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Assessment of behavioral and psychiatric problems in people with Prader–Willi syndrome: a review of the literature
- Author:
- SPENDELOW Jason S.
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(2), June 2011, pp.104-112.
- Publisher:
- Wiley
Prader–Willi syndrome (PSW) is a rare genetic disorder that has a prevalence of 1 in 50,000 to 70,000 people and equal gender distribution. The clinical presentation of people with PWS involves a wide range of behavioural, psychiatric, neurocognitive, and medical problems. The aim of this review is to help clinicians make a comprehensive assessment of mental health problems with this population. People with PWS are particularly susceptible to the development of problems in the areas of hyperphagia, compulsions and repetitive behaviour, self-injury (especially skin-picking), and aggressive behaviours. The most common psychiatric features in people with PWS are psychosis, affective disorders, and obsessive–compulsive disorders. Assessment should involve consideration of how behavioural and psychiatric problems can be influenced by neurocognitive functioning and medical issues. The heterogeneous and progressive nature of many behavioural and psychiatric problems in this population presents significant challenges to psychological assessment and management. Comprehensive assessment requires an understanding of the phenotype of Prader–Willi syndrome, and associated issues that can impact upon clinical presentation.
Threatened by stability
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 5.3.98, 1998, pp.28-29.
- Publisher:
- Reed Business Information
Finds out how two social workers tried to help an aggressive women seen as untreatable by psychiatric services.
Clozapine use in personality disorder and intellectual disabilities
- Authors:
- KIANI Reza, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(6), 2015, pp.364-370.
- Publisher:
- Emerald
Purpose: Clozapine is a well-known antipsychotic medication licensed for treatment-resistant schizophrenia, but there is limited research available to suggest its efficacy in the context of personality disorder and intellectual disabilities presenting with high-risk behaviour with or without psychotic symptoms. The purpose of this paper is to raise awareness of the benefits of using clozapine in patients with intellectual disabilities and personality disorder that present with a complex picture of serious risk of harm to both their life and the lives of others. Design/methodology/approach: The authors present five patients with intellectual disabilities and serious life-threatening challenging behaviour whom were started on clozapine as part of their multidisciplinary treatment plan to manage their presentation. The authors completed baseline assessment of five main symptom domains and then repeated this assessment following treatment with clozapine. Findings: In all five cases use of clozapine was objectively associated with an improvement in symptomatology, quality of life and a safe transfer to the community. Originality/value: The findings suggest that judicious use of clozapine could be considered as one of the effective pharmacological strategies in the management of patients with intellectual disabilities and personality disorder who present with serious life-threatening challenging behaviours. (Publisher abstract)
Managing clinical risk: a guide to effective practice
- Authors:
- LOGAN Caroline, JOHNSTONE Lorraine, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2012
- Pagination:
- 332p.
- Place of publication:
- Abingdon
The editors have brought together experts to provide an evidence-based for understanding risk in key areas of practice. Contributions cover; violence, sexual violence, firesetting, suicide, and self-harm, working with individuals and with organisations. Discussion also includes issues around working with special groups: women, young people, serving and former military personnel, clients with comorbid presentations, and clients with cognitive impairment. The book looks at how practitioners can assess and manage clinical risk, communicate their concerns about risk, and account for their decisions about risk management to their clients and to the Courts. It describes the skills practitioners need to understand and communicate their concerns through coverage of interviewing and risk formulation skills. Violence directed towards others or self can cause immense physical and psychological damage to the harmed, the harmful, their families, and the public at large. The book’s contributors have a wide range of knowledge and experience about the notion of risk, conducting risk management in real world mental health, correctional, and community settings, and about working with clients with a label of high risk. Together, they combine theoretical and research knowledge with practical skills in care and management, emphasising the collaborative and recovery-focused nature of modern risk management.
Whose crisis?: responding to children and young people in an emergency
- Author:
- STREET Cathy
- Journal article citation:
- Young Minds Magazine, 49, November 2000, pp.14-18.
- Publisher:
- YoungMinds
Reports on recent research to examine the views of professionals working in social services, education and health on the provision for children and young people who present in a emergency with acute mental health problems. The findings reveal not only a shortage of beds, but a widespread perception of serious mis-match between what many young people need and the kinds of services that are currently available.