title: Social climate within secure inpatient services for people with intellectual disabilities.
abstract: BACKGROUND
  The social climate of inpatient facilities is thought to be an important contributor to treatment outcome. However, little research has focused on this construct within secure forensic services for people with intellectual disabilities (ID). Therefore, the objective of this study was to investigate the social climate of two different types of secure units ('low' secure vs. 'medium' secure) contained within the same facility for offenders with ID. Two hypotheses were generated: (1) residents would rate the social climate of the whole facility in a more negative direction than staff, and (2) residents and staff would rate the social climate of the 'low' secure unit in a more positive direction than that of the 'medium' secure unit.
  
  
  METHODS
  Using a 2 (factor 'Participant' = Staff or Resident) x 2 (factor 'Unit' = 'Low' or 'Medium' Secure Unit) between-subjects design, 18 residents and 37 staff members were recruited and completed the Correctional Institutions Environment Scale (CIES), a measure of social climate.
  
  
  RESULTS
  Residents tended to rate the units in a more positive direction than staff on some sub-scales. Participants rated the 'low' secure unit in a more positive direction than the 'medium' secure unit on two sub-scales of the CIES. However, on selected sub-scales there were differences. The findings of this study suggest that the CIES may be a valid instrument for use within forensic services for people with ID, and further suggests that residents and staff have different perceptions of the shared social climate, which may have implications for service development.
authors.affiliation: School of Medicine, Health Policy and Practice, Institute of Health, University of East Anglia, Norwich, UK. P.Langdon@uea.ac.uk
authors.forename: P E
authors.initials: PE
authors.lastname: Langdon
authors.forename: A
authors.initials: A
authors.lastname: Swift
authors.forename: R
authors.initials: R
authors.lastname: Budd
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005555:Forensic Psychiatry; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D011330:Prisons / Q000145:classification / Q000458:organization & administration*; D012637:Security Measures / Q000145:classification*; D012931:Social Environment; D006113:United Kingdom