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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)
Dementia and memory: a handbook for students and professionals
- Author:
- THOMPSON Simon B.N.
- Publisher:
- Ashgate
- Publication year:
- 2006
- Pagination:
- 235p., bibliog.
- Place of publication:
- Aldershot
Intended for students and trained healthcare and medical professionals, this book focuses on treatment of people suffering from dementia and memory problems. It looks at ageing and ageism, definition of dementia, different types of dementia, memory disorders, learning disability and dementia, and coping with memory problems and dementia. It includes information about how to treat memory problems, advanced memory strategies, assessing dementia, treating and managing dementia, and future directions for people with dementia. Case studies on memory, dementia, and dementia and learning disability, and a memory test are included.
Responses to women with learning disabilities as they go through the menopause
- Author:
- McCARTHY Michelle
- Journal article citation:
- Tizard Learning Disability Review, 7(1), January 2002, pp.4-12.
- Publisher:
- Emerald
The research investigated how women with learning disabilities understand and experience the menopause, and the support available. This paper reports the experiences and attitudes of those people to whom women with learning disabilities might turn for support. GPs generally reported re;actively little experience in treating women with learning disabilities for menopause-related symptoms and some recognised the need for pro-active work. Carers played a key role on facilitating women' s access to primary health care. Staff in residential and day services recognised the role they played in supporting women through the menopause, but were hampered by lack of time and resources. Mothers of middle-aged women with learning disabilities and viewed this transition positively. The need for specialist educational materials was emphasised by all who took in this research.
Making the right moves: rights and protection for adults with incapacity; laid before Scottish Parliament by the Scottish Ministers, August 1999
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Stationery Office
- Publication year:
- 1999
- Pagination:
- 36p.
- Place of publication:
- Edinburgh
Statement setting out Scottish Executive plans to introduce comprehensive legislation in the Scottish Parliament to protect the rights and interests of adults who lack capacity because of mental health problems, learning difficulties, or dementia.
A memory clinic for older people with intellectual disabilities
- Authors:
- HASSIOTIS A., et al
- Journal article citation:
- Aging and Mental Health, 7(6), November 2003, pp.418-423.
- Publisher:
- Taylor and Francis
Cognitive decline in older people with intellectual disabilities (ID) is often under-recognized. Following the publication of the National Service Framework for Older People and the white paper Valuing People, older people with intellectual disabilities of all aetiologies should have access to a systematic assessment of their cognitive function in order to detect decline in cognition and adaptive skills and implement appropriate treatments as early as possible. The development of a memory clinic for older people with ID is described, including instruments used and characteristics of attendees. Such projects are in line with current UK government policies and can contribute to the improvement of standards of care and support research in this vulnerable group of people.
Physical health of adults with intellectual disabilities
- Editors:
- PRASHER Vee, JANICKI Matthew
- Publisher:
- Blackwell
- Publication year:
- 2002
- Pagination:
- 286p.,bibliogs.
- Place of publication:
- Oxford
In common with the rest of the population, people with intellectual disabilities are experiencing increased longevity. Evidence suggests that mental health disorders may occur in up to half of all persons with intellectual disability and that these disorders accelerate significantly with age. Part one: prevalence and diagnosis; part two: treatments and interventions.
Prevalence and correlates of behavioral and psychiatric symptoms in community-dwelling elders with dementia or mild cognitive impairment: the Memory and Medical Care Study
- Authors:
- CHAN Ding-Cheng, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(2), February 2003, pp.174-182.
- Publisher:
- Wiley
Little is known about the prevalence and correlates of behavioral and psychiatric symptoms of dementia in community-dwelling elders with dementia or mild cognitive impairment (MCI). Compared to dementia subjects, those classified as MCI had a lower prevalence of any symptoms (psychosis, depression, or agitation), and of agitation. Symptoms of psychosis and depression also were less prevalent, even though differences did not reach statistical significance. In the dementia group symptoms were associated with a report of a physician's diagnosis of dementia, greater functional impairment, and a knowledgeable informants (KI) who was a child/child-in-law. In those with MCI, symptoms were correlated with being white, greater functional impairment, and a younger, less educated, KI. Psychiatric and behavioral symptoms were common in community-residing elders with cognitive impairment, but their prevalence and correlates differed by study classification as having dementia or MCI. Identifying and treating these symptoms may benefit patients with cognitive impairment and their families.
The Scottish parliament passes an Adults with Incapacity Bill
- Author:
- BRITTON Alison
- Journal article citation:
- Generations Review, 10(2), June 2000, pp.12-14.
- Publisher:
- British Society of Gerontology
Provides a general overview of the Adults with Incapacity (Scotland) Bill.
Focus on the North West
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Care, 2(3), November 1998, pp.83-85.
- Publisher:
- Pavilion
Discusses how trusts and health authorities in the North West region are breaking ground in mental health practice. The examples of good practice include user panels, treatment of personality disorder, homeless initiatives and an arts based therapy programme.
Social work, psychiatry and the law
- Authors:
- PRINGLE N.N., THOMPSON P.J
- Publisher:
- Ashgate
- Publication year:
- 1999
- Pagination:
- 210p.,bibliog.
- Place of publication:
- Aldershot
Explores the approved social worker's role in contemporary mental health practice. Combines a description of various aspects of multi disciplinary working, with accounts of clinical signs and syndromes, set against the possibilities and challenges inherent in the ASW's duties. Includes chapters on: law, policy and practice; psychiatry, diagnosis and treatment; severe mental health problems; disturbances in children and young people; people with learning difficulties; culture and diversity; substance misuse; dangerousness, suicide and homicide; ethical issues; and developing a psychotherapeutic approach to approved social work.