{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:41:05Z","timestamp":1777750865341,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There has been significant reduction in inpatient beds for people with intellectual disability and\/or autism (PwID\/A) in the UK in the last decade following high profile national scandals in specialist psychiatric hospitals. To reduce inappropriate admissions a new strategy (Blue-Light, an emergency multi-disciplinary meeting to prevent admission to hospital) was introduced. However, there is no research on the influence of Blue-Light on crisis management for PwID\/A.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess Blue-Light\u2019s impact on PwID\/A\u2019s crisis presentations<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Co-produced with experts-by-experience, a mixed methods approach using a 13 question Likert based survey of health and social-care professionals along with semi-structured interviews of carers involved with consecutive Blue-Light patient reviews was undertaken in Cornwall UK (population: 538,000). Patient data was accessed to understand the patient journey. All data analysis was descriptive in nature. Semi-structured interviews were transcribed and thematically analysed using Braun and Clarke\u2019s six-step process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ten patient journeys were examined. Staff interviewed had a good understanding of the Blue-Light process, Blue-Light activation practical challenges and considered Blue-Light reactive. Nearly half wanted ID\/A specialist beds recommissioned. A majority wanted improved supervision and standards for third sector providers. Semi-structured interviews of 10 patient-carers identified a lack of consistency from professionals, limited infrastructure provision, the prolongation of crises and a lack of definition of crisis as carers did not feel supported by services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Current crisis support systems are not standardised and often leave carers feeling unsupported in crises. An evidence-based debate of crisis support and the inpatient role for PwID\/A is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640241303831","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T02:22:37Z","timestamp":1733797357000},"page":"782-793","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Understanding the current provisions of support for people with an intellectual disabilities and\/or autism in crisis: A mixed methods study"],"prefix":"10.1177","volume":"71","author":[{"given":"Samuel","family":"Tromans","sequence":"first","affiliation":[{"name":"SAPPHIRE Group, Department of Population Health Sciences, University of Leicester, UK"},{"name":"Leicestershire Partnership NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Summers","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"},{"name":"Cornwall Intellectual Disability Equitable Research, University of Plymouth Peninsula School of Medicine, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahbaz","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Leicestershire Partnership NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Ledger","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Lennard","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"},{"name":"Cornwall Intellectual Disability Equitable Research, University of Plymouth Peninsula School of Medicine, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Bassett","sequence":"additional","affiliation":[{"name":"Statsconsultancy Ltd., Bucks, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remie","family":"Colledge","sequence":"additional","affiliation":[{"name":"Expert by Experience (Independent), Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Bilkey","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Staples","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Edwards","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grahame","family":"Carr","sequence":"additional","affiliation":[{"name":"NHS England South-West, Exeter, Devon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Laugharne","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"},{"name":"Cornwall Intellectual Disability Equitable Research, University of Plymouth Peninsula School of Medicine, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-6933","authenticated-orcid":false,"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research, Cornwall Partnership NHS Foundation Trust, Truro, UK"},{"name":"Cornwall Intellectual Disability Equitable Research, University of Plymouth Peninsula School of Medicine, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207640221140290"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.022483"},{"key":"e_1_3_3_5_1","unstructured":"Department of Health. 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NHS England refreshes policy for reviewing the mental health care of some autistic people and people with a learning disability. https:\/\/www.autism.org.uk\/what-we-do\/news\/new-cetr-policy"},{"key":"e_1_3_3_13_1","unstructured":"National Institute for Health and Care Research. (2019). PPI (Patient and Public Involvement) resources for applicants to NIHR research programmes. https:\/\/www.nihr.ac.uk\/ppi-patient-and-public-involvement-resources-applicants-nihr-research-programmes"},{"key":"e_1_3_3_14_1","unstructured":"NHS England. (2015). \u2018Blue Light\u2019 Protocol. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2015\/10\/ld-blue-light-protocol.pdf"},{"key":"e_1_3_3_15_1","unstructured":"NHS England. (2023). Care and Treatment Review: Key lines of enquiry. https:\/\/www.england.nhs.uk\/publication\/care-and-treatment-review-key-lines-of-enquiry\/"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12316"},{"key":"e_1_3_3_17_1","doi-asserted-by":"crossref","unstructured":"O\u2019Connor C. Joffe H. (2020). Intercoder reliability in qualitative research: debates and practical guidelines. International Journal of Qualitative Methods 19. https:\/\/doi.org\/10.1177\/1609406919899220","DOI":"10.1177\/1609406919899220"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207640231175773"},{"key":"e_1_3_3_19_1","unstructured":"Public Health England. (2016). 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