Perceptions to Care, (Education) and Treatment Reviews (C(E)TRs) of Mental Health Clinicians Working with Adults with Intellectual Disability in England: A Cross-Sectional Study
Amiola, Ayomipo Patteril, Elizabeth Chester, Verity Tromans, Samuel Triantafyllopoulou, Paraskevi Price, Jay Purandare, Kiran sawhney, indermeet Courtenay, Ken Roy, Ashok
Amiola, Ayomipo
Patteril, Elizabeth
Chester, Verity
Tromans, Samuel
Triantafyllopoulou, Paraskevi
Price, Jay
Purandare, Kiran
sawhney, indermeet
Courtenay, Ken
Roy, Ashok
Affiliation
Hertfordshire Partnership University NHS Foundation Trust; University of Leicester; Leicestershire Partnership NHS Trust; Tizard Centre, Unversity of Kent; Central and Northwest London NHS Foundation Trust; North London NHS Foundation Trust; Coventry and Warwickshire Partnership Trust; University of Plymouth; Cornwall Partnership NHS Foundation Trust
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Publication date
2025-07-07
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Abstract
Introduction
Care (Education) and Treatment Reviews (C(E)TR) are meetings to review individualized needs of people with intellectual disabilities (PwID) at risk of or currently undergoing psychiatric hospitalization. We aimed to understand C(E)TR impact and effectiveness from professionals working with PwID.
Methods
An online mixed-methodology survey which included 34 questions (either Likert or free text) was shared with networks including relevant professionals. Quantitative data are presented descriptively. Thematic analysis was conducted on free-text responses.
Results
Of 66 people representing multiple intellectual disability teams across the UK, 67% found the C(E)TR process useful, 35% felt C(E)TRs made a difference to their clinical care, while 36% felt it did not. Thematic analysis showed four overarching themesj: processes and structures, recommendations, accountability, and statutory vs. advisory. Word missing after advisory?
Conclusion
Clinicians find C(E)TRs useful for their practice but remain concerned about significant clinical risks and service issues beyond their control which C(E)TRs fail to identify.
Citation
Amiola, A., Patteril, E., Chester, V., Tromans, S., Triantafyllopoulou, P., Price, J., … Shankar, R. (2025). Perceptions to Care, (Education) and Treatment Reviews (C(E)TRs) of Mental Health Clinicians Working with Adults with Intellectual Disability in England: A Cross-Sectional Study. Journal of Mental Health Research in Intellectual Disabilities, 1–33. https://doi.org/10.1080/19315864.2025.2525834
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Article