Journal ArticleDOI
Unmet Needs of Adults in Community Mental Health Care With and Without Intellectual and Developmental Disabilities: A Cross-Sectional Study.
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TLDR
While clients with IDD and psychiatric diagnoses often receive poor quality care, in the case management programs examined their rates of unmet need were similar to individuals without IDD across most assessed domains, including in the areas of addictions and physical health care.Abstract:
The cross-sectional study compared the clinical and need profiles for clients with and without intellectual and developmental disabilities (IDD) in seven mental health case management programs in Toronto, Canada on March 31, 2013. Unmet needs in domains within four broad clusters were measured by staff using an internationally utilized tool, the Camberwell Assessment of Need. Among the 2560 clients, 8.3 % had a co-occurring IDD. For most assessed domains rates of unmet need were not different for persons with and without IDD. However, the IDD group had greater unmet needs for adaptive functioning/skills and cognitive needs [self-care (p = 0.023), education (p < 0.001), transportation (p < 0.001), and information on condition (p = 0.038)]. While clients with IDD and psychiatric diagnoses often receive poor quality care, in the case management programs examined their rates of unmet need were similar to individuals without IDD across most assessed domains, including in the areas of addictions and physical health care.read more
Citations
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MonographDOI
Camberwell Assessment of Need (CAN)
Mike Slade,Graham Thornicroft +1 more
TL;DR: The Camberwell Assessment of Need (CAN) as mentioned in this paper has been the key measure for assessing the health and social needs of people with mental health problems for two decades, and it is suitable for clinical use in both community-based and hospital-based mental health services.
Journal ArticleDOI
Health services use and costs in people with intellectual disability: building a context knowledge base for evidence-informed policy.
TL;DR: Contextual studies of healthcare and costs have improved the knowledge base for evidence-informed planning in intellectual disability in a number of countries, however, only two of these studies have used local atlases of healthcare for improving decision making.
Journal ArticleDOI
E-Health Interventions for Adult and Aging Population With Intellectual Disability: A Review.
Andrea Vázquez,Cristina Jenaro,Noelia Flores,María José Bagnato,Ma Carmen Pérez,Maribel Cruz +5 more
TL;DR: There is a very small number of studies focusing on the use of technology by older persons with intellectual disabilities, and the studies present substantial limitations regarding generalization and replication and pay little attention to the maintenance of cognitive abilities in this population.
Journal ArticleDOI
Mental and Social Health Atlas: An Update, Ministry of Health, Saudi Arabia, 2015
TL;DR: Over a period of seven years, several gaps earlier found in mental health systems (MHS) were bridged and the infrastructure and human resources developments in line with national MH were developed.
Journal ArticleDOI
Assertive community treatment for people with mild intellectual disability or borderline intellectual functioning and mental health problems or challenging behaviour: State of the art and implementation in the Netherlands
TL;DR: The (Flexible) ACT-MID/BIF model as developed and implemented in the Netherlands is described, and Professionals' and clients' experiences with this new type of care are reported.
References
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BookDOI
Generalized estimating equations
James W. Hardin,Joseph Hilbe +1 more
TL;DR: In this article, the authors extend the generalized linear model framework for independent data via the introduction of second-order variance components directly into the independent data model's estimating equation, referred to as a generalized estimating equation (GEE).
Journal ArticleDOI
Mental ill-health in adults with intellectual disabilities: prevalence and associated factors.
TL;DR: Mental ill-health was associated with more life events, female gender, type of support, lower ability, more consultations, smoking, incontinence, not having severe physical disabilities and not having immobility; it was not associated with deprived areas, no occupation, communication impairment, epilepsy, hearing impairment or previous institutional residence.
Journal ArticleDOI
The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness.
Michael Phelan,Mike Slade,Graham Thornicroft,Graham Dunn,Frank Holloway,Til Wykes,Geraldine Strathdee,Linda Loftus,Paul McCrone,Peter Hayward +9 more
TL;DR: The study suggests that the Camberwell Assessment of Need is a valid and reliable instrument for assessing the needs of people with severe mental illness.
Journal ArticleDOI
A cascade of disparities: health and health care access for people with intellectual disabilities.
TL;DR: Recent conceptualizations that begin to disentangle health from disability are presented, the literature from 1999 to 2005 is summarized, and recommendations for future action and research are provided.
Journal ArticleDOI
Health Disparities among Adults with Developmental Disabilities, Adults with other Disabilities, and Adults Not Reporting Disability in North Carolina:
TL;DR: Significant disparities in health and medical care utilization were found for adults with developmental disabilities relative to non-disabled adults, and health promotion efforts must be specifically designed for this population.