Legislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment. On these bases there is a growing emphasis on the requirement for local authorities to develop appropriate services for people who are currently in a hospital setting. The purpose of this paper is to examine the literature addressing factors influencing the provision of effective community-based forensic services.,The six articles were analysed separately using the evaluation tool – Currency, Relevance, Authority, Accuracy, Purpose. The six articles used divergent sample groups and employed both qualitative and quantitative methods to collate data. The articles shared a purpose of examining forensic community service provision with an aim to improve services.,There were three themes that emerged consistently across the literature these included: balancing risk management vs individual autonomy; multi-disciplinary and multi-agency working; service improvement. There is a growing emphasis on the need to replace long-term hospital placements with specialist, community provision, employing least restrictive methods and positive responses to crisis situations. In this climate, it is crucial that multi-disciplinary agencies from local authority, health and the charitable and private sector continue to work collaboratively on the integration of service provision in order to bring about the development of effective and responsive community services.,Research limited to peer reviewed and published research papers focusing on the subject of community forensic services with publications specifically made within the time frame of the Transforming Care Agenda.,This paper looks to examine the practical solutions to providing effective community forensic services for a person with an intellectual disability and makes recommendations for research into improving service specific training for support staff.,Following the Winterbourne View Hospital scandal (BBC One, 2011) instigations were made to make legislative change under the Transforming Care Agenda. Despite a renewed conviction in the rights of people to be a part of their local community without segregation or discrimination, professionals in the field continue to report a failure to reduce numbers of people in long stay hospitals and secure settings. With commissioning under pressure to make these intentions a reality it is a really good time to reflect on practice and evaluate service models to establish the factors that bring about positive outcomes for individuals enabling inclusion within community settings.,This review will focus on the literature evidencing positive intervention and outcome focussed methods of supporting people with a forensic history in the community. This is an entirely original piece of work analysing peer reviewed and published research.

中文翻译：

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为学习障碍者提供有效的社区法医服务的因素：文献综述

立法指南规定，有学习障碍的人有权在限制最少的环境中接受本地提供的个性化支持。在这些基础上，越来越多地要求地方当局为目前在医院中的人们提供适当的服务。本文旨在研究影响提供有效的社区法证服务的因素的文献资料。使用评估工具分别对六篇文章进行了分析-货币，相关性，权威性，准确性，目的。六篇文章使用了不同的样本组，并使用了定性和定量方法来整理数据。这些文章的共同目的是检查法医社区服务的提供，以改善服务。文献中始终出现三个主题，包括：平衡风险管理与个人自主权；多学科和多机构的工作；服务改善。人们越来越强调有必要用专家，社区提供的服务来代替长期住院的人，采用限制性最小的方法以及对危机情况的积极反应。在这种情况下，至关重要的是，来自地方当局，卫生部门以及慈善和私营部门的多学科机构应继续合作，整合服务提供，以发展有效和响应迅速的社区服务。该研究仅限于经过同行评审和发表的针对社区法医服务的研究论文，并在《转型关怀议程》的框架内专门发表了一些出版物。本文旨在探讨为患有精神疾病的人提供有效的社区法医服务的实际解决方案。智力残障人士，并提出研究建议，以改善对支持人员的特定服务培训。继温特伯恩景医院丑闻（英国广播公司一号，2011年）之后，根据《转型护理议程》提出了立法变更建议。尽管人们重新坚定了人们没有种族隔离或歧视地成为当地社区一部分的权利，该领域的专业人士继续报告未能减少长期住院和安全场所人员的数量。由于要在实现这些意图的压力下进行调试，现在是反思实践并评估服务模型以建立可为个人带来积极成果的因素的良好时机，从而使个人能够融入社区环境。本文将重点关注文献证据积极干预和注重结果的方法，为社区中有法医史的人提供支持。这是分析同行评审和发表研究的完全原始的工作。由于要使这些意图变为现实，在进行调试的压力下，现在是反思实践并评估服务模型以建立可为个人带来积极成果的因素的好时机，从而使个人能够融入社区环境中。本文将重点研究文献证据。积极干预和注重结果的方法，为社区中有法医史的人提供支持。这是分析同行评审和发表研究的完全原始的工作。由于要使这些意图变为现实，在进行调试的压力下，现在是反思实践并评估服务模型以建立可为个人带来积极成果的因素的好时机，从而使个人能够融入社区环境中。本文将重点研究文献证据。积极干预和注重结果的方法，为社区中有法医史的人提供支持。这是分析同行评审和发表的研究的完全原始的工作。