scholarly journals Advances in Mental Health Care: Five N = 1 Studies on the Effects of the Robot Seal Paro in Adults With Severe Intellectual Disabilities

Author(s):  
Eline Wagemaker ◽  
Tycho J. Dekkers ◽  
Joost A. Agelink van Rentergem ◽  
Karin M. Volkers ◽  
Hilde M. Huizenga
2018 ◽  
Vol 12 (3/4) ◽  
pp. 114-120 ◽  
Author(s):  
Jannelien Wieland ◽  
Mascha ten Doesschate

Purpose In The Netherlands, curative mental health care and supportive care for people with an intellectual disability (ID) are organised in separate domains. Prevalence of mental health problems is known to be high among people with borderline intellectual functioning (BIF) or mild intellectual disabilities (MID). By contrast, according to recent findings, prevalence of BIF and MID is high among patients in mental health care (17.5–58 per cent). In The Netherlands, a new quality standard of care (QSOC) on mental health care for people with BIF or MID is developed. It is designed to supplement existing guidelines on mental health care so that they can be used appropriately in people with BIF or MID and meant for use in both mental health care organisations (MHCO) as in organisations for ID care. To a large extent, the QSOC should describe the existing practice. This paper aims to discuss these issues. Design/methodology/approach To assess the existing practice in current mental health care for people with BIF or MID in The Netherlands, the authors examined the views and accessibility of MHCO on the mental health care for patients with and IQ<85. In addition, the authors reviewed published criteria for in- and exclusion of all 39 top clinical mental health care departments for criteria on BIF or (mild) ID. Findings The authors found there is a clear awareness of the high prevalence of BIF and MID among large Dutch MHCO. Dutch MHCO estimate the prevalence of BIF and MID among their patients to be around 30 per cent. Nonetheless, most MCHO surveyed (76 per cent) indicated they do not routinely estimate or measure IQ among their patients and 53 per cent of MHCO indicated not having knowledge and expertise on the dual diagnoses of mental health problems and BIF or MID. Fitting in with the new QSOC most of the MHCO (59 per cent) agreed on the statement in the survey that professionals should be able to treat patients with BIF or ID and all but one of the MHCO stated to have some form of collaboration with an institute for ID care. Originality/value The authors concluded there is a clear awareness of the high prevalence of BIF and MID among large Dutch MHCO. The new QSOC on mental health care for people with BIF or MID can help improve accessibility and quality of mental health care for these patients.


2018 ◽  
Vol 19 (3) ◽  
Author(s):  
Grace Malapela ◽  
Faniswa Mfidi Mail ◽  
Sambulelwe Sibanda ◽  
Gloria Thupayagale-Tshweneagae

Mental health care users with profound intellectual disabilities are among the most disadvantaged groups in society. They experience numerous challenges which include limitations in intellectual functioning and adaptive behaviour. These limitations present challenges in their care especially in cases where caregivers are not well prepared to cater for these special needsThe purpose of this study was to provide an insight into the experiences of student nurses on the approaches and opportunities related to the care of mental health care users with profound intellectual disabilities.A qualitative, descriptive, interpretive, exploratory and contextual research was used to ascertain opportunities and approaches in caring for mental health care users with profound intellectual disabilities. Audio-taped interviews were conducted with 12 student nurses in their fourth and final year of study who were assigned to the care centre catering for people with profound intellectual disabilities. Thematic analysis as proposed by Burnard (1991) was used to analyse the collected qualitative data. Three approaches to care emerged as promotion of health and wellbeing, training on communication skills and support for their dignity. One main opportunity to emerge was being caring and this was embedded on the principle of caring which defines a nurse.Caring for care users with profound intellectual disabilities can be emotionally challenging. However, this study identified approaches and opportunities which when explored can assist the nurses to render quality patient care for these patients.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


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