Referral trends of people with intellectual disabilities and psychiatric disorders

Bouras, Nick; Cowley, Amy; Holt, Geraldine; Newton, Tim; Sturmey, Peter

doi:10.1046/j.1365-2788.2003.00514.x

Cited by 49 publications

(34 citation statements)

References 15 publications

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“…Psychotropic drugs use was found as 20.4% of MR cases in our sample and this ratio is relatively low, compared to above-mentioned rates, due to less comorbidity we found. Most commonly pharmacological agents used in this area were reported as antipsychotics, benzodiazepines, lithium, antiepileptic drugs, tricyclic antidepressants and SSRIs [18]. Likewise, in our study, the most commonly used psychotropic drugs were antipsychotics, followed by MPH and SSRIs.…”

Section: Discussionsupporting

confidence: 68%

Psychotropic Medication Use in Children and Adolescents with Mental Retardation (MR)

Temtek¹

2015

AJPN

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Abstract:Background: The aim of this study was to assess the medication use in children and adolescents with mental retardation (MR) retrospectively in a cross-sectional study. Method: Between June and December 2013, records of the children and adolescents admitted by our policlinic were retrospectively evaluated and those who had MR diagnosis were analyzed. Results: Male sex was found as statistically related to the presence of psychiatric comorbidity and the pervasive developmental disorders (PDD). At least one medical diagnosis accompanying with MR was found in 49.7% (n=781) of all patients. 79.6% (n=1252) of all patients did not use any medication, 16.7% (n=262) of all sample were using one medication agent, 3.5% (n=55) of patients were using combined pharmacotherapy. The predictors of psychotropic medication were the following: the presence of comorbid any of psychiatric disorders, having attention deficit hyperactivity disorder (ADHD), having conduct disorders (CD) and having anxiety disorders. Conclusions and Recommendations: This study has a descriptive nature of the children with MR admitted to the child psychiatry department. It was noticed that psychotropic agent use is preferable if there is a comorbid situation in mental retardation. There is a need for further studies with prospectively planned, multi-central with larger sampling in our country to draw up a way of health policies related to the children with MR.

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Section: Discussionsupporting

confidence: 68%

Psychotropic Medication Use in Children and Adolescents with Mental Retardation (MR)

Temtek¹

2015

AJPN

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“…(1997), also found that people with mild intellectual disabilities had a higher probability of contact with generic mental health services. However, unlike Bouras et al. (2003), they also reported that being older and living alone predicted the receipt of psychiatric treatment.…”

Section: Introductionmentioning

confidence: 86%

“…1997; Jacobson 1998). A study of more than 700 referrals to a mental health service for people with intellectual disabilities found that the majority of the referrals were male (60%) and a large percentage were young adults (mean age 33 years) (Bouras et al. 2003).…”

Section: Introductionmentioning

confidence: 99%

Consumption of Mental Health Services by People with Intellectual Disabilities

Spiller¹,

Costello²,

Bramley³

et al. 2007

Research Intellect Disabil

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Background Although research is starting to identify those factors that predict contact with mental health services in individuals with intellectual disabilities, very little is known about the patterns of service use following referral. Yet, this information is vital for effective service planning and development. We therefore examined the factors associated with service consumption. Methods We constructed a service consumption index based on the number of outpatient clinics attended, contacts with the community psychiatric nurses, home visits by a psychiatrist and the number of admissions. This consumption index was used to divide the sample (n = 115) into two groups: heavy and light service users.Results and conclusions Logistic regression analysis indicated that, after controlling for the length of service contact, individuals with a diagnosis of schizophrenia spectrum disorder and those with a greater number of affective ⁄ neurotic symptoms were more likely to be heavy service users. Age, living situation and the degree of intellectual disabilities were not found to be significant predictors of service consumption. The results also suggest that a small proportion of service users consumed almost half of the service resources.

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“…There were 147 people with autism and ID and 605 people with ID and without autism between 16 and 84 years old (mean = 33.3, SD = 13.2), 60% were males and 40% females They were referred for assessment to a Specialist Mental Heath Service of SouthEast London between 1983(Bouras et al, 2003 and represented 19.5% of the total referrals to the Service for that period. The largest proportion of referrals came from Primary Care (47.5%) followed by Generic Mental Health Services (37.4%) and Social Services (15.2%).…”

Section: Methods Participantsmentioning

confidence: 99%

Psychopathology in Adults with Autism and Intellectual Disability

Tsakanikos

Costello

Holt

et al. 2006

J Autism Dev Disord

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There have been few studies of psychopathology in adult with autism. This study examined psychiatric co-morbidity in 147 adults with intellectual disability (ID) and autism and 605 adults with ID but without autism. After controlling for the effects of gender, age, psychotropic medication and level of ID, people with autism and ID were no more likely to receive a psychiatric diagnosis than people with ID only. People with autism were less likely to receive a diagnosis of personality disorder. These findings cast doubts on the hypothesis that adults with ID and autism are more vulnerable to certain psychiatric disorders than non-autistic adults with ID.

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Referral trends of people with intellectual disabilities and psychiatric disorders

Abstract: Significant trends in referrals were identified, which may be explained by various external factors.

Cited by 49 publications

References 15 publications

Psychotropic Medication Use in Children and Adolescents with Mental Retardation (MR)

Psychotropic Medication Use in Children and Adolescents with Mental Retardation (MR)

Consumption of Mental Health Services by People with Intellectual Disabilities

Psychopathology in Adults with Autism and Intellectual Disability

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