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The PAS-ADD assessments and their continuing conceptual development
- Author:
- MOSS Steve
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(1), 2012, pp.5-16.
- Publisher:
- Emerald
The PAS-ADD assessments (Psychiatric Assessment Schedules for Adults with Developmental Disabilities) have been in continuous development since the mid-1980s. Although originally developed through work on the health status of older people with intellectual disability they now encompass children as well as adults. The author discusses the theoretical and practical issues that have shaped the development of the assessments. The fundamental aim of the modern PAS-ADD system is to improve case detection and assessment by supporting and enhancing the skills of clinical staff, rather than attempting to replace the need for those skills. The assessor makes the final judgement about diagnosis. The PAS-ADD assessments are based on existing psychiatric classification and diagnostic rules for the general population and are conceptually different from instruments derived from psychometric principles. It is suggested that these factors have major implications, both for instrument design and for the evaluation of effectiveness.
Improving the detection and assessment of mental health problems in people with learning disability
- Author:
- MOSS Steve
- Journal article citation:
- Focus, 19, October 1996, pp.1-11.
- Publisher:
- RNIB
Ensuring that people with learning disability get appropriate help for their mental health problems is not just a job for psychiatrists. All staff have an essential role in ensuring that people who have psychiatric problems are identified and referred for comprehensive assessment. This article introduces some of the major issues in recognising and assessing mental health problems in this population, and introduces some new developments designed to improve the targeting of psychiatric referrals.
The mini PAS-ADD interview pack
- Author:
- MOSS Steve
- Publisher:
- Pavilion
- Publication year:
- 2002
- Pagination:
- 94p., 2 booklets
- Place of publication:
- Brighton
Psychiatric Assessments Schedules for Adults with Developmental Disabilities , the PAS-ADD system, is a set of well regarded assessment tools for undertaking mental health assessments with people with learning disabilities. They are designed to provide a smooth, reliable flow of information on psychiatric symptoms from all those involved in an individual’s care, including family members, support staff and care staff. These enhanced versions of the original materials come in three parts: The Mini-PAS-ADD handbook for use by professionals involved in mental health assessments. This comprises a new semi-structured interview and improved clinical glossary, plus new outline training plan and coding exercises. 100 Mini PAS-ADD interview score forms for recording the mini PAS-ADD interview scores. The PAS-ADD Checklist (x 100) a questionnaire written in everyday language for use by care staff and families to identify potential mental health problems and to decide whether a further assessment is needed. Of particular interest to all professionals involved in mental health assessments of people with learning disabilities.
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.
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.
Informal care networks of older adults with an intellectual disability
- Authors:
- PROSSER Helen, MOSS Steve
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 9(1), 1996, pp.17-30.
- Publisher:
- Wiley
Describes a study of people with intellectual disability over the age of 40 years who were still living with relatives in the family home. Previous studies have revealed that there exist different types of social networks and that identifying network type and available informal support is important for planning effective service delivery. The main focus of this investigation was on the structure and characteristics of informal support networks and the pattern of support that occurred.
Psychiatric symptoms associated with dementia in older people with learning disability
- Authors:
- MOSS Steve, PATEL Pradip
- Journal article citation:
- British Journal of Psychiatry, 167, November 1995, pp.663-667.
- Publisher:
- Cambridge University Press
Describes a study of non-cognitive features of dementia in a population of 105 people over 50 years of age, with learning disability. Results support the previously reported observation for the general population that cognitive and non-cognitive features are only weakly related. The study suggests that psychiatric symptom information may be useful in screening for dementia in people with learning disabilities.
Psychiatric morbidity in older people with moderate and severe learning disability I: Development and reliability of the Patient Interview (PAS-ADD)
- Authors:
- MOSS Steve, et al
- Journal article citation:
- British Journal of Psychiatry, 163, October 1993, pp.471-480.
- Publisher:
- Cambridge University Press
Describes the development of PAS-ADD, a semi-structured clinical interview for use specifically with patients with learning disabilities.
Behaviour disorders and other characteristics of the population of a mental handicap hospital
- Authors:
- KIERNAN Chris, MOSS Steve
- Journal article citation:
- Mental Handicap Research, 3(1), 1990, pp.3-20.
- Publisher:
- BIMH Publications
Presents information on the characteristics of 981 people living in a mental handicap hospital, including their age, sex, sensory and physical impairments, and level of behaviour disorder, and examines the inter-relation of these features. The findings indicate that health and local authorities should take particular note of two features, age and behaviour disorders, when developing and implementing their resettlement policies for people with mental handicaps.
Assessment of mental health problems
- Author:
- MOSS Steve
- Journal article citation:
- Tizard Learning Disability Review, 4(2), April 1999, pp.14-19.
- Publisher:
- Emerald
Examines the process of assessing mental health needs for people with learning disabilities, considering questions of targeting, mental illness and challenging behaviour, diagnostic assessment and quality of life. Recommends comprehensive assessment within an integrated care approach.