Search results for ‘Subject term:"mental health problems"’ Sort:
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Medication masks the problems
- Author:
- WALSH Paul
- Journal article citation:
- Care Plan, 3(3), March 1997, pp.19-23.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Argues that people with learning disabilities who also have mental health problems are ill-served by the general mental health services. One of the major problems is that medication is prescribed to control the individuals' behaviour without their consent. Urges the use of the least intrusive treatment as a less medicalised approach.
Psychoanalytical psychotherapy
- Author:
- SINASON Valerie
- Journal article citation:
- Mencap News, 45, June 1994, p.16.
Describes how psychotherapy can help people with learning disabilities who are emotionally disturbed.
Learning disability and the Scottish Mental Health Act
- Authors:
- WELSH Heather, MORRISON Gary
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 11(2), 2017, pp.72-82.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the use of the Mental Health (Care and Treatment) (Scotland) Act 2003 for people with learning disabilities in Scotland, in the context of the recent commitment by the Scottish Government to review the place of learning disability (LD) within the Act. Design/methodology/approach: All current compulsory treatment orders (CTO) including LD as a type of mental disorder were identified and reviewed. Data was collected on duration and type of detention (hospital or community based) for all orders. For those with additional mental illness and/or personality disorder, diagnoses were recorded. For those with LD only, symptoms, severity of LD and treatment were recorded. Findings: In total, 11 per cent of CTOs included LD as a type of mental disorder. The majority of these also included mental illness. The duration of detention for people with LD only was almost double that for those without LD. A variety of mental illness diagnoses were represented, psychotic disorders being the most common (54 per cent). Treatment was broad and multidisciplinary. In all, 87 per cent of people with LD only were prescribed psychotropic medication authorised by CTO. Originality/value: There has been limited research on the use of mental health legislation for people with learning disabilities. This project aids understanding of current practice and will be of interest to readers both in Scotland and further afield. It will inform the review of LD as a type of mental disorder under Scottish mental health law, including consideration of the need for specific legislation. (Publisher abstract)
Delirium and learning disability: case series and literature review
- Authors:
- van WAARDE Jeroen A., van der MAST Rose C.
- Journal article citation:
- British Journal of Learning Disabilities, 32(3), September 2004, pp.123-127.
- Publisher:
- Wiley
Although predisposing and facilitating factors for delirium are common in learning disabled patients, little is known about its occurrence. Presents 3 case reports and results of a manual and computer (Medline, Embase Psychiatry) search. Only 2 case reports were found, and added to the 3. Ages were 16, 17, 51, 55 and 78. Delirium was associated with eye surgery, anticholinergic overdose, urinary infection, Alzheimer's disease and pulmonary infection respectively. All had predisposing factors. The literature is scarce, possibly because diagnosis is often missed. Delirium is very distressing and raises morbidity and mortality. However, it is treatable, so more attention should be given to diagnosis and treatment, especially in vulnerable patients. A practice guideline assessment and treatment is given.
Missionaries with the hopeless? Inebriety, mental deficiency and the burdens
- Author:
- CARPENTER K. Peter
- Journal article citation:
- British Journal of Learning Disabilities, 28(2), June 2000, pp.60-64.
- Publisher:
- Wiley
The late nineteenth- and early twentieth-century campaign for the treatment of 'inebriates' used many of the themes used by campaigners for the care of the 'feeble-minded'. The inebriate reformatories admitted mainly women, and their low rate of success was blamed on the inmates being 'mental defectives', rather than a result of the methods used. When the reformatories closed, these were reused as institutions under the Mental Deficiency Act 1913. Having been missionaries, the Reverend H. N. burden and his wives managed inebriate reformatories and then switched to running colonies for 'mental defectives'. The present article examines some of the links between the two movements.
Snapshots of the mind
- Authors:
- HUNT George, TARLETON-LORD Dawn
- Journal article citation:
- Nursing Times, 22.4.98, 1998, pp.55-56.
- Publisher:
- Nursing Times
For people with learning disabilities who develop a mental illness continual appraisal is necessary before an appropriate treatment can be given. Describes how a Northamptonshire unit achieved this.
Riding high
- Authors:
- WARD Amelia, et al
- Journal article citation:
- Nursing Times, 14.7.93, 1993, pp.32-34.
- Publisher:
- Nursing Times
Reports on the work of the Riding Ward at the Prudhoe Hospital in Northumberland, an in-patient unit for the assessment and treatment of young people who have a psychiatric disturbance superimposed on their learning disability.
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)
The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability
- Authors:
- DRAKE Alexander C.L., et al
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.27-34.
- Publisher:
- Emerald
Purpose: A man in his 40s with alcohol use disorder, learning disability and autism was referred to the learning disability team due to anxiety and low mood. He had been abstinent from alcohol for ten years prior to a recent relapse. The purpose of this paper is to describe his case. Design/methodology/approach: Treatment was person centred, followed standard practice for clients with alcohol use disorder and targeted harm minimisation. Initially, alcohol consumption reduced; however, at month three, he relapsed. Thereafter, he was repeatedly admitted to inpatient settings, drank excessively and engaged in risky behaviours. Findings: Conventional approaches to treating alcohol dependence may not be entirely appropriate for this client group. The client’s alcohol consumption was only curtailed with the use of restrictions to his liberty agreed by him and incorporated into his tenancy agreement. Originality/value: To the best of the authors’ knowledge, this is the first paper to discuss issues pertaining to people with co-occurring learning disability, autism and alcohol dependence. The authors discuss the use of restrictions, reasonable adjustments and policy issues relevant to treating this complex client group. (Publisher abstract)
Commentary on “The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.35-41.
- Publisher:
- Emerald
Purpose: In commenting on the issues raised by Drake et al. the purpose of this paper is to discuss three areas of practice: assessing capacity in the presence of intransigence and/or rigid patterns of thinking and behaviour; understanding addiction in this context; and identifying “reasonable adjustments” in the way addiction and substance misuse services are provided to this client group. Design/methodology/approach: As well as discussing the issues raised by Drake et al. the commentary refers to a serious case review exploring similar issues. Findings: Both the case discussed by Drake et al. and the serious case review draw attention to the importance of identifying “reasonable adjustments” to current practice. Research limitations/implications: While the implications of the cases discussed are very significant, further work quantifying the scope of the problems identified would be very useful. Practical implications: The 1995 Disability Discrimination Act (UK) requires public services to make “reasonable adjustments” in order for people with a range of disabilities to access their services on an equitable basis. This paper identifies what some of those areas of difficulty might be. Originality/value: This is a relatively new area of work and expertise in both mainstream addiction and specialist intellectual disability and mental health services needs to be developed in order for them to provide more coherent and accessible programmes to individuals. (Publisher abstract)