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Should mental health in-patient services be provided in general psychiatric or specialist intellectual disability services?

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Should mental health in-patient services be provided in general psychiatric or specialist intellectual disability services?

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This literature review looked at the issue of models of support for people with intellectual disabilities (ID) and mental illness, updating an earlier review (Chaplin 2004) which concluded that there was no evidence to support either support provided in general psychiatric services, or in specialised ID services. The review searched electronic databases and websites of key intellectual disabilities and mental health organisations from 2003. From 2308 titles initially retrieved from the search, 28 studies eventually met the inclusion criteria. The literature suggested that people with ID are admitted to general psychiatric services but are underrepresented in inpatient samples and outpatient samples from general psychiatric services. Patients with ID stay longer on specialised than general psychiatric inpatient units and longer on specialist ID unit than those without ID on general unit. Results were mixed when looking at length of stay, suggesting that people with ID and mental illness

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This literature review looked at the issue of models of support for people with intellectual disabilities (ID) and mental illness, updating an earlier review (Chaplin 2004) which concluded that there was no evidence to support either support provided in general psychiatric services, or in specialised ID services. The review searched electronic databases and websites of key intellectual disabilities and mental health organisations from 2003. From 2308 titles initially retrieved from the search, 28 studies eventually met the inclusion criteria. The literature suggested that people with ID are admitted to general psychiatric services but are underrepresented in inpatient samples and outpatient samples from general psychiatric services. Patients with ID stay longer on specialised than general psychiatric inpatient units and longer on specialist ID unit than those without ID on general unit. Results were mixed when looking at length of stay, suggesting that people with ID and mental illness

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