Occupational therapy in a medium secure intellectual disability and personality disorder service

2012 ◽  
Vol 3 (4) ◽  
pp. 206-218 ◽  
Author(s):  
Paul Withers ◽  
Natalie Boulton ◽  
James Morrison ◽  
Amanda Jones
2013 ◽  
Vol 8 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Jon Taylor

Purpose – The criminogenic needs and psychological vulnerabilities of offenders with intellectual disability (ID) has only recently received attention within the academic literature. The purpose of this paper is to provide an overview of an approach to identifying such needs in order to inform treatment planning and service delivery. Design/methodology/approach – The paper describes the methods employed to identify relevant psychological variables for this population, provides an overview of the framework and describes the practices employed to establish the relevance of a range of criminogenic needs. Findings – A range of psychological variables derived from a systematic literature review are presented in the context of an assessment framework. Research limitations/implications – The Treatment Need Matrix (TNM) is currently an experimental framework for identifying the needs of offenders with ID (and personality disorder (PD)). Further research is needed to establish the reliability and validity of the tool. Practical implications – The TNM offers clinicians a practical methodology for determining the significance of a range of psychological variables cited in the literature as relevant treatment targets for offenders with IDs. Originality/value – The specific criminogenic needs of offenders with ID (and PD) has received little attention within the academic and research communities. This paper offers a novel approach to the identification of relevant treatment targets for individuals with such difficulties.


2019 ◽  
Vol 13 (2) ◽  
pp. 67-75
Author(s):  
Trine Elisabeth Iversen ◽  
Kristin Horndalsveen ◽  
Espen Matre ◽  
Tine Finstad Henriksen ◽  
Sarah Fusche ◽  
...  

Purpose There are few publications on personality disorder in adults with intellectual disability (ID), and on borderline personality disorder (BPD) specifically. Publications concerning treatment are sparse, despite the high symptom burden in these patients. This paper aims to discuss these issues. Design/methodology/approach Six patients with BPD and ID were recruited from the same inpatient unit. Behaviour problems and mental health symptoms were scored on admission and discharge. Information about treatment, length of stay, etc. was taken from case files. Findings Both mental health symptoms measured by the SCL-90-R, and behaviour problems measured by the Aberrant Behaviour Checklist were significantly reduced on discharge. In the active treatment period, the two main aspects of treatment were validation and practicing new solutions when emotional and behavioural problems occur, i.e. skills training. Research limitations/implications The limitations related to this study are that the study is conducted in one milieu only. Another limitation is that the patients were admitted over a five-year period, where, some changes were made in the treatment approach. Practical implications Inpatient treatment of this patient group seems to be effective if individually adjusted to the patient’s psychopathology, ID and communication style. Close co-operation between the individual therapist and milieu therapists is essential. Originality/value There is a need for intervention studies on BPD in ID. This study may be a valuable contribution.


Author(s):  
Sarah Ashworth ◽  
Krista Jansen ◽  
Lydia Bullock ◽  
Paul Mooney

Purpose The purpose of this paper is to describe a feasibility study into the development and pilot of a psychoeducational group for people with intellectual disability and co-morbid mental disorder (including mental illness and personality disorder) within forensic settings. Design/methodology/approach “Mind Matters”, a psychoeducational programme for people with an intellectual disability and co-morbid mental disorders is a group based programme in a medium secure hospital, adapted and developed to be suitable for people with intellectual disability therapist multidisciplinary approach was key to its development. An open group on a 16-bedded ward for individuals with mild to moderate intellectual disability and co-morbid mental illness was delivered over a six-week period. Findings The group was positively received in pilot by participants and members of the clinical teams. Attendance and engagement of participants were key measures of the success of the programme. In addition to the apparent increased social skills and motivation to engage with future psychological intervention. Practical implications The authors believe that this approach benefitted both the group members and staff on ward, reinforcing strategies for maintaining positive mental health. It also stimulated engagement, discussion about mental disorders including mental illness, personality disorder and intellectual disabilities. Originality/value This paper shows how a psychoeducational approach to mental disorder and mental health in individuals with an intellectual disability is possible, beneficial and well received.


2010 ◽  
Vol 17 (3) ◽  
pp. 385-397 ◽  
Author(s):  
William R. Lindsay ◽  
John L. Taylor ◽  
Todd E. Hogue ◽  
Paul Mooney ◽  
Lesley Steptoe ◽  
...  

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Amien Suharti ◽  
Rokhim Sunandi ◽  
Faizah Abdullah3

Intellectual disability is a disabilities with limitaton in intellectual function, adaptive function, and the onset must occur before the age of 18 years. This study focus on Ja 19 years old with moderate intellectual disability that have difficulty in ability of oral hygiene is toothbrushing. The aim of the process of writing is to find out how occupational therapy intervention in increase of patient skill to maintenance his oral hygiene with toothbrushing using behavior modification. Data obtained from interviews, observation, assessment, and occupational therapy intervention. The result show that the effectiveness of behavior modification will be find out if the programs will be doing consistently.  Key words: Occupational therapy, intellectual disability, behavior modification, toothbrush


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