Advances in Mental Health and Intellectual Disabilities最新文献

{"title":"Adapted dialectical behaviour therapy skills group service evaluation","authors":"R. Searle, Ianiv Borseti","doi":"10.1108/AMHID-06-2020-0015","DOIUrl":"https://doi.org/10.1108/AMHID-06-2020-0015","url":null,"abstract":"The purpose of this paper is to determine the effectiveness of an adapted dialectical behaviour therapy (DBT) treatment programme for individuals with an intellectual disability, via completion of a service evaluation.,Outcome measurements were competed at pre-, post- and 12 months follow-up, and the effectiveness of the intervention was assessed using a Friedman analysis.,Findings demonstrated that the treatment group showed significant differences in their “psychological distress” scores, but no significant differences were found in their “psychological well-being”, “anxiety” or “quality of life” (WHO-QOL) scores over time.,Overall, the current study adds to the small but growing literature that supports using the skills training group part of DBT as a stand-alone psychological intervention when working with people with an intellectual disability.","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"15 1","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42253501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the effectiveness of the “I Can Feel Good” programme mindfulness module for a group of detained intellectually disabled patients","authors":"Rachel Craven, Lyn Shelton","doi":"10.1108/amhid-06-2020-0013","DOIUrl":"https://doi.org/10.1108/amhid-06-2020-0013","url":null,"abstract":"\u0000Purpose\u0000This study aims to evaluate the clinical effectiveness of the Mindfulness module of the “I Can Feel Good” programme, an adapted dialectical behaviour therapy (DBT) informed skills programme for a group of intellectually disabled offenders (IDOs).\u0000\u0000\u0000Design/methodology/approach\u0000The programme module was delivered to a group of five male IDOs detained under the Mental Health Act 1983 (Revised 2007) at an intellectual disability (ID) rehabilitation hospital based in the UK. The mindfulness module was 12 sessions in length, and it was evaluated using the emotional problems scale (EPS) and the cognitive and affective mindfulness scale-revised (CAMS-R) self-assessment and observational scale. These measures were administered pre- and post-module and used the staff report scales as a primary source of evaluation.\u0000\u0000\u0000Findings\u0000Non-parametric testing revealed that there was a reduction in scores post module on the externalising behaviour problem scale of the EPS and increased scores on the CAMS-R observational scale, which would indicate clinical improvement in the IDO’s behavioural presentation, although it was not statistically significant. The internalising behaviour problem scale showed increased signs of anxiety post module, this could be related to increased self-awareness. The CAMS-R self-reported measure indicated reduced mindfulness qualities following the module.\u0000\u0000\u0000Originality/value\u0000The results indicate that following the mindfulness module, there was a reduced level of challenging behaviour displayed by the patients with increased signs of emotional regulation. There was also an observed reduction in symptoms of depression and low self-esteem post module.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"299-310"},"PeriodicalIF":1.1,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/amhid-06-2020-0013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48101163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive behavioural therapy for psychogenic non-epileptic seizures in the context of mild intellectual disability: a case study","authors":"P. R. Diamond, C. Delaney","doi":"10.1108/amhid-07-2019-0019","DOIUrl":"https://doi.org/10.1108/amhid-07-2019-0019","url":null,"abstract":"\u0000Purpose\u0000There is a growing evidence base for cognitive behavioural therapy (CBT) as a treatment for psychogenic non-epileptic seizures (PNES) in the general population. Despite the relatively high proportion of individuals with PNES who have an intellectual disability (ID) there is a paucity of literature on the use of CBT for PNES in this population. The purpose of this paper is to describe the use of an adapted CBT approach to treat PNES in a woman with mild ID.\u0000\u0000\u0000Design/methodology/approach\u0000The intervention used a CBT approach that included both the client and her mother, her primary care giver, throughout the therapy sessions. It involved 13 1-hour sessions over 20 weeks.\u0000\u0000\u0000Findings\u0000Over the course of the intervention the client experienced a reduction in seizure activity. Both the client and her mother reported increases in her perceived ability to cope with the seizures.\u0000\u0000\u0000Originality/value\u0000This report describes an adapted CBT-based intervention for individuals with PNES in the context of ID. It is the first report to include the involvement of a care-giver in adapting this approach for individuals with ID.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"287-297"},"PeriodicalIF":1.1,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/amhid-07-2019-0019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41491050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of the Montreal Cognitive Assessment (MoCA) to assess cognitive impairment in Prader-Willi syndrome","authors":"J. Chevalère, V. Laurier, M. Tauber, Anna-Malika Camblats, D. Thuilleaux, V. Postal","doi":"10.1108/AMHID-04-2020-0009","DOIUrl":"https://doi.org/10.1108/AMHID-04-2020-0009","url":null,"abstract":"\u0000Purpose\u0000When a comprehensive neuropsychological assessment cannot be carried out, a quick and discriminant tool of good psychometric properties can be useful to practitioners. The purpose of this paper is to examine the use of the Montreal Cognitive Assessment (MoCA) in patients with Prader–Willi syndrome (PWS) and to test its reliability for cognitive assessment in a population with intellectual disabilities.\u0000\u0000\u0000Design/methodology/approach\u0000Thirty-seven adults with PWS took the MoCA. Reliability of the battery was tested using Cronbach’s alphas. The performance of PWS adults in each subtest was then compared to that of a normative population of healthy adults.\u0000\u0000\u0000Findings\u0000The MoCA was found to be unreliable in PWS. The subtests analyses indicated that the PWS sample underperformed the normative population of healthy adults on most subtests of the MoCA. A sub-sample aged between 17and 29 years showed normal performance on Naming and Memory, and a sub-sample aged from 30 to 39 years showed similar performance on Language, Memory and Orientation relative to age-matched normative healthy adults.\u0000\u0000\u0000Research limitations/implications\u0000Results showed that the current version of the MoCA, if taken as a whole test for cognitive assessment, does not present with adequate psychometric properties, which the authors interpret as reflecting the heterogeneity in PWS cognitive profiles. If used in PWS, the MoCA may however be useful in examining cognitive functions separately using subtest-based comparisons to normative data.\u0000\u0000\u0000Originality/value\u0000This research contributes to a better assessment of cognitive profile in PWS and people with learning disabilities by arguing that the use of psychometric tests should depend more on the specificity of the population under evaluation.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"273-285"},"PeriodicalIF":1.1,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/AMHID-04-2020-0009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44483751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating factors for the job placement of workers with intellectual disabilities: supervisors and coworker mentors perspectives","authors":"Miquel Pellicena, Ignasi Ivern, C. Giné, Olga Múries","doi":"10.1108/AMHID-11-2019-0036","DOIUrl":"https://doi.org/10.1108/AMHID-11-2019-0036","url":null,"abstract":"This study aims to contribute to a better understanding of organizational strategies, attitudes and supports that can help people with intellectual disabilities to access competitive jobs through supported employment.,A multiple case study was carried out based on an intentional sampling involving the coworker mentors of six people with intellectual disabilities currently working in standardized environments. Semi-structured interviews were performed with the participants, and an inductive thematic analysis was used for data analysis.,The study identified five critical factors in the work of people with intellectual disabilities in standardized work environments, which potentially could act as facilitators or as obstacles, depending on how they were managed. The study also identified two key factors that acted mainly as facilitators and one as an obstacle.,The study reveals the existence of factors that sometimes act as facilitators and sometimes as obstacles, depending on how they are managed by the company leaders or the disabled worker himself.","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"213-227"},"PeriodicalIF":1.1,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/AMHID-11-2019-0036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42269797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagia assessment and intervention: evaluating inclusive approaches using video","authors":"S. Guthrie, J. Stansfield","doi":"10.1108/AMHID-04-2020-0007","DOIUrl":"https://doi.org/10.1108/AMHID-04-2020-0007","url":null,"abstract":"\u0000Purpose\u0000Dysphagia experienced by adults with mental health conditions and/or intellectual disabilities (IDs) has been well-reported. However, accessible and inclusive assessment measures to identify and monitor for deterioration in dysphagia are very limited. The purpose of this paper is to explore the use of video to enhance inclusion in dysphagia assessment and intervention for an inpatient setting.\u0000\u0000\u0000Design/methodology/approach\u0000This service evaluation involved adults with IDs and mental illness living in in-patient accommodation and their multidisciplinary team. Participants were invited to film and then reflect on videos and their comments were transcribed for qualitative analysis.\u0000\u0000\u0000Findings\u0000In total, 42 adults gave consent to film, review and discuss mealtime video-clips. Staff feedback was invited. Thematic analysis was conducted for service-user and staff comments. A global theme of “involvement” was identified from the data analysis, with sub-themes of “enhancing participation, insight and incentive”. An additional global theme “clinical benefits” resulted from staff comments. This included sub-themes of breadth of assessment, shared working and outcome measures.\u0000\u0000\u0000Research limitations/implications\u0000Limitations included refusal of video by people with heightened anxiety but these were a minority. Most people showed enthusiasm and enhanced engagement. Practical issues were resolved regarding governance.\u0000\u0000\u0000Practical implications\u0000Video offers a dynamic record of muscle tone, coordination, mealtime experience and individual context benefiting both service-user and staff practice. It stimulates insightful discussion of outcomes and supports the inclusion of service-user perspectives. Further research is indicated to develop a greater understanding of dysphagia in this population. Inclusion of service-users in planning and managing safer mealtimes may be enhanced through the sensitive use of video.\u0000\u0000\u0000Social implications\u0000This evaluation suggests opportunities for improving inclusive approaches for service-users using video to promote insight.\u0000\u0000\u0000Originality/value\u0000Further research is indicated to explore the nature of dysphagia in people with mental health conditions using video as a dynamic and unique resource.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"1 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/AMHID-04-2020-0007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and evaluating the validity of the behavioural assessment of dysexecutive functioning – intellectual disabilities adaptation (BADS-ID)","authors":"Z. Webb, Karen Dodd, A. Livesey, S. Sunak, C. Marshall, Lee Harrison, H. Liddiard","doi":"10.1108/amhid-12-2019-0043","DOIUrl":"https://doi.org/10.1108/amhid-12-2019-0043","url":null,"abstract":"\u0000Purpose\u0000Assessment of executive functioning is an important element of a comprehensive assessment of intellectual abilities. Few assessments available are accessible for individuals with intellectual disabilities (ID) and none have population-specific norms. This paper aims to describe the adaptation of the behavioural assessment of dysexecutive syndrome (BADS).\u0000\u0000\u0000Design/methodology/approach\u0000Adaptations were made to the BADS tests to create the BADS – intellectual disabilities (BADS-ID). Data from three doctoral dissertations were combined to explore the utility, reliability, validity and component structure of the BADS-ID. Properties of the BADS-ID were compared with the Cambridge Executive Functioning Assessment (CEFA).\u0000\u0000\u0000Findings\u0000The BADS-ID is accessible to IQ range 50–70 and has a two-component structure. It has good inter-rater reliability, but poor internal consistency. It has a good face and content validity but evidence for concurrent and discriminative validity is weak. All properties are comparable to or better than the CEFA.\u0000\u0000\u0000Research limitations/implications\u0000Further research is needed to improve reliability and validity. The development of an accessible test battery with known reliability and validity for individuals with ID should facilitate research into executive functioning in this population. There is the potential to develop population-specific norms from the data.\u0000\u0000\u0000Practical implications\u0000An accessible test battery for individuals with ID is helpful in clinical situations.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first study to explore the adaptation of the BADS for use with individuals with ID.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"229-245"},"PeriodicalIF":1.1,"publicationDate":"2020-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/amhid-12-2019-0043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43344857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of positive perceptions on coping strategies and psychological well-being among mothers of children with intellectual disabilities","authors":"Simmi Gupta, Aneesh Kumar","doi":"10.1108/AMHID-02-2020-0004","DOIUrl":"https://doi.org/10.1108/AMHID-02-2020-0004","url":null,"abstract":"Research on caregiving has been considering the positive effects experienced by the mothers of children with disabilities. This paper aims to examine whether positive perceptions mediate the relationships between coping strategies used and psychological well-being among mothers of children with intellectual disabilities.,The study opted for a quantitative approach that includes a correlation research design to examine the relationships between the variables of coping, positive perceptions and well-being among mothers of children with intellectual disabilities attending special schools in the metropolitan city Bengaluru, India. The four-factor structure of Brief COPE examined were active avoidance coping, problem-focussed coping, positive coping and religious-denial coping. “Positive perceptions” refer to the positive contributions for the mother from the experiences of raising a child with intellectual disability. Mediation analysis explored the relationship between the variables.,Problem-focussed coping was the most commonly reported coping factor and was associated with higher levels of well-being. Active-avoidance coping was the least commonly reported coping strategy. Positive perceptions partially mediated the relationship between the four coping factors and maternal well-being. These findings indicate that positive maternal perceptions have important implications for the employment of effective coping strategies that are associated with enhancement of psychological well-being.,The focus on positive perceptions would help in understanding the use of coping strategies and planning of support services or interventions. The positive mental health of mothers paves the way for positive developments in the child’s physical and psychological health.","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"263-272"},"PeriodicalIF":1.1,"publicationDate":"2020-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/AMHID-02-2020-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43682694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Troubled beginnings: the adverse childhood experiences and placement histories of a detained adolescent population with developmental disorders","authors":"Deborah J. Morris, E. Webb, E. Parmar, Grace Trundle, A. McLean","doi":"10.1108/amhid-01-2020-0003","DOIUrl":"https://doi.org/10.1108/amhid-01-2020-0003","url":null,"abstract":"\u0000Purpose\u0000People with developmental disorders are significantly more likely to experience adverse childhood experiences (ACEs), although the impact of ACEs on this population is not well understood. Furthermore, considerably less is known about the exposure to, and impact of, ACEs in detained adolescents with complex developmental disorder needs. This paper aims to explore the exposure to ACEs in an adolescent population detained in a secure specialist developmental disorder service.\u0000\u0000\u0000Design/methodology/approach\u0000A retrospective file review was used to explore ACEs and placement histories within a specialist developmental disorder inpatient service. Data was collated for a convenience sample of 36 adolescents, 9 of whom were female, aged 13–20 years (M = 17.28 years).\u0000\u0000\u0000Findings\u0000A total of 33 participants (91.7%) had experienced at least 1 ACE, with 58% experiencing 4 or more ACEs and 36% experiencing 6 or more ACEs. The most common ACEs reported were physical abuse (61.6%), parental separation (58.3%) and emotional abuse (55.6%). The majority of participants had also experienced high levels of disruption prior to admission, with an average of four placement breakdowns (range 1–13, standard deviation = 3.1). ACEs held a significant positive association with the total number of placement breakdowns and total number of mental health diagnoses.\u0000\u0000\u0000Practical implications\u0000Adolescents detained in specialist developmental disorder secure care had, at the point of admission, experienced high levels of adversities and had been exposed to high levels of experienced and observed abuse. The level of exposure to adversity and ongoing disruptions in care suggests that Child and Adolescent Mental Health Services’ developmental secure services should consider adopting dual treatment frameworks of developmental disorder and trauma-informed care.\u0000\u0000\u0000Originality/value\u0000This study explored the early-life and placement experiences of a marginalised and understudied population.\u0000","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/amhid-01-2020-0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45700052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flexible assertive community treatment for individuals with mild intellectual disability or borderline intellectual functioning: client variables associated with treatment outcome","authors":"L. Neijmeijer, H. Korzilius, J. Kroon, H. Nijman, H. Didden","doi":"10.1108/amhid-12-2019-0041","DOIUrl":"https://doi.org/10.1108/amhid-12-2019-0041","url":null,"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.","PeriodicalId":44693,"journal":{"name":"Advances in Mental Health and Intellectual Disabilities","volume":"14 1","pages":"199-212"},"PeriodicalIF":1.1,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/amhid-12-2019-0041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41516139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}