Purpose The purpose of this paper is to evaluate whether two regional intellectual disability (ID) assessment and treatment (A&T) units in England were meeting the recommended length of stay stipulated by the Learning Disability Professional Senate, in line with the Transforming Care (TC) agenda. A secondary purpose of the study was to evaluate the reasons for admissions and delayed discharges in order to inform how to reduce these. Design/methodology/approach A retrospective evaluation of 85 admissions across two A&T units was conducted over a three-year period (2013–2016) following publication of the TC agenda. Findings There were 85 admissions compared to 71 discharges. Of the 85 admissions, 11 were readmissions. The most common factors thought necessary to prevent admission were early support for care providers or alternative service provision. There were barriers to discharge in over half of admissions; the main reason was a lack of suitable service provision. Practical implications The study suggests that providing specific support or training to care providers could prevent (re)admission and ensure shorter admissions. Further research to establish reasons for the reported lack of suitable providers would be beneficial. Originality/value This study provides current admission and discharge rates for regional A&T units, as recommended by the TC national guidance. It also provides potential reasons underlying preventable admissions and delayed discharges and therefore indicates what might be necessary to prevent admissions and reduce the length of inpatient stays for people with ID and/or autism.

中文翻译：

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转化护理议程：两个英语学习障碍评估和治疗单位的入院和出院

目的 本文的目的是评估英格兰的两个区域性智力障碍 (ID) 评估和治疗 (A&T) 单位是否符合学习障碍专业参议院规定的推荐逗留时间，符合转型护理 (TC)议程。该研究的第二个目的是评估入院和延迟出院的原因，以告知如何减少这些原因。设计/方法/方法 在 TC 议程公布后的三年时间里（2013-2016 年），对两个 A&T 单位的 85 名录取进行了回顾性评估。结果 有 85 人入院，而 71 人出院。在 85 次入院中，有 11 次是再入院。认为阻止入院所需的最常见因素是对护理提供者或替代服务提供的早期支持。超过一半的入学人数存在出院障碍；主要原因是缺乏适当的服务提供。实际意义 该研究表明，向护理提供者提供特定支持或培训可以防止（重新）入院并确保缩短入院时间。进一步研究确定报告缺乏合适提供者的原因将是有益的。原创性/价值 本研究根据 TC 国家指南的建议，提供了地区 A&T 单位的当前录取率和出院率。