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Sheltered employment in five member states of the Council of Europe: Austria, Finland, Norway, Sweden and Switzerland
- Authors:
- SAMOY Erik, WATERPLAS Lina
- Publisher:
- Council of Europe
- Publication year:
- 1997
- Pagination:
- 67p.,bibliogs.
- Place of publication:
- Strasbourg
Comparative study looking at the situation of sheltered employment in the twelve Member States of the European Union. The data for each country is grouped under the following headings: institutional context; target population; access to sheltered employment; characteristics of the people in sheltered employment; and a discussion of the topics currently under debate around sheltered employment in each country.
Psychiatric diagnoses in relation to severity of intellectual disability and challenging behaviors: a register study among older people
- Authors:
- AXMON A., et al
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1344-1350.
- Publisher:
- Taylor and Francis
Objective: To investigate the possible association between severity of intellectual disability (ID) and presence of challenging behaviour, respectively, on diagnoses of psychiatric disorders among older people with ID. Methods: People with a diagnosis of ID in inpatient or specialist outpatient care in 2002–2012 were identified (n = 2147; 611 with mild ID, 285 with moderate ID, 255 with severe or profound ID, and 996 with other/unspecified ID). Moreover, using impairment of behaviour as a proxy for challenging behaviour, 627 people with, and 1514 without such behaviour were identified. Results: Severe/profound ID was associated with lower odds of diagnoses of psychotic, affective, and anxiety disorders than was mild/moderate ID. People with moderate ID had higher odds than those with mild ID of having diagnoses of affective disorders. Diagnoses of psychotic, affective, and anxiety disorders, and dementia were more common among people with challenging behaviour than among those without. Conclusions: People with severe/profound ID had lower odds of receiving psychiatric diagnoses than those with mild and moderate ID. Whether this is a result of differences in prevalence of disorders or diagnostic difficulties is unknown. Further, challenging behaviours were associated with diagnoses of psychiatric disorders. However, the nature of this association remains unclear. (Edited publisher abstract)
Critical components in implementing evidence‐based practice: a multiple case study of individual placement and support for people with psychiatric disabilities
- Authors:
- BERGMARK Magnus, BEJERHOLM Ulrika, MARKSTROM Urban
- Journal article citation:
- Social Policy and Administration, 52(3), 2018, pp.790-808.
- Publisher:
- Wiley
When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence‐based practice (EBP). Individual Placement and Support (IPS) is an evidence‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, three IPS demonstration sites are followed for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research(Damschroder et al. 2009). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for. (Edited publisher abstract)
Increased risk for mental illness, injuries, and violence in children born to mothers with intellectual disability: a register study in Sweden during 1999–2012
- Authors:
- WICKSTROM Maria, et al
- Journal article citation:
- Child Abuse and Neglect, 65, 2017, p.124–131.
- Publisher:
- Elsevier
Several studies have demonstrated that mothers with intellectual disability (ID) have a higher prevalence of mental health illness, lower socio-economic status, and a higher risk of alcohol and drug use compared to mothers without ID. The children of mothers with ID are over-represented in child protection and legal proceedings but are generally a less studied group than the mothers. The aim of this study was to investigate if children born to mothers with ID had an increased risk of being diagnosed with mental illness, injuries, and violence compared with children of mothers without ID. The study comprised a population-based cohort of children born in Sweden between 1999 and 2005. Data were collected from the Medical Birth Register and linked with two other national registers; ICD-10 codes were used for medical diagnoses, including ID. The children were followed from birth to seven years of age. In total, 478,577 children were included, of whom 2749 were born to mothers with ID. Children of mothers with ID were at a greater risk of having mental health problems (adjusted odds ratio (OR) = 2.02; 95% confidence interval (CI) = 1.74–2.35) and ID (OR = 4.14; CI = 2.95–5.82) in early childhood. They had an increased risk for injuries due to falls (OR = 1.15; Cl 1.04–1.27). The largest risk related to trauma was violence and child abuse (OR = 3.11; CI = 1.89–5.12). In conclusion, children of mothers with ID had an increased risk for injuries, violence, and child abuse. The authors suggest that parents with ID should receive evidence based support so that their children receive the best care and protection. (Edited publisher abstract)
The body of political evidence
- Author:
- SONE Kendra
- Journal article citation:
- Community Care, 9.10.97, 1997, pp.18-19.
- Publisher:
- Reed Business Information
The revelation that 63,000 people with learning difficulties or mental health problems in Sweden were forcibly sterilised has fuelled the debate about the reproductive rights of people with learning difficulties in this country. Explains the arguments.