{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T14:06:57Z","timestamp":1781186817084,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"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":["Research Intellect Disabil"],"published-print":{"date-parts":[[2024,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>NHS England's Transforming Care<\/jats:italic> agenda aims to reduce the number of adults with intellectual disabilities and autistic adults in mental health hospitals. The aim was to understand the demographic and clinical characteristics of those most at risk of admission.<\/jats:p><\/jats:sec>Method<\/jats:title>A cohort, retrospective study of adults using community intellectual disability services in the North West of England from 2018 to 2022 was undertaken.<\/jats:p><\/jats:sec>Results<\/jats:title>We compared 211 adults at imminent risk of admission to a mental health hospital and 249 at significant (but not imminent) risk on a validated risk stratification tool. Individuals at significant risk were more likely to have moderate intellectual disability. Individuals at imminent risk were more likely to have diagnoses of mild intellectual disability, autism, personality disorder, or psychosis.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>By furthering our understanding of the clinical characteristics of those most at risk of admission, the findings inform more appropriate targeting of resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.13210","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T23:08:56Z","timestamp":1708556936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Who is at risk? Adults with intellectual disability at risk of admission to mental health inpatient care"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6396-878X","authenticated-orcid":false,"given":"Marianne","family":"Durand","sequence":"first","affiliation":[{"name":"Learning Disability, Neurodevelopmental Disorders and Aquired Brain Injury Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2780-6170","authenticated-orcid":false,"given":"Rajan","family":"Nathan","sequence":"additional","affiliation":[{"name":"Specialist Mental Health Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"},{"name":"Chester Medical School University of Chester Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Holt","sequence":"additional","affiliation":[{"name":"Children, Young People and Families Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1697-5473","authenticated-orcid":false,"given":"Sharleen","family":"Nall\u2010Evans","sequence":"additional","affiliation":[{"name":"Information Management and Business Intelligence Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3325-224X","authenticated-orcid":false,"given":"Ceri","family":"Woodrow","sequence":"additional","affiliation":[{"name":"Learning Disability, Neurodevelopmental Disorders and Aquired Brain Injury Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"},{"name":"Centre for Autism, Neurodevelopmental Disorders and Intellectual Disabilities Cheshire and Wirral Partnership NHS Foundation Trust Chester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e328306a090"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-09-2019-0027"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-019-00175-9"},{"key":"e_1_2_10_5_1","unstructured":"Centre for Autism Neurodevelopmental Disorders and Intellectual Disability. (2023).Decision Support Tool for Physical health (DST\u2010PH) Training: Cheshire and Wirral Partnership NHS Foundation Trust (canddid.nhs.uk).https:\/\/www.canddid.nhs.uk\/dst-ph"},{"key":"e_1_2_10_6_1","unstructured":"Department of Health. (2012).Transforming care: A national response to Winterbourne View Hospital. Department of Health."},{"key":"e_1_2_10_7_1","unstructured":"Department of Health and Social Care. (2022).Building the right support for people with a learning disability and autistic people.https:\/\/www.england.nhs.uk\/learning-disabilities\/natplan\/"},{"key":"e_1_2_10_8_1","volume-title":"Winterbourne View Hospital, A serious case review. [Online]","author":"Flynn M.","year":"2012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1108\/TLDR-07-2022-0015"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12073"},{"key":"e_1_2_10_11_1","volume-title":"Intensive support teams for adults with intellectual disabilities displaying challenging behaviour: The IST\u2010ID mixed\u2010methods study","author":"Hassiotis A.","year":"2022"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.2"},{"key":"e_1_2_10_13_1","unstructured":"HM Government(2022).Building the right support for people with a learning disability and autistic people. An action plan to strengthen community support for people with a learning disability and autistic people and reduce reliance on mental health inpatient care.https:\/\/www.gov.uk\/government\/publications\/building-the-right-support-for-people-with-a-learning-disability-and-autistic-people"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.117.005462"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e318183f85c"},{"key":"e_1_2_10_16_1","unstructured":"Mansell J.(2007).Services for people with learning disabilities and challenging behaviour or mental health needs.https:\/\/research.kent.ac.uk\/tizard\/wp-content\/uploads\/sites\/2302\/2019\/01\/dh2007mansellreport.pdf"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-12-2021-0050"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-04-2019-0009"},{"key":"e_1_2_10_19_1","unstructured":"National Development Team for Inclusion. (2017).Green light toolkit: A guide to auditing and improving your mental health service so that it is effective in supporting people with autism and people with learning disabilities.Bit.ly\/NDTIGreenLight"},{"key":"e_1_2_10_20_1","unstructured":"NHS England. (2015a).Building the right support.www.england.nhs.uk\/wp-content\/uploads\/2015\/10\/ld-nat-imp-plan-oct15.pdf"},{"key":"e_1_2_10_21_1","volume-title":"Care and treatment review: Policy and guidance","author":"NHS England","year":"2015"},{"key":"e_1_2_10_22_1","volume-title":"Supporting people with a learning disability and\/or autism who have a mental health condition or display behaviour that challenges","author":"NHS England","year":"2015"},{"key":"e_1_2_10_23_1","unstructured":"NHS England. (2017).Care and treatment reviews (CTRs): Policy and guidance including policy and guidance on care education and treatment reviews (CETRs) for children and young people.www.england.nhs.uk\/wp-content\/uploads\/2017\/03\/ctr-policy-v2.pdf"},{"key":"e_1_2_10_24_1","unstructured":"NHS England. (2023).Dynamic support register and care (education) and treatment review policy and guide.https:\/\/www.england.nhs.uk\/publication\/dynamic-support-register-and-care-education-and-treatment-review-policy-and-guide\/#heading-1"},{"key":"e_1_2_10_25_1","unstructured":"NHS Providers(2020).Getting it right for everyone:meeting the needs of people with a learning disability and autistic people in NHS services.https:\/\/nhsproviders.org\/getting-it-right-for-everyone"},{"key":"e_1_2_10_26_1","unstructured":"Office for National Statistics.https:\/\/www.ons.gov.uk\/2023."},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.135"},{"key":"e_1_2_10_28_1","unstructured":"Transforming Care and Commissioning Steering Group. (2014).Winterbourne view\u2010 time for change transforming the commissioning of services for people with learning disabilities and\/or autism.https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2014\/11\/transforming-commissioning-services.pdf"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1108\/TLDR-04-2018-0012"},{"key":"e_1_2_10_30_1","unstructured":"Woodrow C. &Renga S.(2021 April 3).Transforming care for people with learning disabilities. QNLD Conference."},{"key":"e_1_2_10_31_1","unstructured":"World Health Organization. (2022).ICD\u201011: International classification of diseases(11th revision).https:\/\/icd.who.int\/"},{"key":"e_1_2_10_32_1","volume-title":"Protection from harm and abuse: Better health, better lives: Children and young people with intellectual disabilities and their families: Bucharest, Romania, 26\u201327 November 2010","author":"World Health Organization. Regional Office for Europe","year":"2010"}],"container-title":["Journal of Applied Research in Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.13210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T01:41:23Z","timestamp":1713750083000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jar.13210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,21]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/jar.13210"],"URL":"https:\/\/doi.org\/10.1111\/jar.13210","archive":["Portico"],"relation":{},"ISSN":["1360-2322","1468-3148"],"issn-type":[{"value":"1360-2322","type":"print"},{"value":"1468-3148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,21]]},"assertion":[{"value":"2023-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13210"}}