Abstract：
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.
METHODS: A cohort, retrospective study of adults using community intellectual disability services in the North West of England from 2018 to 2022 was undertaken.
RESULTS: We compared 211 adults at imminent risk of admission to a mental health hospital and 249 at significant (but not imminent) risk on a validated risk stratification tool. Individuals at significant risk were more likely to have moderate intellectual disability. Individuals at imminent risk were more likely to have diagnoses of mild intellectual disability, autism, personality disorder, or psychosis.
CONCLUSIONS: By furthering our understanding of the clinical characteristics of those most at risk of admission, the findings inform more appropriate targeting of resources.
METHODS: A cohort, retrospective study of adults using community intellectual disability services in the North West of England from 2018 to 2022 was undertaken.
RESULTS: We compared 211 adults at imminent risk of admission to a mental health hospital and 249 at significant (but not imminent) risk on a validated risk stratification tool. Individuals at significant risk were more likely to have moderate intellectual disability. Individuals at imminent risk were more likely to have diagnoses of mild intellectual disability, autism, personality disorder, or psychosis.
CONCLUSIONS: By furthering our understanding of the clinical characteristics of those most at risk of admission, the findings inform more appropriate targeting of resources.
摘要：
背景：NHS英格兰的“转型护理”议程旨在减少精神病医院中智障成年人和自闭症成年人的数量。目的是了解入院风险最高的人群的人口统计学和临床特征。
方法：一组，我们对2018年至2022年在英格兰西北部使用社区智障服务的成年人进行了回顾性研究.
结果：我们在经过验证的风险分层工具上比较了211名处于即将入院精神健康医院风险的成年人和249名处于重大（但非即将入院）风险的成年人。处于显着风险的个体更有可能患有中度智力残疾。处于迫在眉睫风险的个体更有可能被诊断为轻度智力残疾，自闭症,人格障碍,或精神病。
结论：通过进一步了解入院风险最高的患者的临床特征，这些发现为更适当的资源定位提供了依据。
方法：一组，我们对2018年至2022年在英格兰西北部使用社区智障服务的成年人进行了回顾性研究.
结果：我们在经过验证的风险分层工具上比较了211名处于即将入院精神健康医院风险的成年人和249名处于重大（但非即将入院）风险的成年人。处于显着风险的个体更有可能患有中度智力残疾。处于迫在眉睫风险的个体更有可能被诊断为轻度智力残疾，自闭症,人格障碍,或精神病。
结论：通过进一步了解入院风险最高的患者的临床特征，这些发现为更适当的资源定位提供了依据。
