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

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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 Aggression, Hostile Affect, Covert Aggression, and Bullying). Although psychometric properties

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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

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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

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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 Psychiatrists 2014 workforce survey. Characteristics of the IDDMH workforce (n=146

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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

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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 investigate assessment practices of Australian psychologists working with adults from

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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 investigate assessment practices of Australian psychologists working with adults from

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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

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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

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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 Inter-Ministerial Mental Health and Justice Committee which is comprised of

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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 proposed that the construct has flawed underpinnings, and its application

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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 low IQ and mental health illnesses. To this end, we

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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 incident records (n = 5417) of two inpatient forensic services

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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 incident records (n = 5417) of two inpatient forensic services

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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

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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

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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 (H-CARDD cohort, n = 66,000) to describe their prevalence in forensic inpatient

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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 treatment of mental health problems in children and adults with

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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 care pathways of long-stay patients with and without intellectual disability

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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 following a scandal in provision. The paper aims to discuss

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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 the prevalence of PBs, the associations with psychotropic medication use,

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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 tested. In addition, implementation was investigated of improved registration in

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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

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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 disability and mental health court determinations of unsoundness or unfitness

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