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  Subjects -> DISABILITY (Total: 103 journals)
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Advances in Mental Health and Intellectual Disabilities
Journal Prestige (SJR): 0.296
Number of Followers: 85  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 2044-1282 - ISSN (Online) 2044-1290
Published by Emerald Homepage  [360 journals]
  • Psychiatric symptoms influence the performance on the Screener
           Intelligence and Learning Disabilities in general mental health care in
           The Netherlands

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      Authors: Jeanet Nieuwenhuis , Eric Noorthoorn , Peter Lepping , Niels Mulder , Henk Nijman
      Abstract: 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. The authors administered the SCIL and the Kennedy Axis V (domain psychological impairment) at two moments when patients were sufficiently stabilised and just before discharge. A total of 86% of the respondents had the same outcome regardless of the time of administration. The Kennedy score correlated modestly with changes in the SCIL scores, suggesting that the severity of psychiatric symptoms just modestly affected the performance. Recognising MID/BIF in mental health care is essential but challenging for clinicians. The authors concluded that screening with the SCIL allows clinicians to identify patients with MID/BIF at an early stage of their admission, which helps to individualise treatment and reduce the risk of aggression, coercive measures and prolonged admissions. However, the authors prefer to assess all patients on cognitive impairment as early as possible after referral at a more stable moment in time. To the best of the authors’ knowledge, there is no research concerning screening instruments on MID/BIF used at admission wards in Mental Health Care.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-06-16
      DOI: 10.1108/AMHID-12-2021-0052
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Improving Access to Psychological Therapies (IAPT): the impact of service
           changes due to COVID-19 on people with learning disabilities

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      Authors: Caroline Rodhouse , Dave Dagnan , Richard Thwaites , Chris Hatton
      Abstract: 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 consultations have accounted for nearly 90% of all contacts in IAPT services; this paper aims to report the effects of these on outcomes for people with learning disabilities. Publicly available national data from the COVID-affected period are compared to the most recent available comparison periods that are not during the COVID pandemic. Data are presented graphically. People with learning disabilities differ little from those with no disabilities on several key process and outcome variables, although their clinical recovery is very much lower than those without disabilities. People with learning disabilities appear to have been affected by the changes in service delivery in a similar way to those without learning disabilities. Despite the shift to predominantly remote therapy delivery, outcomes for people with learning disabilities have not been differentially affected compared to those who have no recorded disability. The potential to learn what has worked and not worked in the delivery of remote interventions for people with learning disabilities is highlighted.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-06-09
      DOI: 10.1108/AMHID-01-2022-0002
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Co-production of post-diagnostic psychosocial intervention with carers of
           people with intellectual disability and dementia

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      Authors: Daniel Acton , Caroline Duncan , Sujeet Jaydeokar
      Abstract: 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. As part of a service improvement, a manual of CST was adapted, for delivery in clinical practice. A qualitative co-production method allowed participants with a lived experience to provide regular feedback relating to the development of the adapted CST manual and intervention programme. This feedback was used to make continual development changes to the CST manual. The study demonstrated co-production with those who provide care is valuable in adapting psychosocial therapies for people with an intellectual disability and dementia. Additional findings identified the need for carer education in ageing, dementia care and the physical health needs for older people with intellectual disability. To the best of the authors’ knowledge, this is the first study that has used a co-production approach with families and carers in adapting a group therapy programme for people with an intellectual disability. This paper underlines the need for post diagnostic clinical interventions for people with dementia and those who provide care.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-04-21
      DOI: 10.1108/AMHID-01-2022-0006
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Disability therapy and Valerie Sinason

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      Authors: David O'Driscoll
      Abstract: This paper aims to discuss the work of Dr Valerie Sinason and her contribution to working with people with an intellectual disability with psychotherapy. Dr Valerie Sinason is a psychoanalyst, and the author is trained in psychoanalytic psychotherapy. The author believes there is important value in reading Valerie Sinason's contribution to the literature of psychotherapy with people with intellectual disabilities. It is a review of Sinason’s contribution, and the author believes she's very original and important thinker.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-04-18
      DOI: 10.1108/AMHID-02-2022-0008
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Psychologists’ views on the accessibility and effectiveness of
           psychological therapies for people with intellectual disabilities and
           autism

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      Authors: Poppy Siddell
      Abstract: 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). Semi-structured interviews were carried out with seven clinical psychologists working across a large geographical area. Interviews concerned the accessibility and effectiveness of psychological therapies. These were transcribed and analysed thematically. Participants expressed concern about lack of access to mainstream services, the lack of visibility of their service and the suitability of the physical space to deliver therapy. They were positive about the effectiveness of therapy but emphasised the importance of adaptations and managing expectations. There is a lack of research in this area, and further research is needed with service users to develop a fuller understanding of their needs. Consideration needs to be given on how to optimally deliver psychological therapies for this group. This will need services to become more flexible and focussed on the needs of this group of service users. This paper provides insights into the views of psychologists on providing psychological therapy to people who have autism and ID.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-03-24
      DOI: 10.1108/AMHID-11-2021-0041
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • A review of recent clinical measures that can be used to support
           psychological therapies with adults with intellectual disabilities

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      Authors: Thomas Richard Gourley , Luke Yates
      Abstract: 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). A literature search was conducted to identify relevant clinical measures. Experts in the field also were contacted. Twenty papers were identified, relating to five novel clinical measures: psychological therapies outcome scale – intellectual disabilities, clinical outcome in routine evaluation – learning disabilities scale 30, quality of early relatedness rating scale, scale of emotional development – short and the Frankish assessment of the impact of trauma. Evidence was found supporting a proportion of the psychometric properties of each measure, and some measures were found to be useful in directing interventions and informing clinical decisions. None of the measures identified, however, are yet to be fully psychometrically investigated, requiring further research. To the best of the authors’ knowledge, this paper is the first to review the evidence of psychometric properties for these five emerging clinical measures and as such contributes an original perspective on their current state and requirements for future development.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-03-09
      DOI: 10.1108/AMHID-01-2022-0005
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Evaluating a mindfulness-based group intervention for adults with
           intellectual disabilities

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      Authors: Niall Power , Gregg H. Rawlings , Claire Bennett
      Abstract: 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 acceptability and preliminary effectiveness of a six-session MI group [the Coping Well Group (CWG)] delivered within routine clinical practice. Six separate cohorts (n = 25) of adults with ID attended CWG. Quantitative data were collected from service users, including a pre- and post-quality of life (QoL) measure and qualitative data from group facilitators. Roughly one-half (53%) of service users invited to the group attended at least one session, with low levels of dropout observed among group attendees. A significant improvement in QoL was reported demonstrating a small effect (d = 0.46, p = 0.022) after attending the group. Most service users (72%) were referred to the CWG for help managing difficult emotions. One-half (44%) of attendees required individual therapy after attending the group. Limitations of the evaluation and potential future research are discussed. The current evaluation contributes a practice-based service evaluation of an MI group for people with ID and mental health difficulties to the currently limited evidence base. To the best of the authors’ knowledge, this is one of the first studies to investigate the impact of group psychological interventions collecting data across cohorts and assessing QoL, a more general measure of well-being than has been used previously.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-03-01
      DOI: 10.1108/AMHID-01-2022-0001
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Impact of COVID-19 on people with Down syndrome in Japan based on regional
           differences frequency of emergency declarations

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      Authors: Michio Kojima
      Abstract: The purpose of this study was to clarify the impact of adults with Down syndrome (DS) on COVID-19 and the status of efforts for new normal in Japan through a Web survey. Parents’ associations’ representatives sent requests to members aged 18 years or older inviting them to participate in an Internet survey. A total of 141 people cooperated, and 126 people were included in the analysis. As a result of examining the number of times the state of emergency was declared and its impact on COVID-19, the degree of anxiety felt when hearing information about new coronavirus infections on television or the internet was significantly higher in subjects for whom the state of emergency was declared four times than in subjects for whom the state of emergency was declared two and three times in the region. This was significantly higher than that of the subjects in the areas where the state of emergency had been declared four times and significantly lower than that of the subjects in the areas where the state of emergency had been declared one time for “smiling”. The results suggest that the effects on physical and mental health, although limited, are influenced by the number of times the state of emergency was declared. From the analysis of the free text, it was inferred that some, but not all, of the subjects with DS, had their physical and mental state affected by COVID-19 to the extent that they required medical care. This study clarified the psychosomatic effects of COVID-19 in people with DS in adulthood, which has not yet been fully clarified in the world. To the best of the authors’ knowledge, this is the first study in Japan to clarify the physical and mental effects of COVID-19 on people with DS and the status of new normal initiatives.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-05-24
      DOI: 10.1108/AMHID-02-2022-0009
      Issue No: Vol. 16 , No. 2 (2022)
       
  • The space between the rock and the hard place: personality disorder
           diagnosis in people with intellectual disabilities

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      Authors: Claire Marie Downs , Kelly Rayner-Smith
      Abstract: The assessment for and diagnosis of personality disorder (PD) continue to be contentious, with many prominent practitioner psychologists arguing against this specific label and providing a credible alternative framework to psychiatric diagnosis more generally. This paper aims to summarise the literature and support practitioners identifying PD in people with intellectual disabilities (ID). Relevant National Institute for Health and Care Excellence (NICE) guidance and literature were reviewed to provide a service position on the assessment and diagnosis of PD in people with ID. For people with intellectual disabilities, the PD label can be even less robustly applied and may be even more pejorative and obstructive. That said, there are people for whom a PD diagnosis has clear clinical utility and opens access to suitable specialist services. Evidence suggests that a diagnosis of PD can be both facilitative and obstructive, and the assessment and diagnosis process should, therefore, be undertaken with caution. This paper presents an account of NICE guidance and evidence on the assessment and diagnosis of PD in people with intellectual disabilities.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-05-04
      DOI: 10.1108/AMHID-11-2021-0045
      Issue No: Vol. 16 , No. 2 (2022)
       
  • Compassion‐focused therapy group for men with intellectual disabilities
           who had maladaptive conceptualisations of masculinity

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      Authors: Robert John Searle , Ianiv Borseti , Katy-May Price
      Abstract: The purpose of this paper is to determine the effectiveness of an adapted compassion-focused therapy (CFT) group treatment programme for individuals with an intellectual disability (ID), specifically aimed to help address maladaptive conceptualisations of masculinity. Outcome measurements were competed at pre- and post-group and the effectiveness of the intervention were assessed using a Wilcoxon signed ranks test. Findings demonstrated that the treatment group showed significant differences in their “gender role conflict” subscales including the Success, Power, Control and “Restrictive Affectionate Behavior Between Men” subscales; however, no significant differences were found on the Restrictive Emotionality or Conflicts Between Work and Leisure subscales. Furthermore, no significant differences were found on participants psychological well-being, psychological distress, anxiety, self-compassion or quality of life measures. Limitations include that a lack of qualitative information regarding outcomes, a lack of control group and a small number of participants may have impacted the outcome of the research. The Men’s Masculinity group had a positive impact on the participant’s sense of success, power and control, so it could be considered that this group enabled participants to feel more powerful and in control of their difficulties which is associated with the “drive” system of CFT. Overall, this study adds to the small but growing literature that supports using CFT groups as a stand-alone psychological intervention when working with people with an ID.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-05-03
      DOI: 10.1108/AMHID-06-2021-0027
      Issue No: Vol. 16 , No. 2 (2022)
       
  • What outcome measures are most useful in measuring the effectiveness of
           anti-dementia medication in people with intellectual disabilities and
           dementia'

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      Authors: Marjan Ghazirad , Olivia Hewitt , Sarah Walden
      Abstract: The use of anti-dementia medication in people with intellectual disabilities has been controversial and requires additional research to assess the efficacy of such medications. An essential part of this treatment (both in terms of research and clinical practice) is having robust outcome measures to assess the efficacy of these medications for individuals. Currently there is no consensus in the UK regarding which outcome measures, in conjunction with clinical judgement, are effective in informing clinicians’ decision-making regarding anti-dementia medication management and this paper aims to present useful outcome measures. A comprehensive literature search was conducted to identify relevant outcome measures. Outcome measures focused on aspects of patients’ presentation such as cognition, activities of daily living, neuropsychiatric presentation or the impact of their presentation (either on themselves, or on others). These outcome measures were critically appraised to ascertain their suitability in informing clinician’s decisions regarding management of anti-dementia medication. The focus of this appraisal was on good quality measures that are practical and accessible and can be easily used within clinical NHS services. This paper provides advice for clinicians on using appropriate outcome measures, depending on patients’ presentations and the symptoms of dementia being targeted, that can be used alongside their clinical assessment to enhance their anti-dementia medication management. Two case studies are presented to illustrate the use of such outcome measures. The case for using a range of assessments that are both broad in focus, and those specifically selected to measure the areas of functioning targeted by the anti-dementia medication, is presented.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-05-02
      DOI: 10.1108/AMHID-10-2021-0038
      Issue No: Vol. 16 , No. 2 (2022)
       
  • Beyond the psychometrics: harnessing clinical psychology to improve the
           well-being of inpatient intellectual disability teams

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      Authors: Elysia Megan Walker , Yasmine Olabi , Kelly Rayner-Smith
      Abstract: Nursing teams supporting people with intellectual disabilities in inpatient settings are known to be vulnerable to burnout, compassion fatigue and vicarious trauma. Aspects such as resourcing, support, training and the fundamental challenges of supporting this patient group are known risk factors for these difficulties. The aim of this paper is to synthesise the literature on these issues and provide suggestions for operationalising solutions. Literature on the experiences of nursing teams supporting people with intellectual disabilities in inpatient settings was considered, alongside the established offer of clinical psychologists working into these services. There are common themes of staff’s emotional health and the impact this can have on patient care and the steps that managers and organisations can take to support their teams to remain emotionally healthy, compassionate and effective practitioners. Clinical psychology can play a role in offering this support only where services and teams are aware of the contribution they can make. Clinical psychology has been undersold and under-represented in inpatient settings for people with intellectual disabilities, and this practice paper outlines the important contributions that they can make to the psychological well-being of all within the system, not just patients.
      Citation: Advances in Mental Health and Intellectual Disabilities
      PubDate: 2022-04-28
      DOI: 10.1108/AMHID-10-2021-0039
      Issue No: Vol. 16 , No. 2 (2022)
       
  • Advances in Mental Health and Intellectual Disabilities

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