Background: NHS England's "Transforming Care" 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. Method: A cohort, retrospective study of adults using community…

Disabled people are disproportionately incarcerated and segregated from society through a variety of institutions. Still, the links between disability and incarceration are underexplored, limiting understanding of how carceral institutions punish and contribute to the social exclusion of disabled people. Using data from the 2016 Survey of Prison…

Introduction: Features of intellectual disability (ID) and/or autism spectrum disorder (ASD) may hinder responsiveness to interventions typically used during psychiatric hospitalization to manage severely disruptive behavior, and could increase the likelihood of experiencing restraint and/or seclusion (R/S). This study investigated the occurrence…

Purpose: The purpose of this study was to examine the effectiveness of a trauma-informed approach that was adapted for psychiatric residential treatment (PRT) for children aged 5-17. Methods: Data were extracted from case files of 100 youths who received traditional PRT and 105 youths who received trauma-informed PRT (TI-PRT). Outcome measures…

Social Empowerment Art Therapy (SEAT) aims to address the stigma of mental illness through the artistic empowerment of participants. The model was developed within an inpatient psychiatric setting from observations of a shared governance structure that empowered residents. Incorporating an open art studio approach and social action art therapy,…

Prior research examining persons with intellectual disabilities who have committed criminal offenses has focused primarily on correctional populations, or those who reside in secure forensic settings in the United Kingdom and Australia. This study describes 235 persons with intellectual, developmental, and cognitive disabilities who reside in a…

There are several strategies, or models, for combining the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) validity indicators to detect malingered psychiatric symptoms. Some scholars have recommended that an elevated F (Infrequency) score should be followed by the inspection of Fp (Infrequency-Psychopathology), whereas a recent…

Background: Evaluative studies have shown that special units for people with intellectual disabilities (ID) who have challenging behaviour have advantages and disadvantages. There has been no survey of their number or characteristics for nearly 20 years. Methods: A questionnaire was sent to all National Health Service trusts that had ID inpatient…

Examined suicides in Bridgewater (Massachusetts) State Hospital for persons formerly labeled "criminally insane." Found variation in suicide rate by historical period. Post-1968 rate of 232 per 100,000 was comparable to data reported in studies of psychiatric suicides, suggesting that forensic hospital populations have suicide rates…

Reanalyzed data from 1983 prospective study of suicide in cohort of 4,800 psychiatric inpatients using logistic regression. Results were same as in previous study: too few of the subsequent suicides were identified and there were too many false positives to make procedure useful. Additional artificial logistic regression analyses helped but fell…

Studies indicate that the impact of family involvement may be the most important predictor of successful psychiatric hospitalization of adolescents. Yet the ability to engage both an adolescent and his or her family in family therapy in the context of what is often an involuntary hospitalization is a major challenge. A number of promising…

Tabulated data suggests the marginality of vocational functioning, as well as the low economic status associated with hospitalization. Study does not attempt pre and post hospital vocational comparisons. (CJ)

Determined item difficulties for 10 Wechsler Adult Intelligence Scale-Revised subtests for psychiatric inpatients (n=150). Spearman correlation coefficients between psychiatric inpatient and standardized group rank orders were large and significant across all subtests except Object Assembly, which demonstrated expected trend of increasing item…

Analyzed Suicide Intent Scale using data from 98 psychiatric inpatients who had attempted suicide. Analysis resulted in two-factor solution: Lethal Intent factor contained items pertaining to subjective level of lethal intent; Planning factor contained items related to objective planning for attempt. Findings suggest that Suicide Intent Scale can…

Discusses the process of hospitalizing clients both voluntarily and involuntarily. Examines legal, ethical, and procedural aspects of the commitment process and highlights the counselor's role in this process. (Author)