ORCID
- Rohit Shankar: 0000-0002-1183-6933
Abstract
Introduction: Care (Education) and Treatment Reviews (C(E)TR)are meetings to review individualized needs of people withintellectual disabilities (PwID) at risk of or currently undergoingpsychiatric hospitalization. We aimed to understand C(E)TRimpact and effectiveness from professionals working with PwID.Methods: An online mixed-methodology survey whichincluded 34 questions (either Likert or free text) was sharedwith networks including relevant professionals. Quantitativedata are presented descriptively. Thematic analysis was conducted on free-text responses.Results: Of 66 people representing multiple intellectual disability teams across the UK, 67% found the C(E)TR process useful,35% felt C(E)TRs made a difference to their clinical care, while36% felt it did not. Thematic analysis showed four overarchingthemesj: processes and structures, recommendations, accountability, and statutory vs. advisory. Word missing after advisory?Conclusion: Clinicians find C(E)TRs useful for their practice butremain concerned about significant clinical risks and serviceissues beyond their control which C(E)TRs fail to identify.
DOI Link
Publication Date
2025-07-07
Publication Title
Journal of Mental Health Research in Intellectual Disabilities
ISSN
1931-5864
Acceptance Date
2025-01-01
Deposit Date
2025-07-07
Funding
RS has received institutional research, travel support, and/or honorarium for talks and expert advisory boards from LivaNova, UCB, Eisai, Veriton Pharma, Bial, Angelini, UnEEG and Jazz/GW pharma outside the submitted work. He holds or has held competitive grants from various national grant bodies including Innovate, Economic and Social Research Council (ESRC), Engineering and Physical Sciences Research Council (ESPRC), National Institute of Health Research (NIHR), NHS Small Business Research Initiative (SBRI) and other funding bodies including charities all outside this work. No other author has any declared conflict of interest.
Keywords
Psychiatric inpatient, challenging behavior, learning disability, mental health, segregation
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Shankar, R. (2025) 'Perceptions to Care, (Education) and Treatment Reviews (C(E)TRs) of Mental Health Clinicians Working with Adults with Intellectual Disability in England: A Cross-Sectional Study', Journal of Mental Health Research in Intellectual Disabilities, . Available at: 10.1080/19315864.2025.2525834
