Ethical Challenges in the Treatment of Individuals With Intellectual Disabilities

Adams, Zachary W.; Boyd, Sara E.

doi:10.1080/10508422.2010.521439

Cited by 27 publications

(18 citation statements)

References 33 publications

(38 reference statements)

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“…Comorbid emotional and behavioural problems in children with ID are chronic if left untreated (Richardson & Koller, ) and can significantly impact upon future opportunities (Anderson, Lakin, Hill, & Chen, ; Parmenter, Einfeld, Tonge, & Dempster, ). Historically, it has been argued that people with ID were unable to engage in cognitive‐based psychological therapy due to cognitive deficits (Adams & Boyd, ; Butz, Bowling, & Bliss, ; Sturmey, Lott, Laud, & Matson, ) with mental health interventions largely involving medication and behavioural techniques (Vereenooghe & Langdon, ). The need for adapting cognitive behaviour therapy (CBT) for adults with ID has been addressed (e.g., Willner & Lindsay, ), and recent studies have found CBT successful in treating mental health difficulties in adults with ID (e.g., Nicoll, Beail, & Saxon, ; Osugo & Cooper, ; Vereenooghe & Langdon, ), supporting its potential with younger age groups.…”

Section: Introductionmentioning

confidence: 99%

A review of cognitive impairments in children with intellectual disabilities: Implications for cognitive behaviour therapy

Hronis

Roberts

Kneebone

2017

British J Clinic Psychol

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Clinical implications Effective ways of providing cognitive behavioural therapy (CBT) to children with intellectual disability (ID) is unclear. This study provides a framework of potential adaptations for clinical practice As rates of mental illness for children with intellectual disability are high, and rates of treatment provision low, it is hoped that the recommendations provided in this study will encourage more mental health practitioners to provide CBT to children with ID. Limitations These recommendations are based only upon neuropsychological literature. Trialling the effectiveness of an adapted form of CBT for children and adolescents with ID is required. There are varying causes of intellectual disability, with differences in cognitive profiles. The utility of the recommendations made here may vary according to specific aetiologies.

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Section: Introductionmentioning

confidence: 99%

A review of cognitive impairments in children with intellectual disabilities: Implications for cognitive behaviour therapy

Hronis

Roberts

Kneebone

2017

British J Clinic Psychol

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“…39 Furthermore, ethical perspectives are needed to understand and provide shared decision-making on the different choice in cancer treatment and other cancer-related care, in relation to quality of life. 40,41 Screening programs for several cancer types have been introduced to give access to (early) diagnosis and are and have had an important role in public cancer control since. Nonetheless, there are many concerns about their functionality for people with ID.…”

Section: Discussionmentioning

confidence: 99%

Disparities in cancer‐related healthcare among people with intellectual disabilities: A population‐based cohort study with health insurance claims data

Cuypers¹,

Tobi²,

Huijsmans³

et al. 2020

Cancer Medicine

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Background Concerns have been raised about the accessibility and quality of cancer‐related care for people with intellectual disabilities (ID). However, there is limited insight into cancer incidence and the utilization of cancer care at the ID population level to inform targeted cancer control strategies. Therefore, we aimed to examine differences in the utilization of cancer‐related care between people with and without ID, identified through diagnostic codes on health insurance claims. Methods In a population‐based cohort study, Dutch individuals of all ages who received residential care through the Chronic Care Act due to an ID (n = 65 183) and an age and sex‐matched sample of persons without ID (1:2 ratio), who were cancer‐free at enrollment in 2013 were followed through 2015. Incidence rates (IRs) of newly started cancer care and IR ratios (IRRs) with 95% CIs were used to compare groups. Separate analyses were performed per cancer type. Results Individuals with ID received less cancer‐related care than individuals without (IRR = 0.64, 95% CI 0.62‐0.66). Differences increased with age and were larger for females than for males. Utilization of care for cancers within the national screening program (female breast, cervical, and colon cancer) was lower for people with ID compared to people without ID. Conclusion Cancer may be underdiagnosed and/or undertreated in people with ID, or cancer is truly less prevalent in this population. In particular, the differences detected between males and females with ID, and the potential underutilization of national screening programs, require urgent follow‐up investigations.

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“…Therefore, psychologists should be notified of the modifications on these tests as well, and they should carry out the test procedure accordingly (Whitehouse, Tudway, Look and Kroese, 2006). In case interpretation of test findings are called into question due to the mental disability of a patient, this situation should be regarded as a limitation while conveying the test results and the situation should be stated accordingly (Adams and Boyd, 2010). Even though few mentally disabled people apply for a psychological assessment on their own, submission of test results and related suggestions generally turns out to be helpful, and this may help individuals in developing healthy coping strategies.…”

Section: Assessment Of Childrenmentioning

confidence: 99%

“…Even though few mentally disabled people apply for a psychological assessment on their own, submission of test results and related suggestions generally turns out to be helpful, and this may help individuals in developing healthy coping strategies. While providing mentally disabled individuals with feedback as to their assessment results, psychologists should consider their cognitive and verbal skills and ensure that feedbacks are conveyed in a comprehensible form (Adams and Boyd, 2010).…”

Section: Assessment Of Childrenmentioning

confidence: 99%

A Review on Ethical Issues and Rules in Psychological Assessment

Arslan

2018

Journal of Family, Counseling and Education

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Psychologists that offer psychological counseling may use psychological tests and some other measurement techniques in psychological assessment. On the other hand, they may encounter with many ethical dilemmas while doing these assessments. In this review, firstly the definition, purposes, and the stages of psychological assessment are explained. After that, ethical rules of psychological assessment are examined in ways that include both tests and other techniques in the context of ethical principles in the Ethical Guidelines of American Psychological Association. Besides, these ethical rules are discussed in the light of findings in the related literature. In the final part, other ethical issues which are psychologist-counselor relationship in psychological assessment, computer-based assessment, psychological assessment in rural and low-income areas, and assessment of mentally retarded people are mentioned and some suggestions that can be considered in doing an ethical assessment are presented.

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Ethical Challenges in the Treatment of Individuals With Intellectual Disabilities

Cited by 27 publications

References 33 publications

A review of cognitive impairments in children with intellectual disabilities: Implications for cognitive behaviour therapy

A review of cognitive impairments in children with intellectual disabilities: Implications for cognitive behaviour therapy

Disparities in cancer‐related healthcare among people with intellectual disabilities: A population‐based cohort study with health insurance claims data

A Review on Ethical Issues and Rules in Psychological Assessment

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