An investigation into the critical ingredients of intensive support teams for adults with intellectual disabilities who display challenging behaviour

NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary analysis of data fr...

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Bibliographic Details
Published in:BJPsych Bulletin Vol. 49; no. 1; pp. 5 - 10
Main Authors: Thomas, Lucretia, Lloyd-Evans, Brynmor, Marston, Louise, Hassiotis, Angela
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01.02.2025
Subjects:
Activities of daily living
Adults
Behavior
Behavior disorders
Behavior problems
challenging behaviour
Clinical outcomes
Commissioning
Community
community mental health teams
crisis care
Ethics
Fidelity
Hyperactivity
Intellectual disabilities
Intellectual Disability
Intellectually disabled people
intensive support teams
Irritability
Learning disabled people
Lethargy
Mental disorders
Original Papers
People with disabilities
Psychiatry
Questionnaires
Regression analysis
Teams
Treatment outcomes
Variables
Working hours
United Kingdom > UK
England
Intellectual disability
challenging behaviour
intensive support teams
crisis care
community mental health teams
ISSN:2056-4694, 2056-4708, 2053-4868
Online Access:Get full text
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Summary:NHS England recommends the commissioning of intensive support teams (ISTs) to provide effective support to people with intellectual disability (ID) when in crisis. However, there is a paucity of evidence regarding how these services should be organised. This exploratory secondary analysis of data from the IST-ID study aimed to investigate IST characteristics that relate to clinical outcomes. The primary outcome was mean change in the total score on the Aberrant Behavior Checklist and its subscales. A measure of mental illness severity was the only variable associated with our primary outcome of reduction in challenging behaviour. Accommodation type, affective status and gender were associated with the subdomains of irritability, hyperactivity and lethargy in unadjusted and adjusted analyses. Our findings indicate that variation in clinical outcomes is influenced by individual rather than organisational factors. Further research on the theoretical fidelity of the IST-ID model is needed.
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ISSN:2056-4694
2056-4708
2053-4868
DOI:10.1192/bjb.2023.94