Stakeholders’ Perspectives towards the Use of the Comprehensive Health Assessment Program (CHAP) for Adults with Intellectual Disabilities in Manitoba

Abstract

The future implementation of the CHAP was strongly supported. For its successful implementation, training of healthcare professionals and support staff and change in regulations and policies were recommended.

Identifying barriers and facilitators to primary care practitioners implementing health assessments for people with intellectual disability: a Theoretical Domains Framework-informed scoping review

“…The majority were qualitative study designs ( n =12). All included publications were undertaken in one of four high-income countries, presented here in descending order by frequency: United Kingdom ( n =14) [ 33 , 34 , 36 – 41 , 43 , 45 , 46 , 48 – 50 ], Australia ( n =3) [ 30 , 31 , 44 ], Canada ( n =3) [ 12 , 42 , 47 ], and the Netherlands ( n =1) [ 32 ]. Most were published between 2011 and 2023 ( n =15), with the remaining ( n =6) published between 1996 and 2002.…”

“… Ability to communicate effectively with patient Lacking the necessary communications skills or perceiving communication difficulties as a barrier to conducting a health assessment [ 30 , 32 , 34 , 40 , 41 , 48 ] ( n =6) Possessing the necessary skills to conduct a health assessment, such as communication [ 40 ] and addressing patients with intellectual disability in a respectfully sensitive manner [ 42 ] ( n =2) Level of training and experience underpinning work with patient group, including reasonable adjustments Identification of further training needed to improve patient care Lack of existing training and experience with patients with intellectual disability [ 31 , 32 , 34 , 45 , 47 , 48 ], including understanding what reasonable adjustments are and how to implement them [ 12 , 48 , 50 ] (n =8) Identification of recommended areas of training such as further education on provision of care of people with intellectual disability [ 31 – 33 , 38 , 44 , 50 ], specific training on performing health assessments [ 33 , 34 , 36 ], and exposing practitioners to health care needs of people with intellectual disability in their training [ 31 , 47 ] ( n =9) Domain 3: Social/Professional Role and Identity ( n =10) A coherent set of behaviours and displayed personal qualities of an individual in a social or work setting. Personal views on role of primary care to deliver health assessments Clarity of role of primary care practitioners in delivery of health assessments Belief that health assessments should not be delivered by primary care services [ 37 , 43 , 45 ] ( n =3) Further clarity on requirements of role r...…”

Towards developing an intervention to support periodic health checks for adults with intellectual and developmental disabilities: Striving for health equity

“…However, few studies, examined the collective perspectives of multiple stakeholders within the same health care system (Davies et al, 2023; Shooshtari et al, 2016; Wigham et al, 2022) or applied an implementation framework (Durbin et al, 2016; Selick et al, 2018). Additionally, no one has applied a behavioural change approach to the analysis of barriers and facilitators to the periodic health check to inform future development of intervention strategies.…”

Complete physical examinations in Manitoba adults with an intellectual or developmental disability: A retrospective cohort study

“…The Committee that developed the guidelines also published a number of tools for primary care of people with developmental disabilities, which include a comprehensive health check (Surrey Place, 2011). However, a number of barriers were identified by primary care providers in using the comprehensive health checks in their routine primary care practice including the time commitment required to complete them and challenges related to the client's ability to effectively respond to the questions asked and the impact of challenging behaviours that may emerge during the assessment (Shooshtari et al, 2017). Thus, CPEs remained the current routine practice in many jurisdictions in Canada including the province of Manitoba.…”