Family Reintegration of Homeless Persons with Intellectual Disabilities: Case Series Reflecting Opportunities and Challenges

2020 ◽  
Vol 7 (2) ◽  
pp. 175-181
Author(s):  
M. R. Banu ◽  
Soumya Parameshwaran ◽  
Sadananda Reddy Annapally ◽  
Aarti Jagannathan ◽  
Shanivaram Reddy Krishnareddy ◽  
...  
2017 ◽  
Vol 41 (S1) ◽  
pp. S597-S597 ◽  
Author(s):  
K. Courtenay ◽  
S. Jaydeokar ◽  
B. Perera

IntroductionPregabalin is a well-established anti-epileptic drug in the treatment of epilepsy. It is also indicated for the treatment of generalised anxiety disorder and neuropathic pain. In addition, it has mood modulating properties. In people with intellectual disabilities it is used to treat epilepsy. There is little evidence of the use of pregabalin in managing mental health difficulties in people with intellectual disabilities.ObjectivesTo describe the use of pregabalin in adults with intellectual disabilities.MethodA descriptive case series of adults with intellectual disabilities living in the community, under the care of a community psychiatrist, who are prescribed Pregabalin. Outcomes of treatment were measured using the health of the nation outcome scale for people with intellectual disabilities (HoNOS-LD).ResultsFourteen cases were identified in the community service of adults with Intellectual Disabilities. Twelve were men and two were women. The average age of the sample was 29 years. The range in duration of using pregabalin was from 3 to 72 months. Thirteen adults had a diagnosis of Autism of which three also had ADHD. The indications for using pregabalin and numbers were : anxiety (12); liability of mood (2); generalised anxiety disorder (1); epilepsy (1). The daily dose range was from 150 mg to 300 mg The mean change in HoNOS-LD scores was 32%.ConclusionsPregabalin is a useful treatment in people with intellectual disabilities who experience anxiety. It is especially effective among adults with ID and autism to modulate mood and anxiety symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 43 ◽  
pp. 205-207 ◽  
Author(s):  
Guru S. Gowda ◽  
Ashay Telang ◽  
Chandra Reddy Sharath ◽  
Thomas Gregor Issac ◽  
Chintala Haripriya ◽  
...  

2012 ◽  
Vol 15 (3) ◽  
pp. 223-232 ◽  
Author(s):  
L. Mevissen ◽  
R. Lievegoed ◽  
A. Seubert ◽  
A. De Jongh

Author(s):  
Shaw Tearle ◽  
Rachel R. Holt

PurposeThere is a pressing need to develop community forensic support for adults with intellectual disabilities and a high risk to others. Equipping youth to help one another (EQUIP) was developed for juvenile offenders in the USA and is used across Europe and North America. The purpose of this paper is to evaluate an adapted community model of EQUIP for men with intellectual disabilities and a history of sexual offending.Design/methodology/approachA case series design was used. The adapted EQUIP group ran for one session per week over ten months, with each participant accompanied by a support worker. Six men living in the community with intellectual disabilities and a history of sexual offending completed the programme.FindingsAnalysis of the results suggests that this adapted version of EQUIP produced similar results to the programme delivered in an inpatient setting. Participants’ reasoning and problem-solving abilities were improved post-intervention. Satisfaction levels from participant and their support workers were high. There was no evidence of recidivism during the ten months the group ran.Research limitations/implicationsThe case series design utilised only allows the conclusion that the changes above occurred at the same time as the group. Further research is needed to ascertain whether it is likely that the intervention resulted in the changes.Practical implicationsThere is a pressing need to develop the evidence base for interventions offered in the community to people with intellectual disabilities and a history of offending. This study provides some evidence that EQUIP can be adapted to suit this population.Social implicationsThe availability of community interventions may, over time, decrease the need for detention in inpatient settings. This is in line with the transforming care agenda.Originality/valueThis is the first published research into use of EQUIP in the community with adult participants with intellectual disabilities.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gregg Harry Rawlings ◽  
Kevin Paul Wright ◽  
Keeley Rolling ◽  
Nigel Beail

Purpose Services are increasingly exploring the use of remote conferencing to deliver psychological interventions, which have become particularly important given the COVID-19 pandemic and infection control guidelines. This paper aims to explore the feasibility, acceptability and preliminary effectiveness of delivering psychological therapy remotely to adults with intellectual disabilities (ID). Design/methodology/approach As part of routine practice within an adult ID community health service, this paper develops a six-session programme based on compassion-focused therapy (CFT) and delivered it to six clients. Clients completed the psychological therapy outcome scale for ID 2nd edition, at assessment, pre- and post-therapy, as well as a feasibility and acceptability measure. Findings Six clients engaged in telephone therapy; four clients individually, while the remaining two were supported by their caregiver. Most clients found the intervention helpful, enjoyable and were pleased that they received telephone-delivered psychological therapy. A reduction was observed at post-therapy in distress (g = 0.33) and risk (g = 0.69). No difference was reported in psychological well-being. Five clients were subsequently discharged from psychological therapy. Originality/value To the knowledge, this is the first study examining the use of telephone therapy (including CFT) for individuals with ID. Findings add to the growing evidence suggesting individuals with ID can benefit from receiving adapted psychological therapies. Research is required to further explore the effectiveness of remote-therapies, who would most likely benefit from this approach and how remote treatments could be used within existing pathways.


Author(s):  
Sanjeev Kumar Gupta

This chapter describes the incidence of sexual abuse is often reported in children and adults, but these incidences are not uncommon in the individual with intellectual disabilities (IDs). This heinous behavior carries a negative impact not only on the individual but also on their family. The purpose of the chapter is threefold, first is to present a brief review of the available literature on sexual abuse in children and adults with IDs, second is to discuss preventive, supportive and intervention strategies for clinical practice and third is to report a case series, where five cases are described. The intent is to provide mental health professionals and clinicians' information about consequences of sexual abuse and strategies for prevention and intervention. These strategies have clinical utility and can be incorporated while dealing individual with IDs and their parents or caregivers.


2020 ◽  
Vol 25 (3) ◽  
pp. 261-269
Author(s):  
Johannes Fellinger ◽  
Doris Linzner ◽  
Daniel Holzinger ◽  
Magdalena Dall ◽  
Maria Fellinger ◽  
...  

Abstract People with intellectual disabilities who are deaf face obstacles participating in social environments that do not take into account their need for accessible visual communication. In the present case series, we describe the development of the adaptive skills profiles of eight participants in a fully inclusive therapeutic living community, designed specifically for people with developmental disabilities who are deaf and focused on supporting communication, social relationships, conflict resolution, and work satisfaction. Adaptive skills ratings collected at enrollment and twelve years later suggest increases in social awareness and community living, whereas personal care and homemaking showed relatively little change.


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