Purpose Building the Right Support, a national plan for people with intellectual disabilities (ID) in England aims to avoid lengthy stays in hospital for such people. Discharge planning is understood to be helpful in facilitating successful transition from hospital to community services, however, there is little guidance available to help those working with detained patients with ID and offending histories to consider how to affect safe and effective discharges. The paper aims to discuss these issues. Design/methodology/approach In this paper, the development and implementation of a multi-faceted and systemic approach to discharge preparation and planning is described. The impact of this intervention on a range of outcomes was assessed and the views of stakeholders on the process were sought. Findings Initial outcome data provide support for the effectiveness of this intervention in terms of increased rates of discharge, reduced lengths of stay and low readmission rates. Stakeholders viewed the intervention as positive and beneficial in achieving timely discharge and effective post-discharge support. Practical implications People with ID are more likely to be detained in hospital and spend more time in hospital following admission. A planned, coordinated and well managed approach to discharge planning can be helpful in facilitating timely and successful discharges with low risks of readmission. Originality/value This is the first attempt to describe and evaluate a discharge planning intervention for detained offenders with ID. The intervention described appears to be a promising approach but further evaluation across a range of service settings is required.

中文翻译：

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制定和实施针对智障被拘留者的出院途径协议

目的建立正确的支持，这是英格兰针对智障人士的一项国家计划，旨在避免此类人士长期住院。出院计划被认为有助于促进从医院到社区服务的成功过渡，但是，几乎没有什么指南可帮助那些患有ID和违法历史的被拘留患者的工作人员考虑如何影响安全有效的出院。本文旨在讨论这些问题。设计/方法/方法在本文中，描述了排放准备和计划的多方面系统方法的开发和实施。评估了该干预措施对一系列结果的影响，并寻求利益相关者对该过程的看法。研究结果初步结果数据在出院率增加，住院时间缩短和再入院率低方面为这种干预措施的有效性提供了支持。利益相关者认为，干预措施对于实现及时出院和有效的出院后支持是积极和有益的。实际影响带有身份证明的人更有可能被拘留在医院，并在入院后在医院花费更多的时间。计划，协调和管理良好的排放规划方法可有助于以低的再入院率促进及时成功的排放。原创性/价值这是描述和评估针对ID的被拘留罪犯的出院计划干预措施的首次尝试。