Leicestershire Partnership NHS Trust, UK; Care Quality Commission, UK.
Leicestershire Partnership NHS Trust, UK.
J Intellect Disabil. 2020 Mar;24(1):21-34. doi: 10.1177/1744629518756698. Epub 2018 Feb 14.
Rehabilitation services for people with mental illnesses have been extensively researched. However, services with similar aims and specifications for patients with intellectual disabilities (IDs) have had little focus. This study describes the characteristics and outcomes of 21 patients admitted to a specialist ID rehabilitation service over an 8-year time frame. Rather that solely accepting 'step-down' referrals, some patients were referred from community settings. During the study, 20 patients were discharged, 80% to lower levels of service restriction, while 14.3% to higher levels. The study suggested that rehabilitation services have an important role within the wider service model for people with ID. Within the service studied, patients were referred from both higher and lower levels of restriction, suggesting the rehabilitation service 'bridged the gap' between inpatient and community settings, supporting the aim of caring for patients in the least restrictive setting for their needs.
精神疾病患者的康复服务已经得到了广泛的研究。然而，针对智力残疾（ID）患者的具有类似目标和规格的服务却很少受到关注。本研究描述了 21 名在 8 年时间内被专门的 ID 康复服务机构收治的患者的特征和结果。该机构不仅接受“降级”转诊，还有一些患者是从社区环境转介而来。在研究期间，20 名患者出院，80%的患者转到了服务限制程度较低的环境，而 14.3%的患者转到了服务限制程度较高的环境。该研究表明，康复服务在 ID 患者的更广泛服务模式中具有重要作用。在所研究的服务中，患者来自于限制程度较高和较低的环境，这表明康复服务“弥合了住院和社区环境之间的差距”，支持了在最能满足患者需求的限制环境中照顾患者的目标。
