities being treated in forensic psychiatric hospitals.
This study identified and developed the domains that should be used to measure treatment outcomes for this population.
A systematic review of the literature highlighted 60 studies which met eligibility criteria; they were synthesised using content analysis. The findings were refined within a consultation and consensus exercises with carers, patients and experts.
The final framework encompassed three superordinate domains: (a) effectiveness, (b) patient safety and (c) patient and carer experience. Within each of these, further sub-domains emerged from our systematic review and consultation exercises. These included severity of clinical symptoms, offending behaviours, reactive and restrictive interventions, quality of life and patient satisfaction.
To index recovery, services need to measure treatment outcomes using this framework.
None.
© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.
对于在法医精神病医院接受治疗的大量智障人士，关于服务层面的结果领域和指标的实证信息有限。
本研究确定并开发了用于衡量该人群治疗结果的领域。
对文献进行系统回顾，筛选出60项符合纳入标准的研究；采用内容分析法对这些研究进行综合分析。研究结果在与护理人员、患者和专家的咨询及达成共识的过程中得到完善。
最终框架包含三个上级领域：（a）有效性，（b）患者安全，（c）患者及护理人员体验。在每个领域中，通过我们的系统回顾和咨询活动又产生了进一步的子领域。这些子领域包括临床症状的严重程度、犯罪行为、反应性和限制性干预措施、生活质量以及患者满意度。
为了衡量康复情况，服务机构需要使用该框架来评估治疗结果。
无。
© 皇家精神病学院2017年。本文是一篇开放获取文章，根据知识共享署名（CC BY）许可协议发布。
