Mapping and identifying service models for community-based services for children with intellectual disabilities and behaviours that challenge in England

Taylor, Emma L., Thompson, Paul A., Manktelow, Nicholas, Flynn, Samantha, Gillespie, David ORCID: https://orcid.org/0000-0002-6934-2928, Bradshaw, Jill, Gore, Nick, Liew, Ashley, Lovell, Mark, Sutton, Kate, Richards, Caroline, Petrou, Stavros, Langdon, Peter E., Grant, Gemma, Cooper, Vivien, Seers, Kate and Hastings, Richard P. 2023. Mapping and identifying service models for community-based services for children with intellectual disabilities and behaviours that challenge in England. BMC Health Services Research 23 (1) , 1354. 10.1186/s12913-023-10388-9

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Abstract

Background One in five children with an intellectual disability in the UK display behaviours that challenge. Despite associated impacts on the children themselves, their families, and services, little research has been published about how best to design, organise, and deliver health and care services to these children. The purpose of this study was to describe how services are structured and organised (“service models”) in England for community-based health and care services for children with intellectual disability who display behaviours that challenge. Methods Survey data about services were collected from 161 eligible community-based services in England. Staff from 60 of these services were also interviewed. A combination of latent class and descriptive analysis, coupled with consultation with family carers and professionals was used to identify and describe groupings of similar services (i.e., “service models”). Results The latent class analysis, completed as a first step in the process, supported a distinction between specialist services and non-specialist services for children who display behaviours that challenge. Planned descriptive analyses incorporating additional study variables were undertaken to further refine the service models. Five service models were identified: Child and Adolescent Mental Health Services (CAMHS) (n = 69 services), Intellectual Disability CAMHS (n = 28 services), Children and Young People Disability services (n = 25 services), Specialist services for children who display behaviours that challenge (n = 27 services), and broader age range services for children and/or adolescents and adults (n= 12 services). Conclusions Our analysis led to a typology of five service models for community health and care services for children with intellectual disabilities and behaviours that challenge in England. Identification of a typology of service models is a first step in building evidence about the best provision of services for children with intellectual disabilities who display behaviours that challenge. The methods used in the current study may be useful in research developing service typologies in other specialist fields of health and care.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine Centre for Trials Research (CNTRR)
Publisher:	BioMed Central
ISSN:	1472-6963
Funders:	National Institute for Health Research (NIHR)
Date of First Compliant Deposit:	5 December 2023
Date of Acceptance:	28 November 2023
Last Modified:	06 Dec 2023 10:00
URI:	https://orca.cardiff.ac.uk/id/eprint/164529

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