{
  "abstract": "Background\n\nAdults with intellectual disabilities and forensic histories often experience prolonged hospital stays and delayed discharge, yet evidence on how forensic pathways support safe and timely transition to the community remains limited.Method\n\nA qualitative, multi-perspective study was conducted within a large healthcare organisation in England. Semi-structured interviews and focus groups were undertaken with service users (n = 11), family members/carers (n = 5), and multidisciplinary staff (n = 18), alongside two co-production workshops with 92 professionals. Data were analysed using reflexive thematic analysis.Results\n\nDischarge was experienced as a cyclical and unstable process rather than a linear event. Three interrelated themes emerged: (1) establishing readiness and foundations for continuity, (2) maintaining coordination and coherence across the care trajectory, and (3) sustaining community living while preventing re-entry into institutional care.Conclusions\n\nSupporting safe and sustainable discharge requires continuity-focused integrated pathways beginning at admission and extending beyond discharge to reduce repeated cycles of admission.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing and Public Health, Manchester Metropolitan University, Manchester, UK.",
    "Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, UK.",
    "Mersey Care NHS Foundation Trust, Liverpool, UK."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Alina Haines-Delmont",
      "orcid": "0000-0001-6989-0943"
    },
    {
      "affs": [
        0
      ],
      "name": "Kathryn Fradley",
      "orcid": "0000-0002-2443-7368"
    },
    {
      "affs": [
        1
      ],
      "name": "Faye McLoughlin",
      "orcid": "0009-0001-5511-2689"
    },
    {
      "affs": [
        2
      ],
      "name": "Sahrish Ali"
    },
    {
      "affs": [
        2
      ],
      "name": "Sana Raja"
    },
    {
      "affs": [
        2
      ],
      "name": "Michaela Thomson",
      "orcid": "0000-0002-7849-1466"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0vjrs710613y9.bib",
  "cited_by": 0,
  "doi": "10.1111/jar.70329",
  "fulltext_url": "https://europepmc.org/articles/PMC13725736",
  "id": "0vjrs710613y9",
  "issns": [
    "1360-2322",
    "1468-3148"
  ],
  "landing_url": "https://europepmc.org/article/MED/42969165",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2739|Down syndrome and intellectual disability research"
    ]
  ],
  "openalex": "W7225088982",
  "pdf_url": "https://europepmc.org/articles/PMC13725736?pdf=render",
  "pmcid": "PMC13725736",
  "pmid": "42969165",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0vjrs710613y9.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42969165",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42969165"
    },
    {
      "first_seen": "2026-11-04T12:24:01Z",
      "native_id": "PMC13725736",
      "source": "pmc",
      "url": "https://doi.org/10.1111/jar.70329"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Down syndrome and intellectual disability research",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "From Hospital to Community: Perspectives on Forensic Pathways for Adults With Intellectual Disabilities.",
  "title_text": "From Hospital to Community: Perspectives on Forensic Pathways for Adults With Intellectual Disabilities.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:21:51Z",
  "url": "https://research.draconitic.com/paper/0vjrs710613y9",
  "venue": "Journal of applied research in intellectual disabilities : JARID",
  "versions": []
}