Search results for ‘Subject term:"learning disabilities"’ Sort:
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Mental health assessment of children and adolescents with learning disabilities
- Authors:
- FRIEDLANDER Robin, MOSS Steve
- Journal article citation:
- Journal of Public Mental Health, 8(1), March 2009, pp.37-45.
- Publisher:
- Emerald
Understanding the mental health problems of children who have learning disabilities presents huge challenges across many domains. The paper examines some of the assessment frameworks that may be used, offers clinical guidance on collecting information and suggests ways in which various theoretical approaches can be used to derive comprehensive case formulations. The common assessment approaches mentioned are psychiatric, behavioural, ecological and early attachment. A case study is used to discuss the use of the frameworks. An emphasis is placed on the use of structured methods to improve reliability and validity.
Specialist versus generic models of psychiatry training and service provision for people with intellectual disabilities
- Authors:
- JESS Gillian, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(1), March 2008, pp.183-193.
- Publisher:
- Wiley
Models of service provision and professional training differ between countries. This study aims to investigate a specialist intellectual disabilities model and a generic mental health model, specifically comparing psychiatrists’ knowledge and competencies, and service quality and accessibility in meeting the mental health needs of people with intellectual disabilities. Data were collected from consultant and trainee psychiatrists within a specialist intellectual disabilities model (UK) and a generic mental health model (Australia). The sample sizes were 294 (UK) and 205 (Australia). Statistically significant differences were found, with UK participants having positive views about the specialist intellectual disabilities service model they worked within, demonstrating flexible and accessible working practices and service provision, responsive to the range of mental health needs of the population with intellectual disabilities, and providing a wide range of treatments and supports. The UK participants were knowledgeable, well trained and confident in their work. They wanted to work with people with intellectual disabilities. In all of these areas, the converse was found from the Australian generic mental health service model. The specialist intellectual disabilities model of service provision and training has advantages over the generic mental health model.
Use of an in-patient psychiatric service by learning disabled children
- Authors:
- HOPPER Felicity, ROSE Gillian
- Journal article citation:
- British Journal of Learning Disabilities, 32(3), September 2004, pp.119-122..
- Publisher:
- Wiley
Despite recent political commitment to increasing access to all levels of health service provision for learning disabled people, there is still limited access to in-patient child psychiatric care for learning disabled children. Describes the experiences of an in-patient unit integrating learning disabled children into a peer group, the majority of whom have normal intellectual function. A case note review was undertaken of all children with a global learning disability admitted to the Collingham Gardens in-patient unit between January 2000 and December 2001. Discusses how similar services may be developed to be more inclusive for learning disabled children.
DC-LD: diagnostic criteria for psychiatric disorders for use with adults with learning disabilities/mental retardation
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publishers:
- Gaskell, Royal College of Psychiatrists
- Publication year:
- 2001
- Pagination:
- 134p.
- Place of publication:
- London
DC-LD is a new classification system providing diagnostic criteria for psychiatric disorders, intended for use with adults with moderate to profound learning disabilities. It is designed for use by professionals trained in psychiatric diagnosis. Covers techniques of diagnosis, severity and causes of learning disorders, developmental disorders, psychiatric illness, personality disorders and problem behaviours.
Psychiatric symptoms in adults with learning disability and challenging behaviour
- Authors:
- MOSS Steve, et al
- Journal article citation:
- British Journal of Psychiatry, 177, November 2000, pp.452-456.
- Publisher:
- Cambridge University Press
In people with learning disability one of the most frequent reasons for psychiatric referral is challenging behaviour. This study sought to determine what proportion of people with challenging behaviour actually have psychiatric symptoms. Showed that increasing severity of challenging behaviour was associated with the prevalence of psychiatric symptoms, depression showing the most marked association. Anxiety symptoms were associated with presence of self-injurious behaviour.
Mental health services for people with learning disabilities
- Authors:
- HASSIOTIS Angela, BARRON Phil, O'HARA Jean
- Journal article citation:
- British Medical Journal, 9.9.00, 2000, pp.583-584.
- Publisher:
- British Medical Association
Mental health services in the United Kingdom are set for dramatic restructuring in the light of recent government initiatives to improve quality of care and equity of provision. National standards for promoting mental health and treating mental illness are designed to reduce the risk of future tragedies and improve the quality of life of people with mental illness. But little thought has been given to the well documented mental health need of people with learning disabilities. A complete overhaul is needed with strong links to mainstream services.
Learning disability psychiatry: the future of services
- Author:
- O'DWYER J.M.
- Journal article citation:
- Psychiatric Bulletin, 24(7), July 2000, pp.247-250.
- Publisher:
- Royal College of Psychiatrists
Historically, the functions of institutions for those with learning disability included the provision of assessment, education, occupation, housing, health, social and psychiatric care. This article discusses psychiatric services for people with learning disabilities following community care reforms.
Outside the asylum
- Authors:
- WRIGHT David, BARTLETT Peter
- Journal article citation:
- Mental Health and Learning Disabilities Care, 2(12), August 1999, pp.404-405.
- Publisher:
- Pavilion
This article provides an abstract of a new history of mental health and learning disabilities care which traces models of community care back to its Victorian and earlier antecedents.
Psychiatry and intellectual disabilities: navigating complexity and context
- Authors:
- JONES Jo, JEENKERI Kiran, CUTAJAR Peter
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.224-236.
- Publisher:
- Emerald
Purpose: The paper is a review, for the general adult mental health practitioner, of the issues to consider when managing a mental health presentation of a person with intellectual disability (PWID). The paper aims to discuss these issues. Design/methodology/approach: A neurodevelopmental model is outlined to assist practitioners in unravelling the wide range of potential factors relevant to intellectual disabilities (IDs). This includes an emphasis on complexity and interdisciplinary formulation within an individual’s context, and implications of the current policy changes. Findings: In practice, managing the mental health of PWID can be challenging within usual mainstream services; there is more to consider than is usual for the general population. Originality/value: The paper provides general mental health practitioners with a framework for a greater depth of understanding of the issues involved in the management of people with intellectual disability (ID). This includes discussion of the current policy context in ID, and some of its limitations. (Publisher abstract)
Intellectual disability psychiatry: a practical handbook
- Editors:
- HASSIOTIS Angela, BARRON Diana Andrea, HALL Ian, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 276p.
- Place of publication:
- Chichester
This guide to the management of mental health problems in people with learning disabilities has been written by nearly 30 contributors from the United Kingdom, United States, Canada, Ireland and Australia. Sixteen chapters cover topics including effective communication, clinical assessment, assessing mental capacity, decision making, depression, anxiety, obsessive compulsive disorders (OCDs), post traumatic stress disorder (PTSD), psychoses, autistic spectrum disorders (ASDs), substance misuse, challenging behaviour, interaction of physical with mental health, older people, mentally disordered offenders, mental health crises, community care and pharmacological and psychological interventions. Two appendices entitled ‘Critique of the ICD 10 and DSM IV based classification of mental disorders in intellectual disability’ and ‘A to Z of disciplines that may contribute to the multi-and interdisciplinary work as applied to mood and anxiety disorders’ are also included. The publication is aimed at health professionals to develop their understanding of mental health issues of people with learning disabilities.