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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
Schuengel,C. Tummers,J. Embregts,P. J. C. M. Leusink,G.
Schuengel,C.
Tummers,J.
Embregts,P. J. C. M.
Leusink,G.
Abstract
Background The 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. Methods Metadata 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. Results The 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). Conclusion The 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.
Description
Date
2020
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Volume Title
Publisher
Research Projects
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Keywords
COVID-19, REGRESSION, administrative data, aggression, incident reports, long term care, people with intellectual disability, SDG 3 - Good Health and Well-being
Citation
Schuengel, C, Tummers, J, Embregts, P J C M & Leusink, G 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