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Adherence to care and treatment review policy and impact on length of stay

Lucy Jade Jones (University of Liverpool, Liverpool, UK)
Ceri Woodrow (Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK)

Advances in Mental Health and Intellectual Disabilities

ISSN: 2044-1282

Article publication date: 24 October 2023

Issue publication date: 8 November 2023

59

Abstract

Purpose

The purpose of this clinical audit was to review the adherence to the 2017 care and treatment review policy across two NHS assessment and treatment units. Care and treatment reviews should be offered to people with an intellectual disability and/or autism who are at risk of admission into a mental health hospital.

Design/methodology/approach

Admission and discharge data was collected across two assessment and treatment units between January 2019 and December 2022. Adherence to the care and treatment review policy was also reviewed as was length of inpatient stay. A retrospective evaluation was conducted. Triangulation of data was collected via the trusts’ electronic patient record system and NHS analytics team. Descriptive statistics, Mann–Whitney U test and a one-way ANOVA with post hoc tests were used in the analysis.

Findings

An increase in behaviours of challenge and deterioration of mental health were the main reasons for admission. Forty-nine percent (30) of those admitted to the assessment and treatment units accessed a care and treatment review. Care and treatment reviews were more frequently provided for individuals experiencing longer inpatient stays.

Originality/value

There is limited evidence relating to outcomes and impact of care and treatment reviews. Further research is required to explore effectiveness of care and treatment reviews to understand benefits and appropriately prioritise resource.

Keywords

Acknowledgements

Since acceptance of this article, the following author has updated their affiliation: Lucy Jade Jones is at the Mersey Care NHS Foundation Trust, Liverpool, UK.

Citation

Jones, L.J. and Woodrow, C. (2023), "Adherence to care and treatment review policy and impact on length of stay", Advances in Mental Health and Intellectual Disabilities, Vol. 17 No. 4, pp. 283-291. https://doi.org/10.1108/AMHID-07-2023-0023

Publisher

:

Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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