Flexible assertive community treatment for individuals with mild intellectual disability or borderline intellectual functioning: client variables associated with treatment outcome

IF 1.2 Q4 PSYCHIATRY
L. Neijmeijer, H. Korzilius, J. Kroon, H. Nijman, H. Didden
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引用次数: 3

Abstract

Purpose: Recent research on flexible assertive community treatment (FACT) for individuals with mild intellectual disabilities (MID) or borderline intellectual functioning (BIF) has shown positive results. This paper aims to identify which client variables are associated with treatment outcome of FACT. Design/methodology/approach: Analyses were performed on assessments made during a six-year longitudinal study in The Netherlands. Data comprised assessments of 281 clients with at least 2 measurements. Treatment outcome was measured by the learning disability version of the Health of the Nation Outcomes Scales. Demographic variables and dynamic risk variables of the short version of the Dynamic Risk Outcome Scales were selected as potential predictor variables of outcome. Data were analysed using linear mixed models. Findings: Limited awareness of the need for treatment, limited treatment motivation and cooperation, limited social skills, impulsivity and substance abuse were significantly associated with worse treatment outcome. None of the demographic variables influenced treatment outcome significantly, and neither did intelligence quotient or having a judicial or civil measure. Research limitations/implications: Because of the observational design, no causal inferences can be drawn. Practical implications: This study produces guidelines regarding nature and scope of the treatment supply and the competences of professionals working in FACT MID/BIF teams. Originality/value: This paper encourages other countries to make assertive outreach available for people with MID/BIF on a larger scale, taking into account the acquired insights.
对轻度智力残疾或边缘性智力功能个体的灵活果断的社区治疗:与治疗结果相关的客户变量
目的:最近对轻度智力残疾(MID)或边缘智力功能(BIF)患者的灵活自信社区治疗(FACT)的研究显示了积极的结果。本文旨在确定哪些客户变量与FACT的治疗结果相关。设计/方法/方法:对荷兰一项为期六年的纵向研究中进行的评估进行了分析。数据包括对281名客户的评估,其中至少有2项测量。治疗结果采用国家健康结果量表的学习障碍版本进行测量。选择人口统计学变量和动态风险-结果量表的简短版本的动态风险变量作为结果的潜在预测变量。使用线性混合模型对数据进行分析。研究结果:对治疗需求的认识有限、治疗动机和合作有限、社交技能有限、冲动和药物滥用与较差的治疗结果显著相关。没有一个人口统计学变量对治疗结果有显著影响,智商或司法或民事测量也没有。研究局限性/影响:由于观察性设计,无法得出因果推断。实际意义:这项研究制定了关于治疗供应的性质和范围以及FACT MID/BIF团队专业人员能力的指导方针。独创性/价值:本文鼓励其他国家在更大范围内为MID/BIF患者提供自信的外展服务,同时考虑到所获得的见解。
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
CiteScore
1.60
自引率
18.20%
发文量
22
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