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

C. Schuengel*, J. Tummers, P.J.C.M. Embregts, G.L. Leusink

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)817-824
Number of pages8
JournalJournal of Intellectual Disability Research
Volume64
Issue number11
DOIs
Publication statusPublished - 1 Nov 2020

Keywords

  • administrative data
  • aggression
  • COVID-19
  • incident reports
  • long term care
  • people with intellectual disability

Fingerprint Dive into the research topics of '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'. Together they form a unique fingerprint.

Cite this