scholarly journals A community survey establishing the prevalence rate of autistic disorder in adults with learning disability

2002 ◽  
Vol 26 (4) ◽  
pp. 127-130 ◽  
Author(s):  
C. N. Morgan ◽  
M. Roy ◽  
A. Nasr ◽  
P. Chance ◽  
M. Hand ◽  
...  
Keyword(s):  
Learning Disability ◽  
Autistic Disorder ◽  
Prevalence Rate ◽  
Developmental Disorder ◽  
Adult Population ◽  
Disability Services ◽  
Clinical Implications ◽  
Stage Process ◽  
Autistic Disorders ◽  
Population Rate

AIMS AND METHODMost studies into autistic disorder have concentrated on children. This study aims to establish a prevalence rate of autistic disorders in an adult population with learning disabilities. Adults accessing learning disability services were diagnosed as having an autistic disorder by a two-stage process. The first stage was screening using the Pervasive Developmental Disorder – Mental Retardation Scale and then those identified by screening were diagnosed clinically.RESULTSAn overall population rate of 7.7/10 000 for autistic disorder was obtained, which is a prevalence rate of 30% in those with learning disability. The prevalence rate was higher in intensive service settings.CLINICAL IMPLICATIONSSpecific funding and interventions need to be targeted for the treatment of autistic disorders.

scholarly journals The Mental Health Clustering Tool for people with severe intellectual disability

2012 ◽  
Vol 36 (12) ◽  
pp. 454-458 ◽  
Author(s):  
Vishwa Radhakrishnan ◽  
Kevin Smith ◽  
Jean O'Hara
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Community Mental Health ◽  
Learning Disability ◽  
Rating Scales ◽  
Disability Services ◽  
Clinical Implications ◽  
Current Form ◽  
Severe Intellectual Disability ◽  
Integrated Mental Health

Aims and methodWe assessed 92% (117/127) of the patients in our community mental health learning disability team using the Mental Health Clustering Tool (MHCT) to establish whether their needs could be captured sufficiently well to enable assignment to a care cluster for payment by results in mental health. We explored the characteristics of those assigned to Cluster 0 to identify how they differed from those who could be assigned to Clusters 1-21.ResultsAs expected, nearly half of the case-load (48%) could not be assigned to any cluster except Cluster 0, the variance cluster, which is used when the needs of patients cannot be captured by the current 21 care clusters but a service is, or will be, provided.Clinical implicationsThe MHCT in its current form does not adequately capture the needs of people with more severe intellectual disability. An integrated mental health and learning disability clustering tool is in development. This is expected to include new rating scales and new clusters, however until the development is completed and validated it will not be possible to implement payment by results in mental health in learning disability services.

scholarly journals Use of the HoNOS–LD in identifying domains of change

2010 ◽  
Vol 34 (8) ◽  
pp. 322-326 ◽  
Author(s):  
Bradley Hillier ◽  
Lucy Wright ◽  
Andre Strydom ◽  
Angela Hassiotis
Keyword(s):  
Mental Health ◽  
Learning Disabilities ◽  
Learning Disability ◽  
Daily Living ◽  
Patient Admission ◽  
Disability Services ◽  
Patient Treatment ◽  
Clinical Implications ◽  
State Behaviour ◽  
Indicator Data

Aims and methodTo analyse clinical outcome indicator data from the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) in adults with intellectual disability admitted to mental health wards during a 19-month period; and to identify clinically relevant domains of change associated with in-patient admission.ResultsSignificant improvements were found in mental state, behaviour and social functioning. Improvements were also found in cognition and activities of daily living.Clinical implicationsThe HoNOS-LD is a useful tool for measuring clinical outcomes in several relevant domains and guiding in-patient treatment in learning disability psychiatry. It may also provide a currency for payment-by-results and influence the commissioning of learning disability services.

scholarly journals Diagnosis and management of attention-deficit hyperactivity disorder in children and adults with and without learning disability

2006 ◽  
Vol 30 (7) ◽  
pp. 251-253 ◽  
Author(s):  
Sarah Buckley ◽  
Philip Dodd ◽  
Amanda Burke ◽  
Suzanne Guerin ◽  
John McEvoy ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Learning Disability ◽  
Attention Deficit ◽  
Adult Population ◽  
Postal Questionnaire ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Anecdotal Evidence ◽  
Hyperactivity Disorder ◽  
Adult Psychiatry

Aims and MethodAnecdotal evidence suggests that attention-deficit hyperactivity disorder (ADHD) is underdiagnosed in adults and people of all ages with learning disability. This study examines the clinical practice of Irish consultant psychiatrists when assessing and treating symptoms of ADHD in children and adults with and without a learning disability. A postal questionnaire was sent to 302 consultant psychiatrists working in Ireland.ResultsNinety-seven consultants (32%) responded, 62 working in general adult psychiatry, 23 in child and adolescent psychiatry and 12 in learning disability. Overall, respondents were more confident about making a diagnosis of ADHD in people without a learning disability. Those working with children were significantly more confident in diagnosing and treating ADHD than those working with adults, irrespective of whether the patient had a learning disability.Clinical ImplicationsThere is general agreement that symptoms of ADHD exist in children and adults both with and without a learning disability. It is likely that ADHD may be undertreated in patients with learning disability, especially in the adult population.

scholarly journals Genetic testing of adults with intellectual disability

2012 ◽  
Vol 36 (11) ◽  
pp. 409-413 ◽  
Author(s):  
Jana de Villiers ◽  
Mary Porteous
Keyword(s):  
Intellectual Disability ◽  
Genetic Testing ◽  
Learning Disability ◽  
Genetic Diagnosis ◽  
Disability Services ◽  
Clinical Implications ◽  
Clinical Genetics ◽  
Genetic Abnormality ◽  
Structured Interviews ◽  
Health Boards

MethodPatients known to learning disability services in two health boards in southeast Scotland were cross-matched with the patients tested at the Western General Hospital in Edinburgh. Those with a positive genetic diagnosis were identified. Semi-structured interviews were conducted with senior learning disability psychiatrists and clinical genetics consultants.ResultsOf the 3323 patients with intellectual disability across both health boards, 41% have had genetic tests and 6% have an identified genetic abnormality as the cause for their intellectual disability. Of the 1349 patients who have been tested, a genetic abnormality was found in 14%. Psychiatrists named several benefits to genetic testing, but they also highlighted a number of non-medical reasons for not testing adults with intellectual disability.Clinical implicationsIdentifying genetic aetiology in intellectual disability has a number of benefits. Our study would indicate that genetic diagnoses are being missed due to a lack of genetic testing in this patient group. Adult learning disability services need to consider increasing genetic testing.

Unfitness to Plead in England and Wales

2018 ◽  
Author(s):  
Rudi Fortson
Keyword(s):  
Mental Illness ◽  
Learning Disability ◽  
Developmental Disorder ◽  
Criminal Offence ◽  
Legal Process ◽  
England And Wales ◽  
Criminal Jurisdiction ◽  
Communication Impairment ◽  
The Law ◽  
Law Commission

This chapter examines the legal and practical issues encountered by practitioners when dealing with unfitness to plead litigation. As the Law Commission for England and Wales has pointed out, defendants charged with a criminal offence may be unfit to plead or to stand trial for a variety of reasons, including difficulties resulting from mental illness, learning disability, developmental disorder, or communication impairment. Two issues are considered: (i) how might those defendants who are unfit be accurately identified; and (ii) what steps should be taken by legal practitioners and by the courts of criminal jurisdiction to cater for the interests of vulnerable defendants, victims, and society, and to maintain the integrity of the legal process as one that is fair and just? The chapter evaluates the reform proposals of the English Law Commission and assesses how the law could be improved for all those who are involved in dealing with the unfit to plead.

Systemic working in learning disability services: a UK wide survey

2009 ◽  
Vol 37 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Gurpreet Kaur ◽  
Katrina Scior ◽  
Suzanne Wilson
Keyword(s):  
Learning Disability ◽  
Disability Services

scholarly journals Commentary on “Who’s Challenging Who?: a co-produced approach for training staff in learning disability services about challenging behaviour”

2019 ◽  
Vol 24 (4) ◽  
pp. 200-203
Author(s):  
Mark Andrew Haydon-Laurelut ◽  
Karl Nunkoosing
Keyword(s):  
Learning Disability ◽  
Design Methodology ◽  
Psychological Research ◽  
Disability Services ◽  
Challenging Behaviour ◽  
Social Psychological ◽  
Content Type ◽  
Systemic Practice ◽  
Social Psychological Research

Purpose The purpose of this paper is to provide a commentary on the article by Flynn et al. Design/methodology/approach In this commentary, the authors will develop some further thoughts about the importance of empathy, its relational nature and place in practice. The authors use some examples from systemic practice to illustrate. Findings Social psychological research underlines the importance of empathy in practice. Systemic practice and other collaborative approaches that ask about the experiences and abilities of people with a learning disability and their networks can support new possibilities as network members are listened to, included and respected. Originality/value The relational nature of empathy and its connection with practice is explored in this paper.

scholarly journals Mental health survey of the adult population in Iran

2004 ◽  
Vol 184 (1) ◽  
pp. 70-73 ◽  
Author(s):  
A. A. Noorbala ◽  
S. A. Bagheri Yazdi ◽  
M. T. Yasamy ◽  
K. Mohammad
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Learning Disability ◽  
Rural Areas ◽  
Urban Areas ◽  
Adult Population ◽  
General Health Questionnaire ◽  
Population Sample ◽  
Cluster Sampling ◽  
International Studies

BackgroundNo national data on the prevalence of mental disorders are available in Iran. Such information may be a prerequisite for efficient national mental health intervention.AimsTo determine the mental health status of a population sample aged 15 years and over.MethodThrough random cluster sampling, 35 014 individuals were selected and evaluated using the 28-item version of the General Health Questionnaire. A complementary semi-structured clinical interview was also undertaken to detect learning disability (‘mental retardation’), epilepsy and psychosis.ResultsAbout a fifth of the people in the study (25.9% of the women and 14.9% of the men) were detected as likely cases. The prevalence of mental disorders was 21.33% in rural areas and 20.9% in urban areas. Depression and anxiety symptoms were more prevalent than somatisation and social dysfunction. The interview of families by general practitioners revealed that the rates of learning disability epilepsy and psychosis were 1.4%, 1.2% and 0.6%, respectively Prevalence increased with age and was higher in the married, widowed, divorced, unemployed and retired people.ConclusionsPrevalence rates are comparable with international studies. There is a wide regional difference in the country, and women are at greater risk.

scholarly journals Service provision in Scotland for people with an intellectual disability who have, or are at risk of developing, dementia

Dementia ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 736-749 ◽  
Author(s):  
Karen McKenzie ◽  
Dale Metcalfe ◽  
Amanda Michie ◽  
George Murray
Keyword(s):  
At Risk ◽  
Intellectual Disability ◽  
Learning Disability ◽  
Service Provision ◽  
Disability Services ◽  
Health Board ◽  
Common Elements ◽  
Online Questionnaire ◽  
Community Learning ◽  
Direct Assessment

This research aimed to identify current national provision by health services in Scotland in relation to proactive screening and reactive assessment for people with an intellectual disability in Scotland who have, or are at risk of developing, dementia. Staff from 12 intellectual disability services, representing the 11 health board areas in Scotland, completed an online questionnaire which asked about proactive screening and reactive assessment for people with intellectual disability who had, or were at risk of developing, dementia as well as suggested areas for improvement. All of the areas provided services for people with intellectual disability who have, or are at risk of developing, dementia, but differed as to whether this was reactive, proactive or both. Nine services offered intervention following diagnosis. The most common elements used across both proactive screening and reactive assessment were conducting a health check, using a general dementia questionnaire designed for people with an intellectual disability and direct assessment with the person. Clinical psychology and community learning disability nurses were the professions most likely to be involved routinely in both proactive screening and reactive assessments. The psychometric properties of the most commonly used assessments of cognitive and behavioural functioning were mixed. The areas of improvement suggested by practitioners mainly related to ways of improving existing pathways. This research represents the first step in providing an overview of service provision in Scotland. There was some inconsistency in relation to the general and specific components which were involved in proactive screening and reactive assessment. Implications for service provision are discussed.

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