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Book part
Publication date: 4 November 2003

Sheryl A. Larson, K.Charlie Lakin and Lynda L. Anderson

This article describes the use of the National Health Interview Survey-Disability Supplement (NHIS-D) to estimate the prevalence and general characteristics of persons with…

Abstract

This article describes the use of the National Health Interview Survey-Disability Supplement (NHIS-D) to estimate the prevalence and general characteristics of persons with intellectual and/or developmental disabilities in the non-institutionalized U.S. population. It provides estimates of the populations of non-institutionalized persons with intellectual disability (defined categorically), with developmental disabilities (defined functionally) and with both. It describes how the prevalence of intellectual and/or developmental disabilities varies by age, poverty status and other demographic variables. It describes how intellectual disabilities and developmental disabilities are operationally different, and how the people identified in those groups differ substantially both in number and in demographic characteristics. An analysis of poverty status among adults reveals that poverty is significantly more common for women, people who were not white, people with intellectual or developmental disabilities, adults with less than 12 years of education, and people living with a spouse or alone (as compared to people living with relatives such as parents or siblings).

Details

Using Survey Data to Study Disability: Results from the National Health Survey on Disability
Type: Book
ISBN: 978-0-76231-007-4

Article
Publication date: 28 October 2014

Nancy J. Razza, Laura Schwartz Dayan, Daniel Tomasulo and Michelle S. Ballan

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…

Abstract

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.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 8 no. 6
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 3 March 2014

Sue Mesa and Elias Tsakanikos

The purpose of this paper is to investigate whether acute inpatient psychiatric staffs’ attitudes and self-efficacy towards adults with mild intellectual disability, were…

Abstract

Purpose

The purpose of this paper is to investigate whether acute inpatient psychiatric staffs’ attitudes and self-efficacy towards adults with mild intellectual disability, were different than towards the general mental health population. And whether their understanding of the policy for those with mental illness and intellectual disability differed.

Design/methodology/approach

The study is a between-subject design, using a self-administered postal questionnaire. The sample was all qualified staff from the acute inpatient psychiatric provision of an inner London borough. Potential participants were randomly assigned to two research groups, half being given a questionnaire regarding people with intellectual disability and the other half an identical one regarding people with mental illness. Comparisons were made between the two.

Findings

The majority of staff were unaware of the current policy direction for adults with intellectual disability although were on the whole in agreement to the idea that they should access mainstream services. Staff overall did not have more negative attitudes to those with intellectual disability although were less likely to empower or encourage self-advocacy. Staff were significantly less confident that they had sufficient training and experience, and in their perceived ability to be able to communicate, assess and treat adults with mild intellectual disability when compared to those with mental illness.

Research limitations/implications

The response rate and small sample size is a limitation. Further research could usefully look at whether self-efficacy and attitudes differ in different models of mainstream psychiatric care.

Originality/value

Government policy in the UK regarding services for people with intellectual disability advocates for inclusion and equality (Chaplin and Taggart, 2012). Those requiring psychiatric care should access this from mainstream services (Department of Health, 2001, 2009, 2011; Foundation for People with Learning Disabilities et al., 2004; Bradley, 2009.) There are, however, no UK-based studies investigating the views of mainstream acute inpatient psychiatric staff towards their role. Intellectual disability staff have concerns about their attitudes and self-efficacy and it is know that acute care is the setting where most adults with intellectual disability will come across mainstream psychiatric staff. Findings have relevance to managers and staff in both intellectual disability and psychiatric services and could be considered in the context of trying to work together as is the direction of policy.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 8 no. 2
Type: Research Article
ISSN: 2044-1282

Keywords

Book part
Publication date: 2 February 2023

Emily C. Bouck, Holly Long and Larissa Jakubow

Assistive technology can support and enhance the learning, independence, and daily living skills of students with disabilities, including students with intellectual disability (ID

Abstract

Assistive technology can support and enhance the learning, independence, and daily living skills of students with disabilities, including students with intellectual disability (ID). Assistive technology is not generally disability dependent; however, for students with ID we decided to focus on assistive technology across two areas: instructional aids – with a focus on reading, writing, and mathematics – and transition and independence. Throughout our focus on these two categories of assistive technology, we discuss low-tech, mid-tech, and high-tech options to support students with ID.

Details

Using Technology to Enhance Special Education
Type: Book
ISBN: 978-1-80262-651-3

Keywords

Article
Publication date: 27 September 2010

Elspeth Bradley and Thomas Cheetham

The paper provides a Canadian perspective on the use of psychotropic medication in the management of problem behaviours in adults with intellectual disabilities in Canada…

Abstract

The paper provides a Canadian perspective on the use of psychotropic medication in the management of problem behaviours in adults with intellectual disabilities in Canada. Psychotropic medication and intellectual disabilities were explored in the context of Canadian health and social services, clinical practices, medical training and factors that have shaped these over the past few decades. Informal physician intellectual disabilities networks and the newly formed Canadian Network of the National Coalition on Dual Diagnosis provided the opportunity to survey the use of psychotropic medication for problem behaviours across the country. Geographic, political, cultural and other influences on the development of health and social services are described, as well as training requirements for physicians. Survey responses were received from all provinces and represented clinicians in mental health multidisciplinary teams, health and social services ministry representatives, agency staff (up to executive director level) and family members of individuals with intellectual disabilities. Psychiatry and family medicine perspectives of the authors from working in Canada and the UK with people with intellectual disabilities presenting with problem behaviours are described. In Canada there are no national, provincial or territorial policies or guidelines on use of psychotropic medication for the management of such behaviours. There are no requirements for physicians prescribing these medications to have training in the care of people with intellectual disabilities. Services for people with intellectual disabilities and behaviour problems in Canada appear to be more crisis‐reactive than those in the UK.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 4 no. 3
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 11 May 2012

Ereny Gobrial and Raghu Raghavan

Children and young people with co‐morbid intellectual disabilities and autism are more prone to experience mental health problems compared to people with intellectual disabilities

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Abstract

Purpose

Children and young people with co‐morbid intellectual disabilities and autism are more prone to experience mental health problems compared to people with intellectual disabilities but without autism. Children and young people with intellectual disabilities and autism may experience symptoms of anxiety at a greater level than the general population; however, this is not supported with research evidence in relation to the prevalence of anxiety in people with intellectual disabilities and autism. The aim of this study is to identify the prevalence of anxiety disorders in children and young people with intellectual disabilities and autism.

Design/methodology/approach

In total, 150 children and young people (age range of 5‐18 years) from a metropolitan district in the North of England were screened for anxiety using the Reiss Scales for Children's Dual Diagnosis and the Glasgow Anxiety Scale.

Findings

The results indicate that the prevalence of anxiety was 32.6 per cent for children and young people with intellectual disabilities and autism on the Glasgow Anxiety Scale. One of the important questions that arise from this study is the risk factors for the high prevalence of anxiety in children and adolescents with autism.

Originality/value

The findings highlight the prevalence of anxiety in children and young people with co‐morbid intellectual disabilities and autism. This has implications for assessment of anxiety disorders for children and young people with intellectual disabilities.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 6 no. 3
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 3 March 2014

Ada Suet Ying Chan

The purpose of this paper is to get information on the background, demographic data and the lifestyle of adults with intellectual disability in Hong Kong shelter workshop; to get…

Abstract

Purpose

The purpose of this paper is to get information on the background, demographic data and the lifestyle of adults with intellectual disability in Hong Kong shelter workshop; to get information on physical activity behaviour and psychosocial behaviour of adults with intellectual disability in Hong Kong sheltered workshop; to assess the concurrent validity and reliability of the baseline interview questionnaire (BIQ-C); and a trial run to test the feasibility on running a larger scale of study in future.

Design/methodology/approach

Psychosocial behaviour was assessed by BIQ-C (Heller et al., 2006) with sub-scale self-efficacy, outcome expectation, barrier to exercise; and physical activity assessment by pedometers. The participants completed the BIQ-C with an interviewer on fifth day morning before started work. Both step counts were collected and activity data were recorded in a log book separately during working hours and non-working hours on each four consecutive weekdays.

Findings

The percentage of obesity was serious among adults with intellectual disability in HK, especially on women; and adults with intellectual disability had more walking step counts in non-working time compared with that at working time, which was considered “low active” (5,000-7,499 step per day) in physical activity level. Besides, both male and female participants had high outcome expectation, barrier to exercise and low self-efficacy. Results showed that BIQ-C was valid and reliable as an outcome measure to be used for intellectual disability.

Research limitations/implications

The sample represented adults with mild to moderate intellectual disability which were based on a centre supervisor ' s confirmation, and then subjects were randomly selected to participate. The results were based on mild to moderate grade participants wearing pedometer for four consecutive days, for those who were unable to wear the pedometer by themselves were excluded from this study (severe intellectual disability). Moreover, the results only reflect the number of steps during weekdays, there was no data on weekends.

Practical implications

Assessment tools are valid and reliable among adults with intellectual disability in Hong Kong. Study showed that running a larger scale of intervention is possible and feasible in sheltered workshop.

Originality/value

There is relatively little information on the physical activity patterns and psychosocial behaviour of workers with intellectual disability in Hong Kong, intervention may help understanding and promote health in this population.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 8 no. 2
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 12 July 2013

Rebecca Chester, Eddie Chaplin, Elias Tsakanikos, Jane McCarthy, Nick Bouras and Tom Craig

This study aimed to examine for differences on how symptoms relating to depression and anxiety were reported by males and females with intellectual disability as part of the…

Abstract

Purpose

This study aimed to examine for differences on how symptoms relating to depression and anxiety were reported by males and females with intellectual disability as part of the development of the Self‐Assessment Intervention Package (SAINT), a guided self‐help tool.

Design/methodology/approach

Three self‐report questionnaires were administered (The Glasgow Depression Scale – Learning Disabilities (GDS‐LD)), Glasgow Anxiety Scale – Intellectual Disabilities (GAS‐ID) and Self‐Assessment Intervention Package (SAINT) to a group of people with mild intellectual disabilities (n=36), to allow comparison of symptom reporting between genders, in particular examining the SAINT across the two groups.

Findings

Statistically significant differences in self‐reported symptoms as assessed with SAINT were found between males and females. The symptoms where related mainly to mood and self‐esteem. Overall, endorsement of self‐reported depressive symptoms was between 2.7‐3.2 times higher in female than male patients.

Originality/value

There was evidence to suggest differences in self‐report and symptom profiles of depression and anxiety of males and females with mild intellectual disabilities with females reporting higher in terms of symptoms using the SAINT. The SAINT is a valid tool for screening and self‐reporting symptoms of anxiety and depression in people with intellectual disabilities.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 7 no. 4
Type: Research Article
ISSN: 2044-1282

Keywords

Book part
Publication date: 2 August 2023

Marta Codina, Diego A. Díaz-Faes and Noemí Pereda

Over the last few decades there has been increased interest in studying the phenomenon of violence among people with intellectual disabilities (ID). Research addressing offending…

Abstract

Over the last few decades there has been increased interest in studying the phenomenon of violence among people with intellectual disabilities (ID). Research addressing offending and victimization among this population suffers from generalised androcentrism by extrapolating findings to women, and is also homogenising, ignoring any individual and gendered differences. Existing research also demonstrates a clear focus on vulnerability and increased risk of victimization, but very little attention has been paid to women with ID as perpetrators of crime. Many factors play a role in the process of victimisation and offence, which implies the need to deconstruct the hegemonic vision of violence and examine its different manifestations and nuances. Therefore, this chapter provides a critical and historical review of the role of women with ID as victims and perpetrators of crime, by synthesising the different levels of analysis of the subject using an intersectionality approach. In conclusion, the evidence so far does not elucidate the prevalence or characteristics of these offenders. What we do know is that this group faces interacting, individual, social and environmental difficulties. They report high rates of victimisation and mental health comorbidity. Altogether they reveal an overlapping status of victim and offender.

Details

The Emerald International Handbook of Feminist Perspectives on Women’s Acts of Violence
Type: Book
ISBN: 978-1-80382-255-6

Keywords

Article
Publication date: 20 April 2009

Nick Gore and David Dawson

The study investigated the frequency of adverse life events and prevalence of MD recorded for clients with intellectual disabilities (ID) in a medium secure unit, using data from…

Abstract

The study investigated the frequency of adverse life events and prevalence of MD recorded for clients with intellectual disabilities (ID) in a medium secure unit, using data from an electronic patient record (EPR) system. Prevalence of MD was calculated on the basis of ICD‐10 diagnoses and a 38‐item checklist was developed to investigate adverse/traumatic life events for sub‐samples with and without MD. High rates of MD were reported overall, particularly of schizotypal and delusional disorders and disorders of personality. Adverse life events including abuse, bereavement and relationship difficulties had been documented by clinicians. The overall number of recorded events was significantly higher for clients diagnosed with a MD. Associations between MD and life events have been reported previously, but not in a forensic ID population. The study contributes to a growing body of literature highlighting the relationship between life events and mental health in people with ID, offering further information for service development and clinical practice.

Details

The British Journal of Forensic Practice, vol. 11 no. 1
Type: Research Article
ISSN: 1463-6646

Keywords

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