Emergency Psychiatric Service Use by Individuals With Intellectual Disabilities Living With Family

Individual, social and contextual factors associated with psychiatric care outcomes among patients with intellectual disabilities in the emergency department

“…Similar to past research, physical aggression towards others was the most frequent presenting concern for patients with ID seeking psychiatric services in the current study (Cowley et al 2005;Lunsky et al 2011b); however, almost the same proportion of patients presented with suicidal thoughts or behaviours. Patients' presenting issues did not predict either admission or psychiatric consultation.…”

“…; Lunsky et al . ); however, almost the same proportion of patients presented with suicidal thoughts or behaviours. Patients' presenting issues did not predict either admission or psychiatric consultation.…”

“…The accuracy of psychiatric assessments in the general population varies widely across emergency departments and between individual physicians (Morrissey et al 1995;Stewart et al 2002). In the only study to date concerning psychiatric consultation practices among patients with ID, Lunsky et al (2011b) found that only one-third of their sample of patients with ID living with family in psychiatric crisis were seen by psychiatrists in the emergency department. Individual patient factors related to clinical need variables, such as presenting behavioural concerns, did not differentiate those patients that were seen by psychiatrists as compared with those that did not; however, patients' social factors were related to care outcomes.…”

A systematic review of hospital experiences of people with intellectual disability

“…Iacono and Davis [ 14 ], for example, provided reports by family and paid carers of people with intellectual and/or physical disabilities in Australia, which pointed to negative attitudes by hospital staff, delays in diagnostic evaluations and treatment, and reliance on family and paid carers for both advocacy and care during hospital encounters. Others have similarly explored the experience of hospital encounters for people with intellectual disability, including in Australia [ 20 ], England ([ 21 ], Scotland [ 22 ], Canada [ 23 ], and Northern Ireland [ 24 ]. Furthermore, a submission to inform a New South Wales (NSW) state health plan by a peak body indicated that the poor experiences and outcomes documented for people with intellectual disability are similarly experienced by those with other forms of disability [ 25 ].…”

Management and quality indicators of diabetes mellitus in people with intellectual disabilities

“…People with ID are more likely to have risk factors for, and have a higher prevalence of, T2D compared with the non-ID population (Havercamp et al 2004;Merrick & Morad 2010;Shiremen et al 2010). The prevalence figures of diabetes in North America were found to vary from 7.1% to 14% depending on the sample used (McDermott et al 2006;Shiremen et al 2010;Lunsky et al 2011). Diabetes UK (2009) has estimated that 270 000 people with ID have T2D.…”