scholarly journals What do specialist mental health professionals think of the mental health services for people with intellectual disabilities in Singapore?

2021 ◽  
pp. 174462952110300
Author(s):  
Jonathan Ee ◽  
Biza Stenfert Kroese ◽  
Jan Mei Lim ◽  
John Rose

Background: This research aimed to investigate the views and experiences of specialist mental health professionals working with adults with intellectual disabilities and mental health problems in Singapore in order to gain insight into the functioning of the local specialist intellectual disability mental health service and how it may be improved. Methods: Eight staff members from specialist service were interviewed. The transcriptions of the interviews were analysed using thematic analysis. Results: Analysis revealed four themes (1) Identifying their roles; (2) Ensuring continuity of care; (3) Disempowerment of service users and (4) Improving clinical practice. Conclusions: Participants identified the challenges they faced working with this population. They highlighted the importance of building therapeutic relationships during the treatment process and discussed the stigma that people with intellectual disabilities face in the community. Recommendations and implications are discussed in relation to service provision, improving staff knowledge and recruiting more staff to work in this field.

2021 ◽  
pp. 174462952110161
Author(s):  
Jonathan Ee ◽  
Biza Stenfert Kroese ◽  
John Rose

Background: Mental health professionals play an important role in providing care and treatment for adults with intellectual disabilities. A number of studies use qualitative methods to explore the experiences of these professionals and their perspectives regarding the mental health services for this population. A systematic review using meta-ethnographic approach was undertaken to summarise this research. Method: A systematic search found 14 relevant studies which were critically appraised. Key themes from these studies were extracted and synthesised. Results: Three main themes were identified: 1) Understanding the person, 2) Relational interaction and 3) Organisational factors. Conclusions: The findings of this review identified the issues mental health professionals raised in relation to their work. They described the complex presenting problems as intense yet fulfilling therapeutic relationships with their clients and their wish to improve their knowledge and skills. They identified organisational issues that need to be addressed to improve staff morale and efficiency.


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.


2014 ◽  
Vol 8 (6) ◽  
pp. 381-389 ◽  
Author(s):  
Nancy J. Razza ◽  
Laura Schwartz Dayan ◽  
Daniel Tomasulo ◽  
Michelle S. Ballan

Purpose – The purpose of this paper is threefold: to document the relationship between intellectual disability (ID) and psychopathology; to raise awareness of the ongoing lag in professional training for psychologists in the area of mental health treatment for people with intellectual disabilities; and, to provide recommendations for advancing professional education and, ultimately, adequate mental health treatment availability for people with intellectual disabilities. Design/methodology/approach – The paper reviews the literature on prevalence of mental health problems in people with intellectual disabilities. At the same time, the paper reviews the training of psychologists relative to the burgeoning growth in awareness of the mental health needs of people with intellectual disabilities. Findings – The paper concludes that ID is a significant risk factor for psychopathology. In addition, the paper concludes that the education of psychologists regarding the mental health needs of people with intellectual disabilities is insufficient. The authors document the need for incorporating research and treatment advances related to intellectual disabilities and mental health into to the professional training of psychologists. The paper also describe the potential this training holds for improving both the lives of people with intellectual disabilities and the overall competence of psychologists. Practical implications – This paper provides a literature-based rationale for the need to include education in the mental health needs of people with intellectual disabilities into the general training of mental health professionals. In addition, it provides specific recommendations for how such training can be incorporated into graduate psychology programs. Originality/value – This paper provides mental health professionals with a review of the growth in understanding of the enormous, unmet mental health needs of people intellectual disabilities, and of the critical role of ID in development of mental health problems. Moreover, this paper builds the case for an important revision in the training of psychologists to include competence in understanding and treating mental health problems across the full spectrum of intellectual functioning.


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.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jonathan Ee ◽  
Jan Mei Lim ◽  
Biza Stenfert Kroese ◽  
John Rose

Purpose This study aims to explore the experiences of people with intellectual disabilities in Singapore receiving inpatient mental health treatment. To date, there has not been any research that examines the views and experiences of this population in Singapore. The research examines how the participants view their mental health problems and their experiences of the services they received. Design/methodology/approach A qualitative design was chosen to address the research question. Six adult men with intellectual disabilities were recruited from the tertiary hospital and interviewed. The transcripts of these interviews were analysed using interpretative phenomenological analysis. Findings Four super-ordinate themes were identified; awareness of mental health problems; yearn for a life outside the ward; interacting with other people and finding purpose. Originality/value The participants reported that they struggled with being segregated from their families and communities following an inpatient admission. They were able to report on the emotional difficulties that they experienced and hoped to find employment after their discharge from the hospital. They talked about reconstructing their self-identity and forming friendships to cope with their hospital stay. This research is one of its kind carried out in a non-western society and the findings are discussed in the light of how mental health professionals can best support people with intellectual disabilities during their inpatient treatment.


2010 ◽  
Vol 34 (5) ◽  
pp. 195-199
Author(s):  
Barry Wright ◽  
Chris Williams ◽  
Marcella Sykes

SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.


2018 ◽  
Vol 42 (5) ◽  
pp. 200-205 ◽  
Author(s):  
Alexander Galloway ◽  
Billy Boland ◽  
Gareth Williams

SummaryPoverty is strongly associated with mental illness. Access to state benefits can be a lifeline for people with mental health problems in times of hardship and can assist them on their journey of recovery. However, benefit application processes can discriminate against those with mental illness and can result in individuals unjustly missing out on support. Clinical evidence from mental health professionals can ameliorate these challenges and ensure that people get access to financial help.Declaration of interestDr Billy Boland is on the advisory board of the Money and Mental Health Policy Institute.


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