Mental Health Services for Adults With Intellectual Disabilities: A Qualitative Study of Patient Characteristics, Associated Factors and Consequent Needs for Adaptation in Assessment and Treatment

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-10-24 DOI:10.1111/jar.13315

Kjersti Karlsen, Ellen Kathrine Munkhaugen, Hanne Kari Fossum, Trine Lise Bakken, Arvid Nikolai Kildahl

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引用次数: 0

Abstract

Background

Individuals with intellectual disabilities are at increased risk of mental health disorders, but may struggle to access appropriate services. While assessment/treatment may need to be adapted, knowledge is limited about what such adaptations may entail.

Method

During a service development project, the participants (33 professionals, 13 family members) were asked to identify the characteristics/associated factors of individuals with intellectual disabilities and co-occurring mental health disorders. Using thematic analysis, 1103 participant responses were analyzed to identify the needs for adaptation in assessment/treatment.

Results

Three core themes were identified: (1) A broader assessment: Gaining an accurate and comprehensive understanding of the individual's history, abilities and difficulties, (2) Adjusting/modifying existing treatment strategies, (3) Ensuring that the individual's day-to-day needs are met.

Conclusions

According to the participants, assessment/treatment of mental health disorder in this population requires more time and broader assessments are necessary. Family/caregiver involvement and cross-service organisation/collaboration represent other important adaptations.

查看原文本刊更多论文

为智障成人提供的心理健康服务：对患者特征、相关因素及评估和治疗中的相应适应需求的定性研究。

背景：智障人士罹患精神疾病的风险较高，但他们可能很难获得适当的服务。虽然可能需要对评估/治疗进行调整，但人们对这种调整可能带来的影响了解有限：在一个服务开发项目中，参与者（33 位专业人士，13 位家庭成员）被要求识别智障人士和并发精神障碍患者的特征/相关因素。利用主题分析法，对 1103 份参与者回复进行了分析，以确定评估/治疗中的适应需求：结果：确定了三个核心主题：(1) 更广泛的评估：结果：确定了三个核心主题：（1）更广泛的评估：准确、全面地了解患者的病史、能力和困难；（2）调整/修改现有的治疗策略；（3）确保满足患者的日常需求：结论：与会者认为，对这一人群的心理健康障碍进行评估/治疗需要更多的时间，而且有必要进行更广泛的评估。家庭/照顾者的参与和跨服务组织/合作是其他重要的适应措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.