{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T01:33:19Z","timestamp":1778635999138,"version":"3.51.4"},"reference-count":43,"publisher":"National Institute for Health and Care Research","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002001","name":"Health and Social Care Delivery Research (HSDR) Programme","doi-asserted-by":"publisher","award":["NIHR130298"],"award-info":[{"award-number":["NIHR130298"]}],"id":[{"id":"10.13039\/501100002001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journalslibrary.nihr.ac.uk"],"crossmark-restriction":false},"short-container-title":["Health Soc Care Deliv Res"],"abstract":"<jats:sec id=\"abs1-1\"><jats:title>Background<\/jats:title>\n<jats:p>Transforming care so that people with learning disabilities and\/or autistic people can receive support at home rather than in hospital settings is a key priority, but progress has been slow. Despite significant national debate, little previous research has engaged directly with people in hospital, their families or front-line staff to understand the issues from their perspectives.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-2\"><jats:title>Objectives<\/jats:title>\n<jats:p>This research seeks to better understand the experiences of people with learning disabilities and\/or autistic people in long-stay hospital settings, their families and front-line staff \u2013 using this knowledge to create practice guides and training materials to support new understandings and ways of working.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-3\"><jats:title>Design<\/jats:title>\n<jats:p>Following a structured review of the literature, we sought to work with up to 10 people with learning disabilities and\/or autistic people in three case-study sites (2021\u201322), supplementing this with interviews with family members and commissioners; interviews\/focus groups with hospital staff, social workers, advocates and care providers; information from case files; and observations of multidisciplinary meetings.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-4\"><jats:title>Setting<\/jats:title>\n<jats:p>Three \u2018long-stay\u2019 hospital settings in England.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-5\"><jats:title>Participants<\/jats:title>\n<jats:p>Twenty-seven people in hospital, together with families, health and social care staff and commissioners.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-6\"><jats:title>Results<\/jats:title>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>People in hospital report widespread frustration, feel that hospital environments are not conducive to getting\/staying well, and face multiple barriers to leaving hospital. Without someone to fight for them, people struggle to overcome the inertia built into our current systems and processes.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Front-line staff are equally frustrated and describe a complex and seemingly dysfunctional system which they find almost impossible to navigate.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Hospital staff from different professional backgrounds do not have a shared sense of how many people really need to be in hospital or how many people could be cared for in different settings \u2013 suggesting that different definitions, world views and professional judgements might be at play.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Hospital staff are frustrated about what they see as the difficulty of discharging people into community services, while community services are equally frustrated about what they see as a risk-averse approach which they feel can lack an up-to-date knowledge of what is possible to achieve in the community.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Despite over a decade of policy attempts to resolve these issues, very significant barriers remain.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:sec>\n<jats:sec id=\"abs1-7\"><jats:title>Limitations<\/jats:title>\n<jats:p>This research explored the experiences of a small number of people, but has done so in significant depth. The research was undertaken in secure settings, during COVID and in a difficult external policy and practice context, and so has had to be very flexible and empathetic in order to build relationships and make the research possible. Future research could helpfully consider the needs of people from black and minority ethnic communities, the extent to which the experiences of people on forensic pathways are similar to\/different from other people\u2019s experiences (including perspectives from the criminal justice system), and what happens to people in the long term after they leave hospital.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-8\"><jats:title>Conclusions<\/jats:title>\n<jats:p>Working to make the voices of people with learning disabilities and\/or autistic people (as well as the staff who support them) centre stage is complex and sensitive. However, this lived experience\/practice knowledge is a crucial resource if we are going to develop better policy and practice solutions in the longer term.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-9\"><jats:title>Study registration<\/jats:title>\n<jats:p>This study is registered at <jats:uri>www.researchregistry.com<\/jats:uri> (researchregistry6124).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"abs1-10\"><jats:title>Funding<\/jats:title>\n<jats:p>This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR130298) and is published in full in <jats:italic>Health and Social Care Delivery Research<\/jats:italic>; Vol. 12, No. 3. See the NIHR Funding and Awards website for further award information.<\/jats:p>\n<\/jats:sec>","DOI":"10.3310\/hbsh7124","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T06:14:45Z","timestamp":1707718485000},"page":"1-119","update-policy":"https:\/\/doi.org\/10.3310\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["\u2018Why are we stuck in hospital?\u2019 Barriers to people with learning disabilities\/autistic people leaving \u2018long-stay\u2019 hospital: a mixed methods study"],"prefix":"10.3310","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3960-7988","authenticated-orcid":true,"given":"Jon","family":"Glasby","sequence":"first","affiliation":[{"name":"Department of Social Work and Social Care, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2646-5589","authenticated-orcid":true,"given":"Robin","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Care, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Marie","family":"Glasby","sequence":"additional","affiliation":[{"name":"Changing Our Lives, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0725-7912","authenticated-orcid":true,"given":"Rebecca","family":"Ince","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Care\/Institute of Applied Health Research, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8612-0323","authenticated-orcid":true,"given":"Frederick","family":"Konteh","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Care, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6221","published-online":{"date-parts":[[2024,2]]},"reference":[{"key":"key2024021211430800_ref7-bib7","author":"Department of Health and Social Care","year":"2019"},{"key":"key2024021211430800_ref8-bib8","author":"Hatton","year":"2020"},{"key":"key2024021211430800_ref10-bib10","author":"Equality and Human Rights Commission (EHRC)","year":"2020"},{"key":"key2024021211430800_ref12-bib12","author":"Equality and Human Rights Commission (EHRC)","year":"2022"},{"key":"key2024021211430800_ref13-bib13","unstructured":"COSLA\/Scottish Government. 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