Primary Care: Mental and Behavioral Health and Persons with Intellectual and Developmental Disabilities

Ervin, David A.; Williams, Ashley; Merrick, Joav

doi:10.3389/fpubh.2014.00076

Cited by 13 publications

(18 citation statements)

References 13 publications

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“…49 GPs' options include referral for collegial advice, 31,48,72,94 handing the patient over to other professionals, 44 or joining a multidisciplinary team giving integrative care to the patient. 93,98,101 The latter is described as particularly desirable when the patient has a more severe ID or is in a highly complex situation. 39,44,99 Effective collaboration is seen as beneficial for the outcome of mental healthcare in primary care 28,39,42,44,93,94,96,98,102 as it is believed to increase the identification of MHDs, improve access to mental healthcare, 98,101 and reduce hospitalisation 103 and costs.…”

Section: Collaborationmentioning

confidence: 99%

“…93,98,101 The latter is described as particularly desirable when the patient has a more severe ID or is in a highly complex situation. 39,44,99 Effective collaboration is seen as beneficial for the outcome of mental healthcare in primary care 28,39,42,44,93,94,96,98,102 as it is believed to increase the identification of MHDs, improve access to mental healthcare, 98,101 and reduce hospitalisation 103 and costs. 98,101 However, inappropriate referrals are reported, 90,94 resulting from unclear referral options and procedures.…”

Section: Collaborationmentioning

confidence: 99%

“…39,44,99 Effective collaboration is seen as beneficial for the outcome of mental healthcare in primary care 28,39,42,44,93,94,96,98,102 as it is believed to increase the identification of MHDs, improve access to mental healthcare, 98,101 and reduce hospitalisation 103 and costs. 98,101 However, inappropriate referrals are reported, 90,94 resulting from unclear referral options and procedures. 44,45,96,100,104 Adequate information exchange between GPs and other professionals, in the form of standardised, timely-sent letters, is underlined as important for sharing essential information 38,62,94,[105][106][107] and continuity of care.…”

Section: Collaborationmentioning

confidence: 99%

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Adults with intellectual disabilities and mental health disorders in primary care: a scoping review

et al. 2021

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Background: General practitioners (GPs) are increasingly confronted with patients with both intellectual disabilities (ID) and mental health disorders (MHD). Currently, the care provided to these patients is found to be insufficient, putting them at risk of developing more severe MHD. Improving the quality of GP care will improve the whole of mental healthcare for this patient group. Therefore, an overview of the content and quality of care provided to them by the GP might be helpful. Aim: To provide an up-to-date literature overview of the care provided by GPs to patients with ID and MHD, identify knowledge gaps, and inform research, practice, and policy about opportunities to improve care. Design: Scoping review. Method: Pubmed, PsychINFO, Embase, and grey literature were searched for publications concerning patients with ID, MHD, and primary care. Selected publications were analysed qualitatively. Results: One hundred publications met the inclusion criteria. Five overarching themes were identified: GP roles, knowledge and experience, caregiver roles, collaboration, and a standardized approach. The results show GPs’ vital, diverse, and demanding roles in caring for patients with both ID and MHD. GPs experience problems in fulfilling their roles, and gaps are identified regarding effective GP training programmes, applicable guidelines and tools, optimal collaborative mental healthcare, and corresponding payment models. Conclusion: The improvement required in the current quality of GP care to patients with ID and MHD can be achieved by bridging the identified gaps and initiating close collaborations between care professionals, policymakers, and organizational managers.

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Section: Collaborationmentioning

confidence: 99%

Section: Collaborationmentioning

confidence: 99%

Section: Collaborationmentioning

confidence: 99%

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Adults with intellectual disabilities and mental health disorders in primary care: a scoping review

et al. 2021

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“…Individuals with intellectual development disorder (IDD) are three to four times more likely to develop behavioural disorders than those with normal intelligence and typical development (Dekker et al 2002;American Psychiatric Association 2013;Soltau et al 2015). In spite of such a high prevalence, the presence of neuropsychological and behavioural problems, such as anxiety symptoms, depression symptoms, aggressive behaviour, defiant behaviour, attention deficits, altered psychomotor behaviour, and adaptive abilities, to name a few, has neither been fully characterised in students with IDD nor has it received attention from mental health professionals (Achenbach et al 1987;Tranel and Haan 2008;Edgin et al 2010;Ervin et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Neuropsychological and behavioural profiles of students with intellectual development disorder on parents and teachers' perceptions

Furlin¹,

Bara²,

Felden

et al. 2021

J intellect Disabil Res

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Background Children with intellectual development disorder (IDD) have high rates of comorbid neuropsychological and behavioural problems. However, there are not many studies on this population in middle-income and low-income countries. Therefore, we aimed to investigate the prevalence of neuropsychological and behavioural problems in students with and without IDD and to assess the correlation between the responses from informants (parents and teachers) and the clinical diagnoses in Brazil. Methods After clinical diagnosis, 78 male and female students (7-15 years old) were divided into two groups: children with IDD (n = 39) and children without IDD (n = 39). The Child Behaviour Checklist (CBCL) and Teacher's Report Form (TRF) scales were used to track neuropsychological and behavioural problems. Calculations of prevalence ratios were performed using Poisson regression with Wald tests. The CBCL and TRF results were compared between groups with Mann-Whitney U-tests and receiver operating characteristic (ROC) analyses. The agreement between scales was assessed using the Spearman correlation test. Results Neuropsychological and behavioural problems were significantly more prevalent in students with IDD. The average amount of CBCL problems was significantly higher than that of TRF in the dimensions of thought, attention, somatic, attention deficit/hyperactivity, opposition defiant and total problems. Low-to-moderate correlations between CBCL and TRF dimensions in the IDD group were observed. ROC analyses revealed that the dimensions of internalising problems and total scores reflecting CBCL and TRF problems were the most important factors for identifying neuropsychological and behavioural problems in the IDD group. Conclusions Students with IDD require early identification of behavioural and emotional symptoms to avoid the underdiagnoses of various mental health problems, especially those with internalising characteristics. The CBCL and TRF may assist in the early screening of these comorbidities.

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“…Além disso, o distúrbio mental interfere não somente no convívio e na sobrecarga à família envolvida, mas também na educação e na inserção desses indivíduos no mercado de trabalho, o que influencia negativamente o desenvolvimento pessoal e profissional (ERVIN et al, 2014).…”

Section: Introductionunclassified

Atuação do profissional de saúde mental nos núcleos de apoio à saúde da família: Uma revisão integrativa

Araújo

Silva

2018

Rev Bra de Edu e Saude

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A saúde mental depende da qualidade de vida cognitiva e emocional de cada indivíduo. Os desequilíbrios mentais são condições que afetam significativamente o comportamento humano e o convívio social e, nesse contexto, faz-se necessário um olhar humanizado dos profissionais pertencentes aos Núcleos de Apoio à Saúde da Família (NASF). Diante disso, surgiu o seguinte questionamento: qual seria a atuação dos profissionais de saúde mental na atenção básica? O objetivo do estudo foi realizar um levantamento das publicações sobre a atuação dos profissionais nos NASFs na área de saúde mental durante o período de 2012 a 2017. Trata-se de uma revisão integrativa da literatura realizada nas bases de dados do SciELO, do LILACS e do PubMed, com a utilização dos descritores “Mental Health” and “Primary Attention” and “Family Health Support Center”. Os critérios de inclusão foram artigos relacionados à temática, publicados na íntegra, no idioma Inglês e Português, durante o período de janeiro de 2012 a janeiro de 2017, ao passo que os critérios de exclusão foram estudos de revisão de literatura, publicações repetidas, resenhas, artigos de opinião e relato de experiência. Nesse sentido, os resultados mostraram que ainda há profissionais da Estratégia Saúde da Família (ESF), assim como no NASF, com dificuldades na abordagem aos pacientes que apresenta distúrbio mental por falta de capacitação e elegem pensamentos biomédicos e hospitalocêntricos. Porém, outra parcela dos trabalhadores relata insegurança quanto ao cuidado e encaminham os pacientes aos Centros de Atenção Psicossocial (CAPS), por ser um ponto de atenção à saúde. Assim, é necessário o matriciamento ofertado às equipes multiprofissionais de saúde mental com o intento de ampliar as ações de saúde e fomentar a humanização da assistência para que seja holística e direcionada.

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Primary Care: Mental and Behavioral Health and Persons with Intellectual and Developmental Disabilities

Cited by 13 publications

References 13 publications

Adults with intellectual disabilities and mental health disorders in primary care: a scoping review

Adults with intellectual disabilities and mental health disorders in primary care: a scoping review

Neuropsychological and behavioural profiles of students with intellectual development disorder on parents and teachers' perceptions

Atuação do profissional de saúde mental nos núcleos de apoio à saúde da família: Uma revisão integrativa

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