The Prevalence and Characteristics of Intellectual and Borderline Intellectual Disabilities in a Sample of Inpatients with Substance Use Disorders: Preliminary Clinical Results [2018]

Introduction: There is reason to believe that many individuals with substance use disorders (SUD), who are in contact with services, have an undiagnosed intellectual disability. The aim of the present study was to investigate the prevalence of intellectual and borderline intellectual disabilities (ID/BID) among inpatients with SUD and to further

Behavioral Characteristics of Individuals with Down Syndrome [2018]

Introduction: Children and young adults with Down syndrome can demonstrate increased behavior problems compared to their typically developing peers through childhood and adolescence. Though current tools measure behavior problems in persons with intellectual disabilities, they do not capture all the behavioral problems that can occur in individuals with Down syndrome.

Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines [2018]

Objective To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD). Methods Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the

What Can the Experiences of People With an Intellectual Disability Tell Us About the Desirable Attributes of a Mental Health Professional? – 2018

Introduction: Mental health professionals have reported that they have limited knowledge, skills, and confidence in the area of intellectual disability mental health. This article aims to learn from the experiences of people with intellectual disability about the attributes that may assist mainstream mental health professionals to provide them with a

Restraints in daily care for people with moderate intellectual disabilities – 2016

Background: Self-determination is an important factor in improving the quality of life of people with moderate intellectual disabilities. A focus on self-determination implies that restraints on the freedom of people with intellectual disabilities should be decreased. In addition, according to the Dutch Care and Coercion bill, regular restraints of freedom,

Characteristics of Aggressive Behavior in People With Mild to Borderline Intellectual Disability and Co-Occurring Psychopathology – 2018

Introduction: People with intellectual disabilities and co-occurring psychopathology have a relatively high likelihood to engage in aggressive behavior. Nevertheless, structured clinical assessment of aggressive behavior, including when and where it occurs, is scarce in this population. Methods: On three wards specializing in the care for people with mild to borderline

Associations Between Mental Health Problems and Challenging Behavior in Adults With Intellectual Disabilities: A Test of the Behavioral Equivalents Hypothesis – 2018

Introduction: Current research findings in the field of intellectual disabilities (ID) regarding the relationship between mental health problems and challenging behavior are inconclusive and/or contradictory. The aim of this study was to further investigate the putative association between these two highly prevalent phenomena in people with ID, and specifically to

Health-related quality of life in people with intellectual disability who use long-term antipsychotic drugs for challenging behaviour – 2018

Highlights • We studied health-related quality of life in people who use long-term antipsychotics. • Mental health status was lower compared to the general population. • Emotional wellbeing was influenced by irritability and lethargy. • Physical wellbeing was influenced by parkinsonism and autonomic symptoms. Abstract Background Many people with intellectual disabilities use long-term antipsychotics

Towards data based clinical decision making for adults with challenging behaviour using the Behavior Problems Inventory – Short Form (BPI-S) – 2018

Purpose The Behavior Problems Inventory – Short Form (BPI-S) is a shorter version of the Behavior Problems Inventory – 01 (BPI-01). In this paper, BPI-S population norms are reported from a total administrative population of adults with Intellectual Disability (ID). To facilitate the use of the BPI-S in clinical services

Comparison of Self- and Proxy Report of Mental Health Symptoms in People With Intellectual Disabilities – 2018-02

Mental illness, and its assessment and treatment, is a concern for caregivers and professionals working with people with intellectual disability (ID), as well as a cause of distress and disability for people with ID. Research in this area is hindered by difficulties associated with recognizing symptoms of mental illness and

Associations Between Mental Health Problems and Challenging Behavior in Adults With Intellectual Disabilities: A Test of the Behavioral Equivalents Hypothesis – 2018-02

Introduction: Current research findings in the field of intellectual disabilities (ID) regarding the relationship between mental health problems and challenging behavior are inconclusive and/or contradictory. The aim of this study was to further investigate the putative association between these two highly prevalent phenomena in people with ID, and specifically to

Diagnosing Autism in Adults with Intellectual Disability: Validation of the DiBAS-R in an Independent Sample – 2017

The study assessed the diagnostic validity of the diagnostic behavioral assessment for autism spectrum disorders-revised (DiBAS-R; 19-item screening scale based on ratings by caregivers) in a clinical sample of 381 adults with ID. Analysis revealed a sensitivity of 0.82 and a specificity of 0.67 in the overall sample (70.3% agreement).

Time to stop over-prescribing antipsychotics to adults with developmental disabilities – Toronto Star Opinion – 2017-10-13

In our recent study published in the Canadian Journal of Psychiatry, we report that nearly 40 per cent of adults with developmental disabilities in Ontario were prescribed antipsychotics over a six-year period. Sixty per cent of the individuals prescribed these medications did not have the psychiatric diagnoses for which these

Exploring Differences in Criminogenic Risk Factors and Criminal Behavior Between Young Adult Violent Offenders With and Without Mild to Borderline Intellectual Disability – 2016

The relation between mild to borderline intellectual disability (MBID) and violent offense behavior was studied among a group of former juvenile delinquents currently in a diversion program for persistent young adult violent offenders from Amsterdam (N = 146). Offenders were considered MBID if they had received juvenile probation from the

Identification and Analysis of Factors Contributing to the Reduction in Seclusion and Restraint for a Population with Intellectual Disability – 2016

Background A cohort of 11 patients with an intellectual disability and a psychiatric diagnosis present severe behavioural disorders in psychiatric hospital of Quebec in 2009. Control-measure use for this clientele has now been reduced. How do management personnel, families and care teams explain the changes? What clinical interventions did management

Predicting Institutional Aggression in Offenders with Intellectual Disabilities Using the Violence Risk Appraisal Guide – 2016

Background One of the most extensively tested risk assessment instruments in offenders with an intellectual disability (OIDs) is the Violence Risk Appraisal Guide (VRAG). The purpose of this prospective study was to test the ability of this instrument to predict institutional aggression in OIDs. Method VRAG scores were collected for

A review of measures used in the screening, assessment and diagnosis of dementia in people with an intellectual disability – 2018

Background The increasing number of individuals with an intellectual disability who are at risk of developing dementia highlights the need to use measures with strong psychometric properties as part of the screening, assessment and diagnostic process. Method Searches were made of clinical and good practice guidelines and English language journal