Psychiatric Disorders in Adults with Intellectual Disabilities: A Preliminary Study of Prevalence and Associated Factors

IntroductionStudies have shown that people with Intellectual Disabilities (ID) develop mental illness at rates similar to or higher than general population1.ObjectivesThere is no previous study on mental health of adults with ID in Turkey.AimThe purpose of this study was to investigate the prevalence and associated factors of mental disorders in adults with ID in Turkey.Methods151 participants with ID aged 18 and over were recruited from care homes, rehabilitation centers and from people attending to psychiatry outpatients for the first time. Every participant underwent face to face assessment by a psychiatrist supported by an informant and previous notes. A structured purpose designed socio-demographic form was used. Diagnoses were drawn according to DSM-5. Point prevalence of disorders was calculated and associated factors were investigated.Results63.5% of the participants met criteria for one psychiatric disorder, 21% had more than one disorder. The most common disorders were: challenging behavior (34%), autism spectrum disorders (%13.9), and anxiety disorders (13.9%) and attention deficit hyperactivity disorder (10.6%). Living in a care home and being young were associated with mental ill health (P < 0.05) [1].ConclusionThis study demonstrates high psychiatric comorbidity in adults with ID. Young age and care homes were the associated factors in this sample. These results are important to raise awareness of professionals and service providers about mental health of adults with ID.Disclosure of interestThis project was funded by the Scientific and Technological Research Council of Turkey (TUBITAK) with a project number of BİDEB 115C015. The funding body did not have any involvement with data collection, analysis or writing up.

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The prevalence of mental health problems in adults with intellectual disabilities in Japan, associated factors and mental health service use

Journal of Intellectual Disability Research ◽

10.1111/jir.12515 ◽

2018 ◽

Vol 62 (11) ◽

pp. 931-940 ◽

Cited By ~ 1

Author(s):

M. Shimoyama ◽

K. Iwasa ◽

S. Sonoyama

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Intellectual Disabilities ◽

Associated Factors ◽

Service Use ◽

Mental Health Problems ◽

Mental Health Service Use ◽

Health Service Use ◽

Adults With Intellectual Disabilities

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Associations Between Mental Health Problems and Challenging Behavior in Adults With Intellectual Disabilities: A Test of the Behavioral Equivalents Hypothesis

Journal of Mental Health Research in Intellectual Disabilities ◽

10.1080/19315864.2018.1431747 ◽

2018 ◽

Vol 11 (2) ◽

pp. 157-172 ◽

Cited By ~ 7

Author(s):

Jon Painter ◽

Richard Hastings ◽

Barry Ingham ◽

Liam Trevithick ◽

Ashok Roy

Keyword(s):

Mental Health ◽

Intellectual Disabilities ◽

Challenging Behavior ◽

Mental Health Problems ◽

Health Problems ◽

Adults With Intellectual Disabilities

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Survival and community care use by care home residents in England: does mental health matter?

Ageing and Society ◽

10.1017/s0144686x21001148 ◽

2021 ◽

pp. 1-15

Author(s):

Apostolos Tsiachristas ◽

Antoinette Broad ◽

Alice Coates ◽

Surya Singh ◽

Jane Fossey

Keyword(s):

Mental Health ◽

Community Care ◽

Cox Regression ◽

Care Home ◽

Care Homes ◽

Health Conditions ◽

Rank Test ◽

Cox Regression Analysis ◽

Mental Health Conditions ◽

Care Costs

Abstract The aim was to provide evidence of mortality and community care costs of people living in care homes and to investigate its association with mental health based on the Mental Health Clustering Tool (MHCT). In an observational study, 5,782 residents living in 104 care homes were followed from 2014 to 2016. Residents were categorised into four groups using the MCHT: three with mental health conditions, ‘non-psychotic’, ‘psychotic’ or ‘organic’; and one without mental health conditions, ‘non-clustered’. Generalised estimating equations were used to explore associations between mean community care costs over 6 months per patient and the clustering of residents into the four groups. Differences in survival rates of residents were plotted using Kaplan–Meier curves and tested with the log-rank test and Cox regression analysis. Community care costs were similar among residents with dementia (£431) and without mental health conditions (£407), while costs were higher among residents with non-psychotic (£762) and psychotic (£1,724) mental health conditions. After adjusting for patient and care home characteristics, residents with dementia were 30 per cent less likely to die compared with residents without mental health conditions. Similarly, residents with psychotic conditions and residents with non-psychotic conditions were 25 and 20 per cent less likely to die, respectively, than residents without mental health conditions. The MHCT seems to provide an informative stratification of care home residents with regards to survival and community care use.

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A practical example of an open disclosure process for people with intellectual disabilities in the Republic of Ireland

Journal of Intellectual Disabilities ◽

10.1177/17446295211018910 ◽

2021 ◽

pp. 174462952110189

Author(s):

Feabhra Mullally ◽

Deirdre Corby

Keyword(s):

Intellectual Disabilities ◽

Service Providers ◽

Republic Of Ireland ◽

Open Disclosure ◽

The Usa ◽

People With Intellectual Disabilities ◽

Adults With Intellectual Disabilities ◽

The Republic ◽

Communication Needs ◽

The Uk

Literature pertaining to open disclosure predominantly refers to acute care settings; this is the case in, for example, the UK, Republic of Ireland, Australia, Korea and the USA. There is, however, a dearth of literature regarding open disclosure related to people with intellectual disabilities. A practice example of open disclosure is presented here, following a serious adverse event in an organisation supporting adults with intellectual disabilities. The aim of the process was to openly disclose in a meaningful way to adults with significant intellectual disabilities and communication difficulties. An apology pathway was developed by a multidisciplinary team based on individual communication needs. A suite of resources was developed including easy read-picture agendas and sign language to support increased understanding of the apology. Service users received the apology first, followed by meetings with their families. This practice example has positive implications for service providers for people with intellectual disabilities.

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Enhancing Life Skills of Children and Adolescents With Autism Spectrum Disorder and Intellectual Disabilities Through Technological Supports

Interdisciplinary Approaches to Altering Neurodevelopmental Disorders - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-7998-3069-6.ch004 ◽

2020 ◽

pp. 41-62

Author(s):

Fabrizio Stasolla ◽

Anna Passaro

Keyword(s):

Intellectual Disabilities ◽

Children And Adolescents ◽

Communication Skills ◽

Challenging Behavior ◽

Emotional Regulation ◽

Life Skills ◽

Social Inclusion ◽

Autism Spectrum ◽

Future Research ◽

Adolescents With Autism

This chapter provides the reader with the newest empirical contributions available on the use of assistive technology-based interventions aimed at enhancing life skills of children and adolescents with autism spectrum disorders and developmental or intellectual disabilities. A selective overview along the last decade was carried out. Eighteen studies were reviewed, and 155 participants were involved. Five main categories of studies were identified, namely (1) emotional regulation, (2) communication skills, (3) academic performance, (4) social inclusion, and (5) challenging behavior. Results were fairly positive, although occasional failures occurred. Clinical, educational, psychological, and rehabilitative implications of the findings were critically discussed. Some useful guidelines for future research and practice were highlighted.

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