Table 8 Final framework of outcome domains and sub-domains
Source
Effectiveness
 Discharge outcome/direction of care pathway1
 Delayed discharge/current placement appropriateness1
 Readmission (i.e. readmitted to hospital or prison)1
 Length of hospital stay1
 Adaptive functioning1
 Clinical symptom severity/treatment needs: patient rated1
 Clinical symptom severity/treatment needs: clinician rated1
 Recovery/engagement/progress on treatment goals: clinician rated1
 Recovery/engagement/progress on treatment goals: patient/carer rated2
 Reoffending (i.e. charges/convictions) on discharge1
 Offending-like behaviour (no CJS involvement) on discharge1
 Incidents (violence/self-harm) (in care setting)1
 Risk assessment measures1
 Security need (i.e. physical/procedural/escort/leave)1
Patient safety
 Premature death/suicide1
 Physical health1
 Medication (i.e. PRN usage/exceeding BNF limits/side-effects patient rating)1/2
 Restrictive practices (restraint)1
 Restrictive practices (seclusion/segregation)1
 Victimisation/safeguarding2
Patient and carer experience
 Patient experience: involvement in care2
 Patient experience: satisfaction/complaints1
 Quality of life: patient rated1
 Therapeutic climate1
 Access to work/meaningful activity (where appropriate)2
 Level of support/involvement in community (post discharge)2
 Carer experience: communication with services/involvement in care2
  • Source of domain Stage 1, systematic review; Stage 2, patient/carer involvement groups, Stage 3 = Delphi; CJS, criminal justice system; PRN, pro re nata; BNF, British National Formulary.