Dual Diagnosis in Mental Health and the Assessment and Treatment for People with Intellectual Disabilities

It is a professional requirement of nursing regulators such as the Nursing and Midwifery Council and the Nursing and Midwifery Board of Ireland that all nursing interventions should be based upon, and underpinned by, an accurate and structured nursing assessment of a person’s physical, mental, and social abilities and needs. Nurses need to have an understanding of how to assess changes in a person’s physical and mental health, including their level of pain, distress, and ability to make informed decisions, and how this may fluctuate in different settings and across the lifespan. They also need to be alert to the risks of diagnostic overshadowing when undertaking assessments, from which they will plan nursing care in collaboration with the people with intellectual disabilities and their carer/carers.

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Staff supporting people with intellectual disabilities and mental health problems

Psychiatric and Behavioural Disorders in Intellectual and Developmental Disabilities ◽

10.1017/cbo9780511543616.025 ◽

2001 ◽

pp. 388-399 ◽

Cited By ~ 3

Author(s):

Chris Hatton ◽

Fiona Lobban

Keyword(s):

Mental Health ◽

Intellectual Disabilities ◽

Mental Health Problems ◽

Health Problems ◽

People With Intellectual Disabilities

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Are we training psychiatrists to develop skills in intellectual disability psychiatry? Current European context and future directions

European Psychiatry ◽

10.1192/j.eurpsy.2020.102 ◽

2020 ◽

Vol 63 (1) ◽

Author(s):

Marisa Casanova Dias ◽

Bhathika Perera ◽

Florian Riese ◽

Livia De Picker ◽

Mariana Pinto da Costa ◽

...

Keyword(s):

Mental Health ◽

Intellectual Disability ◽

Mental Health Services ◽

Health Services ◽

Intellectual Disabilities ◽

Psychiatric Disorders ◽

Psychiatric Training ◽

Future Directions ◽

Education And Health ◽

People With Intellectual Disabilities

Abstract The majority of people with intellectual disabilities (ID) and psychiatric disorders access mainstream mental health services across Europe. However, only 56% of countries provide postgraduate psychiatric training in ID according to a survey across 42 European countries. We explore the challenges of ID training and make recommendations for education and health policymakers.

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“When other people try to understand”: exploring the experiences of people with intellectual disabilities, who also have mental health problems

Advances in Mental Health and Intellectual Disabilities ◽

10.1108/amhid-07-2018-0032 ◽

2020 ◽

Vol 14 (3) ◽

pp. 91-101

Author(s):

Sasha Martine Mattock ◽

Kieron Beard ◽

Amy Baddeley

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Focus Group ◽

Health Services ◽

Intellectual Disabilities ◽

Mental Health Problems ◽

Health Problems ◽

Content Type ◽

The People ◽

People With Intellectual Disabilities

Purpose Recent guidelines from the National Institute of Health and Care Excellence highlight that service users (SUs) with intellectual disabilities and co-occurring mental health problems rarely get the opportunity to share their experiences of mental health services. Over the past 20 years, policy documents have stated that these individuals (SUs) must be included in decisions about their care. Research suggests that often this is not the case. Therefore, this paper aims to create a space for SUs to share their experiences of mental health services, and what they found helpful. Design/methodology/approach A focus group was held with five SUs, two psychologists and two researchers. The audio recording of the discussion was transcribed and analysed using thematic analysis. Findings Three main themes were identified, namely, “relationships with others”, “inclusion and communication” and “challenges”. This focus group highlighted that although some SUs felt supported, they reported having little control in their lives and wanted to be listened to. Research limitations/implications Including a SU in the planning and facilitation of the focus group would have made this research more inclusive. Practical implications The implications of this research suggest that by listening to and involving SUs and developing more person-centred services, recovery rates may increase as the services provided would be more targeted. Originality/value Very little research has previously been conducted to explore SUs’ experiences. This paper highlights the value of being heard and the knowledge that is often lost if the authors do not take the time to listen to the people for whom a service is designed.

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