The role of specialist inpatient rehabilitation services for people with intellectual disability, autism and mental health, behavioural or forensic needs

Published date21 August 2019
DOIhttps://doi.org/10.1108/AMHID-01-2019-0001
Date21 August 2019
Pages204-215
AuthorMahesh Odiyoor,Samuel Joseph Tromans,Regi T. Alexander,Srinaveen Akbari,Gill Bell,Sandy Bering,Sujeet Jaydeokar,Amrith Shetty
Subject MatterHealth & social care
The role of specialist inpatient
rehabilitation services for people with
intellectual disability, autism and mental
health, behavioural or forensic needs
Mahesh Odiyoor, Samuel Joseph Tromans, Regi T. Alexander, Srinaveen Akbari, Gill Bell,
Sandy Bering, Sujeet Jaydeokar and Amrith Shetty
Abstract
Purpose The purpose of this paper is to provide a professional consensus position with regard to the
provision of specialist inpatient rehabilitation services for people with intellectual disability (ID), autism and
mental health, behavioural or forensic needs in the UK.
Design/methodology/approach The concept of rehabilitation is discussed, as well as the functions and
goals of specialist inpatient rehabilitation services with regard to the aforementioned contexts. Current use of
rehabilitation beds is considered, both on a regional and national scale, as well as various outcome
measures, including effectiveness, patient safety and patient experience.
Findings There is a clear need for specialist inpatient rehabilitation services, though historically there have
been instances of inappropriate admissions, as well as lengthy inpatient stays that could have been
significantly reduced with the right type of community support package. Such services should be subjected
to rigorous measurement of outcome measures, to determine that patients within such services are
receiving a consistently high standard of care. Additionally, amendments to current legal frameworksshould
be considered, with a view to accommodating for individuals with capacity who require continuous
community-based supervision.
Originality/value To the best of the authors knowledge, this is the first article detailing a professional
consensus position for specialist inpatient rehabilitation services for people with ID, autism and mental health,
behavioural or forensic needs.
Keywords Mentalhealth, Intellectual disability,Rehabilitation, Forensic, Autismspectrum disorder, Inpatient
Paper type General review
Introduction
Service provision for people with intellectual disabilities (ID) and mental health, behavioural or
forensic needs has been in the spotlight following the events at Winterbourne View hospital,
where emotional and physical abuse was uncovered by the BBC Panorama documentary
Undercover Care (Pettie, 2011). Following the documentary, a government inquiry led to the
publication of Transforming care: a national response to Winterbourne View hospital
(Department of Health, 2012a), which detailed actions to avoid repetition of the Winterbourne
events, as well as a Concordat: programme of action(Department of Health, 2012b). A key
concern was that people admitted to such services stayed for too long, and this care model was
described as merely a new form of institutional care (Devapriam et al., 2015). The report and
concordat objectives were intended to be met by June 2014, but this commitment failed, so a
new inquiry took place, known as the first Bubb report (Transforming Care and Commissioning
Steering Group, 2014). The Bubb reportsrecommendations formed the basis for the Building
the Right Support (BRS) (NHS England et al., 2015) and Care Roles to Deliver the Transforming
Received 6 January 2019
Revised 4 April 2019
27 May 2019
Accepted 3 June 2019
(Information about the authors
can be found at the end of
this article.)
PAGE204
j
ADVANCESIN MENTAL HEALTH AND INTELLECTUAL DISABILITIES
j
VOL. 13 NO. 5 2019, pp.204-215, © Emerald Publishing Limited, ISSN 2044-1282 DOI 10.1108/AMHID-01-2019-0001

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