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Journal of Intellectual Disabilities
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Readmissions to Learning Disability Hospitals

A study of failed discharge due to physical health problems, relapsing mental illness and severe behavioural problems

Marian Seager

Northgate Hospital, Morpeth, UK

Gillian Bell

St Luke’s Hospital, Middlesbrough, UK

Gregory O’Brien

Northgate Hospital, Morpeth, UK

A total of 154 people with learning disabilities who were discharged from hospital to community care were studied (using information from care staff and case-notes) with a view to establishing the number of readmissions and exploring the reasons for these readmissions. A readmission rate of 8.4 percent was found, which was broadly in line with previous studies in this area. As expected, and as previously reported, severe problem behaviour was a prominent reason for hospital readmission, with physical aggression to staff and peers being a factor in each of these cases. Relapsing mental illness was thought to be a factor in a number of the admissions precipitated by physical aggression. Physical deterioration figured highly as a cause of readmission to the learning disability hospitals, demonstrating their continuing role in providing physical health care for a group of patients who were not being provided for by generic services.

Key Words: behaviour problems • discharge • mental illness • readmission

Journal of Intellectual Disabilities, Vol. 4, No. 4, 321-331 (2000)
DOI: 10.1177/146900470000400405
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