{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T04:22:53Z","timestamp":1788582173544,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,2,15]],"date-time":"2006-02-15T00:00:00Z","timestamp":1139961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2003<\/jats:bold> The purpose of this paper is to describe long\u2010term outcomes for patients discharged over a 12\u2010year period from a medium secure service for people with intellectual disabilities (ID).<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> A cohort study using case\u2010notes analysis and a structured interview of current key informants.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> Eleven per cent of the sample was reconvicted. Fifty\u2010eight per cent of the sample showed offending\u2010like behaviour that did not lead to police contact. Twenty\u2010eight per cent of the sample was currently detained in hospital under the Mental Health Act. The presence of a personality disorder, a history of theft or burglary, and young age increased the risk of reconviction. Contact with the police was less likely in those with schizophrenia. Re\u2010admission to hospital was associated with the presence of offending\u2010like behaviours, rather than any specific diagnosis.<\/jats:p><jats:p><jats:bold>Conclusion\u2003<\/jats:bold> In terms of reconviction, these results are good compared with those from general forensic services; however, behavioural problems continue for many years and are managed without recourse to the criminal justice system. There is a borderline group whose needs are poorly defined and serviced.<\/jats:p><jats:p><jats:bold>Declaration of interests\u2003<\/jats:bold> Horizon National Health Service Trust, the managing authority of the service, gave the grant for this study; the corresponding author was working in the service.<\/jats:p>","DOI":"10.1111\/j.1365-2788.2006.00806.x","type":"journal-article","created":{"date-parts":[[2006,2,15]],"date-time":"2006-02-15T15:00:30Z","timestamp":1140015630000},"page":"305-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":65,"title":["Long\u2010term outcome from a medium secure service for people with intellectual disability"],"prefix":"10.1111","volume":"50","author":[{"given":"R. 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