ORCID

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.

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

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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