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
Access to mental health services: The experiences of people with intellectual disabilities [2018]
Background People 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. Methods A qualitative study was designed
An Independent Investigation Into the Psychometric Properties of the Adult Scale of Hostility and Aggression (A-SHARP) [2017]
Background: The Adult Scale of Hostility and Aggression (A-SHARP) rating scale assesses the frequency/severity (problem scale) and the reactive-proactive motivation (provocation scale) of aggressive behaviors in adults with intellectual disabilities (ID). Items are assigned to five subscales (Verbal Aggression, Physical
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
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
Building workforce capacity in Australia and New Zealand: a profile of psychiatrists with an interest in intellectual and developmental disability mental health [2018]
Objective: To describe the characteristics of psychiatrists working in the area of intellectual and developmental disability mental health (IDDMH) across Australia and New Zealand. Methods: A secondary analysis of data collected by the Royal Australian and New Zealand College of
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
Clinical Practices and Barriers to Best Practice Implementation of Psychologists Working with Adults with Intellectual Disability and Comorbid Mental Ill Health [2018]
Evidence‐based practice (EBP) has not been well established in the area of intellectual disability (ID) and comorbid mental ill health. Some attempts in the form of policies and practice guidelines have been made. The aim of this study was to
Clinical Practices and Barriers to Best Practice Implementation of Psychologists Working with Adults with Intellectual Disability and Comorbid Mental Ill Health [2018]
Evidence‐based practice (EBP) has not been well established in the area of intellectual disability (ID) and comorbid mental ill health. Some attempts in the form of policies and practice guidelines have been made. The aim of this study was to
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
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
Developmental Disabilities in the Justice System
The Community Networks of Specialized Care are pleased to have been selected to lead a provincial initiative to raise awareness of developmental disabilities in the criminal justice system. The initiative is in response to a knowledge gap identified by the
Dual Diagnosis: A Problematic Construct When Applied to Persons with Intellectual Disabilities [2018]
The term dual diagnosis can refer to the co-occurrence of an intellectual disability and a mental disorder. While such a term may have some advocacy rationale aimed at facilitating improved mental health care for those with intellectual disabilities, it is
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
Forensic Inpatients with Low IQ and Psychiatric Comorbidities: Specificity and Heterogeneity of Psychiatric and Social Profiles
While the prevalence of mental disorders in people with intellectual disabilities (ID) is well documented, there is less specific literature in the forensic domain. This study sought to clarify the psychiatric and criminological characteristics among Belgian French-speaker forensic inpatients with
Forensic Inpatients with Low IQ and Psychiatric Comorbidities: Specificity and Heterogeneity of Psychiatric and Social Profiles [2018]
While the prevalence of mental disorders in people with intellectual disabilities (ID) is well documented, there is less specific literature in the forensic domain. This study sought to clarify the psychiatric and criminological characteristics among Belgian French-speaker forensic inpatients with
Head banging as a form of self-harm among inpatients within forensic mental health and intellectual disability services – 2018-01-11
Introduction: ‘Head banging’ is a common form of self-harm, linked to numerous negative outcomes including significant brain damage. However, little research has investigated head banging behaviour and its correlates in clinical populations. Method: Head banging episodes were identified from the
Head banging as a form of self-harm among inpatients within forensic mental health and intellectual disability services [2018]
Introduction: ‘Head banging’ is a common form of self-harm, linked to numerous negative outcomes including significant brain damage. However, little research has investigated head banging behaviour and its correlates in clinical populations. Method: Head banging episodes were identified from the
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.
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
Intellectual and developmental disabilities and Ontario’s forensic inpatient system: a population-based cohort study [2017]
Individuals with intellectual and developmental disabilities (IDD) in forensic inpatient beds are both complex and understudied. Previous studies have been limited and largely based on smaller clinical samples. We used data from a population-based cohort of Ontario adults with IDD
Intelligence Assessment Instruments in Adult Prison Populations: A Systematic Review [2017]
Detection of intellectual disability (ID) in the penitentiary system is important for the following reasons: (a) to provide assistance to people with ID in understanding their legal rights and court proceedings; (b) to facilitate rehabilitation programs tailored to ID patients,
Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review
Objective Mental health problems are more prevalent in people with than without intellectual disabilities, yet treatment options have received little attention. The aim of this study was to identify and evaluate the effectiveness of pharmacological and psychological interventions in the
Long-stay patients with and without intellectual disability in forensic psychiatric settings: comparison of characteristics and needs [2018]
Background In recent years, concerns have been raised that too many patients stay for too long in forensic psychiatric services and that this is a particular problem in those with an intellectual disability. Aims To compare the characteristics, needs, and
Mental health services for people with intellectual disability in the United Kingdom [2018]
Purpose Services for people with intellectual disabilities in the UK have evolved over the years from hospital-based care to more community provision. There are multiple reasons for these changes, however, often it was due to changes in social policy or
Prevalence of psychiatric disorders in adults with autism spectrum disorder: A systematic review and meta-analysis [2019]
Highlights • Psychiatric disorders in adults with ASD is a very important issue to be addressed. • ADHD is the most prevalent mental diagnosis in adults with ASD. • Mood and anxiety disorders are also frequent. • Substance use and
Problem behaviours and psychotropic medication use in intellectual disability: a multinational cross-sectional survey
Background Problem behaviours (PBs) are a common cause for clinician contact in people with disorders of intellectual development and may be a common cause for the prescription of psychotropic medication. We aimed to use a large, multinational sample to define
Psychological status and coping styles of caregivers of individuals with intellectual disability and psychiatric illness [2018]
Background The psychological status of caregivers of individuals with intellectual disability and psychiatric illness (PI) is important for effective management. The aim of this study was to examine the psychological status and its relationship with coping styles among these caregivers.
Reliability and Feasibility of Systematic Registration of Coercive Measures in Care for People With Intellectual Disabilities [2018]
Policies limit the use of coercive measures as a measure of last resort to protect people from danger. Success of policies can only be determined by registering the use of coercive measures. The reliability of 57 standardized coercive measures was
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
Severity of cognitive disability and mental health court determinations about fitness to stand trial – 2018
Background Little is known about the socio-demographic, clinical and legal determinants of mental health court decisions of unsoundness of mind and unfitness to stand trial for people with cognitive disability. We aimed to estimate the association between severity of cognitive
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
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
Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation [2018]
Background Few studies have looked at the prevalence of substance use disorders (SUD) in people with intellectual disability (ID). The results range between 1% and 6.4% and go up to 20% in people with ID and psychiatric disorders, probably underestimating
The Effect of Housing First on Housing Stability for People with Mental Illness and Low Intellectual Functioning [2018]
Objective: Housing First (HF) has been linked to increased tenure in housing for homeless people with mental illness, but the effect of HF on housing stability for people with borderline or lower intellectual functioning has not been examined. This study
The Effect of Housing First on Housing Stability for People with Mental Illness and Low Intellectual Functioning [2018]
Objective: Housing First (HF) has been linked to increased tenure in housing for homeless people with mental illness, but the effect of HF on housing stability for people with borderline or lower intellectual functioning has not been examined. This study
The Mental Health of Adults with Developmental Disabilities in Ontario: Lessons from Administrative Health Data [2018]
Adults with developmental disabilities have increased rates of mental illness and addiction, in addition to being more likely to experience physical health issues. This can lead to high rates of hospital and community-based healthcare. Population-based administrative health data can help
Training and service provision for people with intellectual disability and mental illness: the views of psychiatrists [2018]
Objectives: The objectives of this mixed methods study are to 1) investigate the knowledge and skills of mainstream psychiatrists in managing patients with Intellectual Disability (ID) and comorbid mental health disorders, 2) assess their perception of the quality and accessibility
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
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
Who’s challenging who training for staff empathy towards adults with challenging behaviour: cluster randomised controlled trial [2018]
Background One in five adults with intellectual disabilities (ID) known to services display challenging behaviours (CBs), and these individuals are at risk for restrictive practices and poor care. Staff attitudes may contribute to the development and/or maintenance of CBs. We
