Transitions for older people with intellectual disabilities and behaviours that challenge others: A rapid scoping review.
Elizabeth Tilley, Joanne Jordan, Mary Larkin and 3 others
PMID 36433739WHAT IT FOUND
Older adults with intellectual disabilities and behaviours that challenge others often move in crisis when future planning, needs assessment and specialist support are late or missing.
Early person-centred planning, communication supports and access to specialist teams are described as key.
Key findings
01Only nine items of evidence met the review criteria.
02The review found limited future planning by ageing family carers and adults with intellectual disabilities, and considerable frustration about missing or delayed needs assessments.
03Positive behavioural support was recommended as a first-line approach, and specialist behavioural team support was recommended for people with intellectual disabilities and behaviours that challenge others.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
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What it does not show
This was a rapid scoping review, not a full systematic review, and the authors did not critically appraise the included evidence. Only nine items of evidence were included, and the authors found very little research directly focused on older people with intellectual disabilities and behaviours that challenge others during transitions. Most included evidence was over 10 years old, so it may not reflect recent UK service changes. Some included evidence was single case studies, so it describes what happened to one person, not a pattern. The rapid search may have missed relevant evidence, including work not found within the one-month availability window.
Declared interests
Funded by the National Institute for Health and Care Research as part of a research project; the authors declared no conflicts of interest.
The easy way to misread this
Do not read the themes as proof that any service prevents crisis transitions. The review did not critically appraise the evidence, included only nine items, and in an included study staff training and person-centred plans were delivered together, so their separate effects cannot be established.