The prevalence of personality disorders in psychiatric outpatients with borderline intellectual functioning: Comparison with outpatients from regular mental health care and outpatients with mild intellectual disabilities

2015 ◽  
Vol 69 (8) ◽  
pp. 599-604 ◽  
Author(s):  
Jannelien Wieland ◽  
Annemarie Van Den Brink ◽  
Frans G. Zitman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Intellectual Disabilities ◽  
Personality Disorders ◽  
Intellectual Functioning ◽  
Psychiatric Outpatients ◽  
Borderline Intellectual Functioning

Awareness and accessibility of the Dutch mental health care system for people with borderline intellectual functioning or mild intellectual disabilities

2018 ◽  
Vol 12 (3/4) ◽  
pp. 114-120 ◽  
Author(s):  
Jannelien Wieland ◽  
Mascha ten Doesschate
Keyword(s):  
Mental Health ◽  
Health Care ◽  
The Netherlands ◽  
Mental Health Care ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Intellectual Functioning ◽  
Content Type ◽  
Borderline Intellectual Functioning ◽  
High Prevalence

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.

scholarly journals Development of a tool to detect older adults with severe personality disorders for highly specialized care

2020 ◽  
Vol 32 (4) ◽  
pp. 463-471
Author(s):  
Linda A. E. Laheij-Rooijakkers ◽  
Paul T. van der Heijden ◽  
Arjan C. Videler ◽  
Daniel L. Segal ◽  
Sebastiaan P. J. van Alphen
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Care ◽  
Diagnostic Accuracy ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Delphi Study ◽  
Specialized Care ◽  
Specialized Mental Health

ABSTRACTObjectives:Current guidelines recommend highly specialized care for patients with severe personality disorders (PDs). However, there is little knowledge about how to detect older patients with severe PDs. The aim of the current study was to develop an age-specific tool to detect older adults with severe PDs for highly specialized mental health care.Design:In a Delphi study, a tool to detect adults with severe PDs for highly specialized mental health care was adjusted for older adults based on expert opinion. Subsequently, the psychometric properties of the age-specific tool were evaluated.Setting:The psychometric part of the study was performed in two Dutch highly specialized centers for PDs in older adults.Participants:Patients (N = 90) from two highly specialized centers on PDs in older adults were enrolled.Measurements:The age-specific tool was evaluated using clinical judgment as the gold standard.Results:The Delphi study resulted in an age-specific tool, consisting of seven items to detect older adults with severe PDs for highly specialized mental health care. Psychometric properties of this tool were evaluated. Receiver operating curve analysis showed that the questionnaire was characterized by sufficient diagnostic accuracy. Internal consistency of the tool was sufficient and inter-rater reliability was moderate.Conclusions:An age-specific tool to detect older adults with severe PDs was developed based on expert opinion. Psychometric properties were evaluated showing sufficient diagnostic accuracy. The tool may preliminarily be used in mental health care to detect older adults with severe PDs to refer them to highly specialized care in an early phase.

Caring for mental health care users with profound intellectual disabilities: Approaches and opportunities

2018 ◽  
Vol 19 (3) ◽  
Author(s):  
Grace Malapela ◽  
Faniswa Mfidi Mail ◽  
Sambulelwe Sibanda ◽  
Gloria Thupayagale-Tshweneagae
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Intellectual Disabilities ◽  
Student Nurses ◽  
Adaptive Behaviour ◽  
Quality Patient Care ◽  
Health And Wellbeing ◽  
Qualitative Descriptive ◽  
Insight Into

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.

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