scholarly journals INTELLECTUAL DISABILITIES IN PRESCHOOLERS: MENTAL HEALTH DETERMINANTS DURING THE PERINATAL PERIOD OF DEVELOPMENT

2021 ◽  
Vol 74 (11) ◽  
pp. 2768-2773
Author(s):  
Oksana V. Boriak ◽  
Anna V. Chobanian ◽  
Oleksandr V. Kolyshkin ◽  
Yurij Y. Kosenko ◽  
Tetiana M. Dehtiarenko ◽  
...  
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Health Indicators ◽  
Perinatal Period ◽  
Preschool Age ◽  
Health Determinants ◽  
Self Awareness ◽  
Mathematical Methods ◽  
Norms And Values

The aim: The aim of the study is to identify correlations between mental health indicators for preschoolers with intellectual disabilities and specifics of their prenatal, natal and postnatal development. Materials and methods: Analysis of special medical, psychological and pedagogical literature; comparison and systematization of research material to determine mentalhealth indicators for preschoolers with mild and moderate degrees of intellectual disability; mathematical methods of statistics. Results: Empirical research, delineating formation of mental health indicators for senior preschoolers with intellectual disabilities, specified in low level of formation of both criteria, has been conducted. In general, we can conclude that the formation of mental health against the background of intellectual disability of preschool children is associatedwith low levels of self-awareness as a member of a social group; below age expectations’ ability to perceive self and produce information about themselves, their preferences and meaningful adults; inability to adhere to social norms and values in behavior; high levels of anxiety; aggressive tendencies; lack of independence; helplessness concerning helping others; expectation of help from adults; content inappropriate emotional outbursts accompanied by frequent mood swings; and desire for solitude. Conclusions: The obtained results confirm the conditionality of intellectual disability on negative factors in the perinatal period of development and strong correlation withmental disorders. It is important to correctly diagnose the existing manifestations of comorbid mental health disorders at preschool age and earlier, in order to implement appropriate measures for intervention and development.

scholarly journals INTELLECTUAL DISABILITIES IN PRESCHOOLERS: MENTAL HEALTH DETERMINANTS DURING THE PRENATAL, NATAL AND POSTNATAL DEVELOPMENT STAGES

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Oksana. V. Boriak ◽  
Anna Chobanian ◽  
Oleksandr Kolyshkin ◽  
Yurij Kosenko ◽  
Tetiana Dehtiarenko ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Retardation ◽  
Social Functioning ◽  
Negative Impact ◽  
Health Indicators ◽  
Preschool Age ◽  
School Age Children ◽  
Health Determinants ◽  
Mathematical Methods ◽  
Negative Factors

Introduction. A person’s mental health is a successful performance of a mental function, the result of which is a productive activity, establishing relationships with other people and an ability to adapt to change and cope with adverse life circumstances. Particularly acute is the issue of the potential negative impact of impaired development on the mental health and social functioning of children with mental and physical disabilities. Purpose. The purpose of the paper was to identify correlations between the mental health indicators of mentally retarded preschoolers and the specifics of the prenatal, natal and postnatal stages of their development. Methodology. Analysis of special medical, psychological and pedagogical literature; comparison and systematization of research material to determine the mental health indicators of preschoolers of mild and moderate degrees of mental retardation; mathematical methods of statistics. Results and Discussion. These studies show that the events of the prenatal/natal period have a significant impact on the further life of the child. It is a clear fact that close interaction between the mother and the unborn child is confirmed (the child learns to perceive the world together with the mother).  However, for the relatively harmonious mental health and social functioning of a child with mental retardation, the mother’s behavior after the birth of the child is of paramount importance. This study does not reveal the entire specifics of mental health indicators of MRP, because the article presents the results of a study covering senior preschool age. School-age children were left out of consideration. Conclusions. The obtained results confirm the conditionality of mental retardation by negative factors of prenatal, natal and postnatal stages of development. It is important to correctly diagnose the existing manifestations of mental health disorders exactly at the preschool age, in order to implement appropriate measures for correction and development

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

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.

scholarly journals Effectiveness of interventions for adults with mild to moderate intellectual disabilities and mental health problems: systematic review and meta-analysis

2016 ◽  
Vol 209 (6) ◽  
pp. 469-474 ◽  
Author(s):  
Nadine Koslowski ◽  
Kristina Klein ◽  
Katrin Arnold ◽  
Markus Kösters ◽  
Matthias Schützwohl ◽  
...  
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Health Problems ◽  
System Level ◽  
Controlled Trials ◽  
Moderate Intellectual Disability

BackgroundThere is a lack of available evidence in relation to the effectiveness of interventions for adults with mild to moderate intellectual disability and mental health problems.AimsTo evaluate the efficacy of interventions for adults with mild to moderate intellectual disabilities and co-occurring mental health problems.MethodAn electronic literature search of the databases Medline, EMBASE, PsycINFO and EBM Reviews aimed at identifying randomised controlled trials (RCTs) and controlled trials testing any type of intervention (psychotherapy, biological or system level) for people with mild to moderate intellectual disabilities (IQ score 35–69) targeting comorbid mental health problems. Additionally a meta-analysis was conducted.ResultsTwelve studies met the inclusion criteria. No significant effect was found for the predefined outcome domains behavioural problems, depression, anxiety, quality of life and functioning. The effect size for depression (d = 0.49) was moderate but non-significant. Quality of studies was moderate and heterogeneity was high.ConclusionsThere is no compelling evidence supporting interventions aiming at improving mental health problems in people with mild to moderate intellectual disability. The number of available trials is too low for definite conclusions. Some interventions are promising and should be evaluated further in larger and more rigorous trials.

Mind Matters: a psychoeducation programme for individuals with intellectual disabilities and co-morbid diagnoses of mental disorder

2017 ◽  
Vol 8 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Sarah Ashworth ◽  
Krista Jansen ◽  
Lydia Bullock ◽  
Paul Mooney
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Intellectual Disability ◽  
Personality Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Intellectual Disabilities ◽  
Psychological Intervention ◽  
Content Type ◽  
Group Members

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.

Antipsychotic prescribing for patients with intellectual disabilities and challenging behaviours

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bushra Elhusein ◽  
Yassin Eltorki ◽  
Oraib Abdallah ◽  
Mohamed El Tahir
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Best Practices ◽  
Intellectual Disabilities ◽  
Challenging Behaviour ◽  
Prescribing Practices ◽  
Content Type ◽  
Antipsychotic Prescribing ◽  
Challenging Behaviours ◽  
Audit Standards

Purpose Review of antipsychotic prescribing practices, rationale and follow-up using an internationally standardized audit can be an effective tool to encourage and monitor best practices. The purpose of this study is to audit the current prescribing pattern for people with intellectual disabilities and challenging behaviours in Qatar. Design/methodology/approach This study was based on the challenging behaviour management guidelines recommended by the Royal College of Psychiatrists. All current electronic medical records in the Mental Health Service-Hamad Medical Corporation were examined to identify patients with intellectual disabilities who received antipsychotics for challenging behaviour. Demographic variables, such as age, sex and nationality, were collected. In addition, details of psychiatric diagnoses, prescribed psychotropic medications and diagnoses of epilepsy were also collected. For patients who were prescribed antipsychotic medication, the clinical rationale for such medication was collected along with evidence of side effect monitoring to allow performance against the audit standards to be measured. Findings This is the first audit on prescribing practices in people with intellectual disability and challenging behaviour in the state of Qatar. The results of this study regarding the pattern of prescribing practices for patients with intellectual disability and challenging behaviour reflect the limitation in knowledge and experience among non-specialist practitioners within mental health service. The result may be helpful to support the development of specialist service provision to improve the care for such vulnerable group. The result may also help other medical centres and clinicians by providing an improved understanding of possible deviations from the best medical practices. Originality/value This is the first audit on prescribing practices in people with intellectual disability and challenging behaviour in the state of Qatar. The study is also noteworthy as, to the best of the authors’ knowledge, it is one of only a few studies on antipsychotic prescribing for patients with intellectual disability and challenging behaviour in the Middle East; therefore, it will be useful in raising awareness and promoting the best practices in the Middle East region. This study is also among the first few studies that were designed based on the four audit standards by the Royal College of Psychiatrists in this area.

scholarly journals Mental health of children and adolescents with intellectual disabilities in Britain

2007 ◽  
Vol 191 (6) ◽  
pp. 493-499 ◽  
Author(s):  
Eric Emerson ◽  
Chris Hatton
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Significant Proportion ◽  
Cumulative Risk ◽  
Conduct Disorders ◽  
British Children ◽  
Children With Intellectual Disability

BackgroundFew studies have employed formal diagnostic criteria to determine the prevalence of psychiatric disorders in contemporaneous samples of children with and without intellectual disabilities.AimsTo establish the prevalence of psychiatric disorders against ICD—10 criteria among children with and without intellectual disabilities, the association with social/environmental risk factors, and risk attributable to intellectual disability.MethodSecondary analysis of the 1999 and 2004 Office for National Statistics surveys of the mental health of British children and adolescents with (n=641) and without (n = 17774) intellectual disability.ResultsPrevalence of psychiatric disorders was 36% among children with intellectual disability and 8% among children without (OR=6.5). Children with intellectual disabilities accounted for 14% of all British children with a diagnosable psychiatric disorder Increased prevalence was particularly marked for autistic-spectrum disorder (OR=33.4), hyperkinesis (OR=8.4) and conduct disorders (OR=5.7). Cumulative risk of exposure to social disadvantage was associated with increased prevalence.ConclusionsA significant proportion of the elevated risk for psychopathology among children with intellectual disability may be due to their increased rate of exposure to psychosocial disadvantage.

scholarly journals Working together: making the case for integrated forensic services for people with intellectual disabilities

2015 ◽  
Vol 6 (3/4) ◽  
pp. 204-210 ◽  
Author(s):  
Kenneth MacMahon ◽  
Ricky McClements
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Integrated Model ◽  
Content Type ◽  
Fully Integrated ◽  
Forensic Service ◽  
Working Together ◽  
People With Intellectual Disabilities ◽  
Integrated Service

Purpose – There is a general consensus that healthcare for people with intellectual disabilities should be provided by multi-disciplinary teams. Within a forensic setting, recommendations are often made for separate or “parallel” forensic teams, operating independently of generic mental health or intellectual disability teams. An alternative to this model is an “integrated” service, where specialist forensic clinicians work within the general intellectual disability service, to provide support for clients with forensic needs. For clients with intellectual disabilities and forensic needs, there may be advantages to providing access to a wider multi-disciplinary team, through the application of an integrated model. The purpose of this paper is to illustrate the working of an integrated forensic service within a learning disability team, to identify positive aspects of this model, and how potential shortcomings may be overcome. Design/methodology/approach – Literature review, description of service outline with case example. Findings – Although some studies have compared parallel and integrated forensic models within mental health services, there are no evaluations that compare models of forensic services for individuals with intellectual disabilities. However, specific advantages of an integrated model may include availability of multi-disciplinary clinicians, development of forensic skills across wider groups of clinicians, reduction in stigma and avoidance of delay in transfer of care between services. In addition, in areas with smaller populations, parallel services may not be feasible due to low case numbers. Originality/value – There has been no formal evaluation of parallel vs integrated forensic services within an intellectual disability setting. However, the authors describe a fully integrated service and suggest means by which the potential shortcomings of an integrated model may be overcome.

Special needs of adolescents and elderly people with intellectual disability

2012 ◽  
pp. 1878-1883
Author(s):  
Jane Hubert ◽  
Sheila Hollins
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Special Needs ◽  
Elderly People ◽  
General Rule ◽  
Health Needs ◽  
Social Health ◽  
Mental Health Needs ◽  
People With Intellectual Disabilities

Social health and mental health needs change throughout life, and this chapter highlights those particularly relevant for adolescents and elderly people. As a general rule, people with intellectual disabilities have the same needs as other members of the community, but they may also have additional needs for which they are entitled to extra support.

scholarly journals Interface between Intellectual Disability and Mental Health: hermeneutic review

2014 ◽  
Vol 48 (3) ◽  
pp. 532-540 ◽  
Author(s):  
Luciana Togni de Lima e Silva Surjus ◽  
Rosana Teresa Onocko Campos
Keyword(s):  
Mental Health ◽  
Public Policy ◽  
Mental Illness ◽  
Intellectual Disability ◽  
Literature Review ◽  
Intellectual Disabilities ◽  
Dual Diagnosis ◽  
Social Inclusion ◽  
Mental Health Problems ◽  
Intellectual Deficiencies

A literature review was conducted aiming to understand the interface between the Intellectual Disability and Mental Health fields and to contribute to mitigating the path of institutionalizing individuals with intellectual deficiencies. The so-called dual diagnosis phenomenon remains underestimated in Brazil but is the object of research and specific public policy internationally. This phenomenon alerts us to the prevalence of mental health problems in those with intellectual disabilities, limiting their social inclusion. The findings reinforce the importance of this theme and indicate possible diagnostic invisibility of the development of mental illness in those with intellectual disabilities in Brazil, which may contribute to sustaining psychiatric institutionalization of this population. 

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