Medicine (Books and Journals)
531 results for Medicine (Books and Journals)
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Advances in Mental Health and Intellectual Disabilities
From No. 4-2, June 2010
to No. 17-2, April 2023
Emerald Group Publishing Limited, 2021
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Development, use and evaluation of a web based mental capacity assessment tool for staff working with people with learning disabilities
Purpose: This paper aims to describe the development, use and evaluation of a web-based mental capacity assessment tool (MCA WAT) within the Learning Disabilities division of a Mental Health and Learning Disabilities Trust in England. Design/methodology/approach: The MCA WAT was developed to ensure there was contemporaneous recording of each capacity assessment; help staff improve their...
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Individuals with intellectual disabilities experiences of the therapeutic relationship
Purpose: This research aimed to explore individuals with intellectual disabilities (ID) experiences of the therapeutic relationship. Design/methodology/approach: Six individuals with ID were recruited who were currently having 1:1 therapy. Semi-structured interviews focused on their experiences of the therapeutic relationship. Findings: Using interpretative phenomenological analysis, six...
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Intellectual disability and autism in adults influence psychological treatments for mental health comorbidities
Purpose: The purpose of the study was to examine whether there were differences in the provision of non-pharmacological interventions based on the level of intellectual disability and the presence or absence of autism. Mental health conditions are often underdiagnosed in adults with intellectual disability and do not always receive psychological interventions as recommended by the National...
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Examining the relationship of age with fears among adolescents and young adults with and without intellectual disabilities
Purpose: This paper aims to examine for differences in potentially productive fear versus all other fear scores comparing adolescents and young adults with intellectual disabilities versus their typically developing peers without intellectual disabilities while statistically controlling for chronological age. Design/methodology/approach: The authors examined for differences in potentially...
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Informed consent with people judged incapable of legally consenting
Purpose: The purpose of this study is to consider informed consent with those who may be legally judged incapable of consent. Frequently individuals with traumatic brain injuries and intellectual disabilities may fall into this category. This paper seeks to consider aspects of guardianship, moral and legal implications and best practices for mental health professionals. Design/methodology/approac
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Staff views on reflective practice groups in an inpatient assessment and treatment unit for people with intellectual disabilities
Purpose: Although it is recommended that reflective practice groups (RPGs) are used to support staff in inpatient intellectual disability (ID) services, there is to date no research on their effectiveness or how staff perceive RPGs in these settings. This paper aims to evaluate staff perceptions of the RPGs in an assessment and treatment unit for people with ID and to ascertain the nature of any...
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Spanish validation of the Glasgow depression scale for people with intellectual disabilities (GDS-LD) and of the Glasgow depression care supplement scale (GDS-CS)
Purpose: This study aims to validate a Spanish version of the Glasgow Depression Scale for Learning Disability (GDS-LD) and of the Glasgow Depression Care Supplement Scale (GDS-CS). Design/methodology/approach: The GDS-LD was administered to 120 adults with mild and moderate intellectual disabilities and the GDS-CS to the staff from their occupational workshops (n = 120) to detect symptoms of...
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Evaluating workforce needs for higher specialist training for psychiatry of intellectual disability in Kent, Surrey and Sussex: a workforce scoping service evaluation
Purpose: Whilst recruitment and retention of high-quality staff is vital to providing a good service, at the time of the evaluations, Kent, Surrey and Sussex (KSS) was the only area of the UK without a Higher Specialist Training (HST) scheme in intellectual disability (ID). The purpose of this project was to identify barriers to recruitment and support the need for change. Design/methodology/appr
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Caregivers experiences of caring for people with intellectual disability and dementia: a qualitative evidence synthesis
Purpose: A systematic review of the literature was completed to examine the needs of those who provide care to people with intellectual disability and dementia. The purpose of this paper was to develop an understanding of the complexities, challenges and support available to meet the needs of an ageing population. Design/methodology/approach: A qualitative evidence synthesis was used to appraise
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Investigating the experience of professional carers supporting individuals with intellectual disability who were at risk of admission – a qualitative study
Purpose: This study aims to understand the experiences of professional paid carers providing community support to people with intellectual disability “at risk of admission”. This study explores factors that were helpful or lacking in terms of the support the carers received from NHS health services during this time. Design/methodology/approach: This study conducted semi-structured interview with
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Co-design and development of a multi-component anxiety management programme for people with an intellectual disability
Purpose: This paper aims to understand the lived experience of people with intellectual disability of their anxiety and of being co-design partners in developing a multi-component approach to the management of anxiety. Design/methodology/approach: The development of an anxiety manual and programme was part of a service development which allowed existing and established psychological therapies to
- Book review
- Guest editorial
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Screening and diagnosing dementia in people with Down’s syndrome: implications of using the DLD questionnaire
Purpose: The Dementia Questionnaire for People with Learning Disabilities (DLD) is one of the main screening and monitoring tools for dementia in people with Down’s syndrome (DS). As part of a quality improvement project to improve the care for people with DS and dementia in an intellectual disability service, the authors studied the screening and monitoring process by retrospectively...
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Community services during the COVID-19 pandemic in a Norwegian county: impact on users with multiple, complex needs and their service providers – a qualitative study
Purpose: The purpose of this paper is to investigate how users with particularly complex needs including intellectual disability (ID) reacted to the changes and restrictions during the COVID-19 pandemic in 2020. Design/methodology/approach: As few studies of changes during the pandemic include users with ID and multiple, complex needs, the authors adopted a qualitative approach, using a...
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An investigation into the factors which influence attendance rates for psychology appointments in an adult intellectual disability service
Purpose: This study aims to investigate whether factors previously shown to influence attendance rates for appointments in general practice and general mental health services also influence attendance rates in services for people with intellectual disabilities (ID). Design/methodology/approach: Post hoc data from 452 psychology appointments, ID diagnostic and initial screening (triage)...
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Do demographic, and clinical characteristics influence meeting NICE quality standards for young people transitioning to adult intellectual disability services?
Purpose: This study aims to evaluate the quality of transition from child and adolescent services to adult intellectual disability services, using the relevant National Institute for Health and Care Excellence (NICE) standard (QS140). In addition, this study also identifies any differences in transition quality between those young people with intellectual disability with and without autism. ...
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Systematic review of systematic reviews on psychological therapies for people who have intellectual disabilities: 1. Quality appraisal
Purpose: This paper aims to assess the quality of systematic reviews on the effectiveness of psychological therapy for adults with intellectual disabilities (ID) and mental health difficulties. Design/methodology/approach: Four electronic databases were used: Cochrane, PsycINFO, PubMed and Scopus. Studies were included if they were a systematic review focused primarily on psychological therapy...
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Psychiatric symptoms influence the performance on the Screener Intelligence and Learning Disabilities in general mental health care in The Netherlands
Purpose: A recently published study showed a 41% prevalence of mild intellectual disability (MID) and borderline intellectual functioning (BIF) in a large sample of Dutch psychiatric patients. This study aims to examine if the outcomes of the Screener for Intelligence and Learning Disabilities (SCIL) were affected by the severity of psychiatric symptoms during admission. Design/methodology/approa
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Improving Access to Psychological Therapies (IAPT): the impact of service changes due to COVID-19 on people with learning disabilities
Purpose: Primary care psychological interventions for people with common mental health problems in England are primarily delivered through Improving Access to Psychological Therapies (IAPT) services. People with learning disabilities within IAPT have poorer key clinical outcomes than people who do not identify as having a learning disability. During the global COVID-19 pandemic remote...
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Co-production of post-diagnostic psychosocial intervention with carers of people with intellectual disability and dementia
Purpose: This paper aims to underline the importance of using a collaborative approach when designing and adapting a post diagnostic psychosocial intervention of cognitive stimulation therapy (CST) for people with intellectual disability and dementia. Design/methodology/approach: As part of a service improvement, a manual of CST was adapted, for delivery in clinical practice. A qualitative co-pro
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Disability therapy and Valerie Sinason
Purpose: This paper aims to discuss the work of Dr Valerie Sinason and her contribution to working with people with an intellectual disability with psychotherapy. Design/methodology/approach: Dr Valerie Sinason is a psychoanalyst, and the author is trained in psychoanalytic psychotherapy. Findings: The author believes there is important value in reading Valerie Sinason's contribution to the...
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Psychologists’ views on the accessibility and effectiveness of psychological therapies for people with intellectual disabilities and autism
Purpose: The purpose of this study was to explore the views of psychologists working in community teams for people who have intellectual disabilities (ID) on the provision of psychological therapies to those with ID and autism spectrum disorder (ASD). Design/methodology/approach: Semi-structured interviews were carried out with seven clinical psychologists working across a large geographical...
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A review of recent clinical measures that can be used to support psychological therapies with adults with intellectual disabilities
Purpose: Psychometrically sound measures are essential for clinical practice to provide appropriate therapeutic input. Vlissides et al. (2016) reviewed measures used in psychological therapies with people who have intellectual disabilities (ID). This paper aims to review the evidence for the psychometric properties of recent clinical measures published since/overlooked by Vlissides et al. (2016).
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Evaluating a mindfulness-based group intervention for adults with intellectual disabilities
Purpose: There is growing evidence examining mindfulness-based interventions (MI) for people with intellectual disabilities (IDs). As discussed in this paper, MI may be particularly suited for people with ID given high rates of difficulties in identifying and regulating emotions and as this approach may rely less on cognitive ability compared to other therapies. This study aims to assess the...
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Psychodynamic psychotherapy in severe and profound intellectual disability
Purpose: Psychodynamic psychotherapy is increasingly adapted and used with individuals with intellectual disability (ID) and mental health difficulties. However, the evidence base is still small and largely based on case studies and small trials whose participants mainly have mild to moderate ID. This paper aims to review and critique the literature in regards to the adaptations; and the...
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DBT and intellectual disabilities: the relationship between treatment fidelity and therapeutic adaptation
Purpose: There is growing literature on the application of Dialectical Behaviour Therapy (DBT) with adults with intellectual disabilities (IDs). To draw upon the evidence-base from mainstream approaches, adapted interventions must remain true to their theoretical foundations and retain key components. The purpose of this paper was to establish the extent to which DBT has been adapted for adults...
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Evaluating neuropsychologically informed rehabilitation training for staff within a high secure intellectual disability service
Purpose: Neuropsychologically informed rehabilitation (NIR) is one approach to supporting people with intellectual disabilities, cognitive impairment and challenging behaviour. This study aims to evaluate a five-day training course in NIR for staff working with adult male offenders with intellectual disabilities in a high secure hospital. The impacts on both the staff who undertook the training...
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Causal attribution and coping with classmates’ isolation and humiliation in young adults with mild intellectual disability
Purpose: The purpose of this study is to consider the role of causal attribution of isolation and humiliation from classmates in the coping of young people with mild intellectual disability. Design/methodology/approach: The R-PI test (Kurtek, 2018) was administered to a sample of 151 transition-age students (age 18-22 years) in Poland. It consists of vignettes that describe stressful situations...
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Does training adequately equip psychiatrists for intellectual disability?
Purpose: People with intellectual disability (ID) experience significant health and social inequality compared to their non-disabled peers. Individuals with ID who access mental health services can have complex comorbidities and presentations. In the UK, a significant proportion of individuals with ID are supported within general adult mental health services not by specialist ID teams. The...