Patterns of mortality among adults with intellectual and developmental disabilities in Ontario [2018]

Objectives To determine recent mortality rates among Ontarian adults with intellectual and developmental disabilities (IDDs) and investigate changes over time in contrast to the general population. To determine the most commonly reported underlying causes of death and explore related coding practices. Methods Using linked health administrative data, four cohorts of

What’s in a label? The stigmatizing effect of intellectual disability by any other name [2018]

Some have argued that stigmatization of individuals with intellectual disabilities may be rooted in the terms used to describe the condition, others have maintained that stigma may be inherent in the condition itself, not in the label used. This study took advantage of a recent change in terminology introduced in

The Subjective Experiences of Firesetting by Men With Mild Intellectual Disabilities Detained in a Secure Hospital [2015]

This article explores the lived experiences of men with mild intellectual disabilities who have deliberately set a fire and are detained in a secure hospital. Semi-structured interviews were used to explore the subjective experiential claims of seven male firesetters with mild intellectual disabilities residing in a forensic intellectual disability hospital.

Advocacy unit probation officers reporting risk factors for young offenders with intellectual or developmental disabilities [2018]

Young people with intellectual or developmental disabilities are over-represented in the juvenile justice system. Unlike young people without disabilities, young offenders with intellectual or developmental disabilities may have assigned probation officers (i.e., advocacy unit probation officers) who understand the contextual risk factors among these young offenders. For this study, we

Evaluation of a Program Model for Minimizing Restraint and Seclusion [2018]

This study conducted a longitudinal evaluation of an organizational change effort to minimize restraint and seclusion within a behavioral healthcare facility that serves at-risk and high-risk clients with intellectual, developmental, and psychiatric disabilities, using a context, input, process, and product model. The change effort was developed and implemented at an

Reducing Restraint in Individuals with Intellectual Disabilities and Autism Spectrum Disorders: a Systematic Review Group Interventions [2018]

Safe restraint reduction is important to remove unnecessary stigmatizing and harmful behavior management practices in individuals with developmental disabilities. Despite calls to reduce such practices, they remain common. The literature was searched to identify empirical papers using interventions of any kind to reduce restraint and related restrictive behavior management practices

A novel care pathway for prisoners with intellectual disability designed through a Delphi process [2018]

Purpose Individuals with an intellectual disability (ID) form a significant minority in the Irish prison population and worldwide prison populations. There is growing recognition that specialist services for such individuals are in need of development. The purpose of this paper is to propose a care pathway for the management of

A novel care pathway for prisoners with intellectual disability designed through a Delphi process [2018]

Purpose Individuals with an intellectual disability form a significant minority in the Irish prison population and worldwide prison populations. There is growing recognition that specialist services for such individuals are in need of development. In this paper, we propose a care pathway for the management of individuals with an intellectual

Significant therapy events with clients with intellectual disabilities [2018]

Purpose The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs). Design/methodology/approach Four therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in

Living with support: Experiences of people with mild intellectual disability [2018]

Background To enhance social inclusion of people with intellectual disability, policy is aimed at increasing informal support networks. Nevertheless, staff continue to play a vital role in their support networks. Method Six individuals with mild intellectual disability, living in community‐based settings, were interviewed following a semi‐structured format. In‐depth accounts of

Experiences of parents who support a family member with intellectual disability and challenging behaviour: “This is what I deal with every single day” [2018]

Background: Research into parents’ experiences of living with a family member with intellectual disability and challenging behaviour does not specifically address what parents say about themselves and their lives. This paper explores “I-statements” parents made about their day-to-day actions in life with their family member. Methods: Semi-structured interviews were conducted

Deliberate ingestion of foreign bodies as a form of self-harm among inpatients within forensic mental health and intellectual disability services [2018]

Deliberate foreign body ingestion is a significant issue in prison and psychiatric settings. It is associated with serious physical complications, including bowel obstruction, perforation and haemorrhage. Episodes of deliberate foreign body ingestion were identified retrospectively from 5417 incident records from two inpatient forensic services (one mental health and one intellectual

Staff awareness training: improving knowledge and confidence of autism spectrum disorders and intellectual disabilities in a locked rehabilitation unit [2018]

Purpose The purpose of this paper is to present a training package which was delivered to improve staff members’ knowledge and confidence of autism spectrum disorders (ASD) and intellectual disabilities (ID). Design/methodology/approach The training was facilitated in a locked rehabilitation unit for adult males, many of whom had diagnoses of

Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses [2018]

BackgroundThe issue of violence in secure services has long been recognized both in the UK and worldwide. However, there is currently scarce literature available about violence within learning disability (LD) secure settings. MethodsSecondary data analysis was conducted on violent incidents, using information routinely collected by the staff over a 1‐year

Access to mental health services: The experiences of people with intellectual disabilities [2018]

BackgroundPeople with intellectual disability experience higher rates of mental health disorders than the rest of the population, and expert opinion holds that multiple barriers prevent people with intellectual disability from accessing appropriate services. MethodsA qualitative study was designed to explore the lived experience of barriers and enablers to access to

An investigation of the determinants of quality of life in adolescents and young adults with Down syndrome [2018]

Background Young people with Down syndrome experience varying abilities in activities of daily living, cognitive functioning, behaviour and social skills. The aim of this research was to investigate, from a carer’s perspective, the factors that influenced the quality of life of these young people. Methods Families of young people with

Correlates of burnout among professionals working with people with intellectual and developmental disabilities [2018]

Background Although burnout has been recognised as an important stress‐related problem among staff working with people with intellectual and developmental disabilities (IDD), literature on the subject is limited yet emerging. The aim of this study is twofold: (1) to evaluate the level of burnout within different professions working with IDD;

Underdiagnosis of psychiatric disorders in people with intellectual disabilities: Differences between psychiatric disorders and challenging behaviour [2018]

Background and purpose: The purpose of this study was to assess the level of mental disorders and challenging behaviour in individuals with intellectual disability (ID) supported by specialized services, but without a prior psychiatric diagnosis, and to compare the levels of different disorders depending on the severity of ID. Methods:

Restraint interventions in people with moderate to profound intellectual disabilities: Perspectives of support staff and family members [2018]

Background Due to incompatibilities in communication, it is key that family members and support staff can take the perspective of people with moderate to profound intellectual disabilities (ID) whilst putting aside their own perspectives. Method Ten vignettes describing types of restraint interventions (RIs) were presented to 20 unique pairs of