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Abstract：
BACKGROUND: In recent years, concerns have been raised that too many patients stay for too long in forensic psychiatric services and that this is a particular problem in those with an intellectual disability.
OBJECTIVE: To compare the characteristics, needs, and care pathways of long-stay patients with and without intellectual disability within forensic psychiatric hospital settings in England.
METHODS: File reviews and questionnaires were completed for all long-stay patients in high secure and a representative sample of those in medium secure settings in England. Between-group analyses comparing patients with and without intellectual disability are reported.
RESULTS: Of the 401 long-stay patients, the intellectual disability and non-intellectual disability groups were strikingly similar on many sociodemographic, clinical and forensic variables. The intellectual disability group had significantly lower lengths of stay, fewer criminal sections, restriction orders and prison transfers, and higher levels of behavioural incidents and risk assessment scores.
CONCLUSIONS: In spite of similar offence histories and higher risk levels, those with intellectual disability appear to be diverted away from the criminal justice system and have shorter lengths of stay. This has implications about the applicability of the Transforming Care programme to this group.
OBJECTIVE: To compare the characteristics, needs, and care pathways of long-stay patients with and without intellectual disability within forensic psychiatric hospital settings in England.
METHODS: File reviews and questionnaires were completed for all long-stay patients in high secure and a representative sample of those in medium secure settings in England. Between-group analyses comparing patients with and without intellectual disability are reported.
RESULTS: Of the 401 long-stay patients, the intellectual disability and non-intellectual disability groups were strikingly similar on many sociodemographic, clinical and forensic variables. The intellectual disability group had significantly lower lengths of stay, fewer criminal sections, restriction orders and prison transfers, and higher levels of behavioural incidents and risk assessment scores.
CONCLUSIONS: In spite of similar offence histories and higher risk levels, those with intellectual disability appear to be diverted away from the criminal justice system and have shorter lengths of stay. This has implications about the applicability of the Transforming Care programme to this group.
摘要：
背景：近年来，有人担心，太多的病人在法医精神病服务中停留的时间太长，这对那些有智力残疾的人来说是一个特别的问题。
目的：为了比较这些特征，需要,以及在英格兰法医精神病医院环境中，有和没有智力残疾的长期住院患者的护理途径。
方法：对所有长期住院的高安全性患者和英格兰中等安全性患者的代表性样本进行了文件审查和问卷调查。报告了比较有和没有智力残疾的患者的组间分析。
结果：在401名长期住院患者中，智力残疾和非智力残疾群体在许多社会人口统计学上惊人地相似，临床和法医变量。智力残疾组的住院时间明显较短，犯罪部分较少，限制令和监狱转移，以及更高水平的行为事件和风险评估评分。
结论：尽管有类似的犯罪历史和更高的风险水平，智力残疾人士似乎被转移到刑事司法系统之外，停留时间较短。这对转化护理计划对这一群体的适用性有影响。
目的：为了比较这些特征，需要,以及在英格兰法医精神病医院环境中，有和没有智力残疾的长期住院患者的护理途径。
方法：对所有长期住院的高安全性患者和英格兰中等安全性患者的代表性样本进行了文件审查和问卷调查。报告了比较有和没有智力残疾的患者的组间分析。
结果：在401名长期住院患者中，智力残疾和非智力残疾群体在许多社会人口统计学上惊人地相似，临床和法医变量。智力残疾组的住院时间明显较短，犯罪部分较少，限制令和监狱转移，以及更高水平的行为事件和风险评估评分。
结论：尽管有类似的犯罪历史和更高的风险水平，智力残疾人士似乎被转移到刑事司法系统之外，停留时间较短。这对转化护理计划对这一群体的适用性有影响。
