Impact of the initial response to COVID‐19 on long‐term care for people with intellectual disability: an interrupted time series analysis of incident reports

Autor:	Schuengel, Carlo, Tummers, Joep, embregts, petri, Leusink, Geraline
Přispěvatelé:	Tranzo, Scientific center for care and wellbeing, Verstandelijke Beperking, Clinical Child and Family Studies, LEARN! - Child rearing, APH - Aging & Later Life, APH - Mental Health
Rok vydání:	2020
Předmět:	2019-20 coronavirus outbreak medicine.medical_specialty COVID‐19 Special Section Coronavirus disease 2019 (COVID-19) government.form_of_government Clinical Neurology Interrupted Time Series Analysis SDG 3 - Good Health and Well-being administrative data Arts and Humanities (miscellaneous) COVID‐19 REGRESSION Intellectual disability medicine Psychiatry long term care SARS-CoV-2 Aggression Problem behaviour business.industry Brief Report metadata aggression Rehabilitation Toegepaste Informatiekunde COVID-19 people with intellectual disability medicine.disease Psychiatry and Mental health Long-term care incident reports Neurology intellectual disability government Neurology (clinical) medicine.symptom Information Technology business Incident report
Zdroj:	Journal of Intellectual Disability Research, 64(11), 817-824. Wiley-Blackwell Journal of Intellectual Disability Research 64 (2020) 11 Journal of Intellectual Disability Research Journal of Intellectual Disability Research, 64(11), 817-824 Schuengel, C, Tummers, J, Embregts, P J C M & Leusink, G L 2020, ' Impact of the initial response to COVID-19 on long-term care for people with intellectual disability : an interrupted time series analysis of incident reports ', Journal of Intellectual Disability Research, vol. 64, no. 11, pp. 817-824 . https://doi.org/10.1111/jir.12778
ISSN:	1365-2788 0964-2633
DOI:	10.1111/jir.12778
Popis:	BackgroundThe lockdown‐measures in response to COVID‐19 taken by long‐term care organisations might have impacted problem behaviour and behavioural functioning of people with intellectual disability. This study tested changes in reported incidents, in particular regarding aggression, unexplained absence and, for contrast, medication errors.MethodsMetadata on weekly incident and near‐incident reports from 2016 to June 2020 involving over 14 000 clients with mild to serious intellectual disability of 's Heeren Loo, a long‐term care organisation for people with intellectual disability, were subjected to interrupted time series analysis, comparing the COVID‐19 with the pre‐COVID‐19 period.ResultsThe imposition of lockdown‐measures coincided with a significant drop in incidents (total, P < .001; aggression, P = .008; unexplained absences, P = .008; and medication errors, P < .001). Incidents in total (P = .001) and with aggression (P < .001) then climbed from this initial low level, while medication errors remained stably low (P = .94).ConclusionThe rise in incidents involving aggression, against the background of generally lowered reporting, underlines the need for pandemic control measures that are suitable for people with intellectual disability in long‐term care.
Databáze:	OpenAIRE
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