Impact of locked, low, & medium security inpatient adolescent services
Research type
Research Study
Full title
Patient perspective of the impact of locked, low security and medium security inpatient adolescent services at exit and following discharge, the journey/pathway that they take following exit, and changes in wellbeing and quality of life.
IRAS ID
207175
Contact name
Chris Griffiths
Contact email
Sponsor organisation
St Andrew's Healthcare
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
1 years, 2 months, 29 days
Research summary
Patients in locked, low security, and medium security inpatient adolescent services often have complex functional, mental health, social, biological, psychological and educational needs. They may pose a high level of risk to self and others, may have committed offences, and can have histories that include abuse (physical, mental, emotional, sexual), substance misuse, brain injury, local authority care, neglect, and single or multiple mental illness diagnosis.
There is a lack of research on the impact of locked, low security and medium security inpatient adolescent services from the patient perspective. There have been no previous research studies investigating the outcomes of young people discharged from secure in-patient care. The small number of studies investigating the outcomes of adults discharged from secure in-patient care (Davies et al. 2007; Edwards, Steed, & Murray, 2002; Dickens et al. 2001; Alexander et al. 2006) or outcomes of young people discharged from non-secure inpatient psychiatric settings (Healy, 1999; Gavidia-Payne et al. 2003) indicate the potential of such investigations. This potential includes identifying impact of care/treatment and providing feedback to enhance care/treatment and reducing risk.
This research investigates the impact of the work of inpatient services on people who receive them, the journey/pathway that young people (aged 13-18) take following exit from inpatient services, and changes in self-reported quality life and wellbeing. The post discharge interviews will investigate current support, health and social service use, perceived risks, and education/employment/training. It will seek to investigate patient identified ‘turning points’ and what facilitated these.
This research seeks to answer its research questions through interviews with patients shortly prior to discharge, 3 months and 6 months following discharge. Patients will be recruited whilst they are in inpatient care. Data will be collected using semi-structured interviews, and two self-report questionnaires: EQ-5D (Quality of life) and the Warwick Edinburgh Mental Well-being Scale (WEMWBS).REC name
East Midlands - Leicester South Research Ethics Committee
REC reference
16/EM/0254
Date of REC Opinion
27 Jul 2016
REC opinion
Further Information Favourable Opinion