Implications for practice and research
Younger people with intellectual disability experience much poorer health and an increased risk of a mental health condition during transition to adulthood than those in the general population. This underscores their need for comprehensive healthcare and proactive mental illness detection and treatment during transition.
Longitudinal studies of health-related outcomes are needed for younger people with intellectual disabilities. Future research could explore the impact of preventative strategies such as targeted mental health initiatives on the emergence of mental health conditions in younger people with intellectual disability during transition.
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We know little about the correlates of mental health problems in youth with severe and profound intellectual disability (ID), as most research includes these youth within larger samples that include greater proportions of mild and moderate disability. The purpose of the current study was to identify the child, family and psychosocial characteristics that were associated with the presence of psychiatric diagnoses and maladaptive behaviour in youth with severe ID. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Transition to adulthood may be a period of vulnerability for health for individuals with intellectual disabilities. No large-scale studies have compared the health of individuals with and without intellectual disabilities undergoing transition. The aims of this study were (1) to compare health during transition for individuals with and without intellectual disabilities across a whole country population and (2) to establish whether transition is associated with health in the population with intellectual disabilities. To read the full article, log in using your SSSFT NHS OpenAthens details.
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We have worked with NHS England on a programme to ensure children and young people with a learning disability, autism or both are able to access appropriate medication, and are not prescribed inappropriate psychotropic medication. Find out more and read our full pledge.
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This article explores the authors’ experiences of supporting the mental health of children and young people with learning disabilities during the coronavirus disease 2019 (COVID-19) pandemic. The article discusses the prevalence of and risk factors for the development of mental health issues in this group. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
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This document provides guidance for Transforming Care Partnerships (and their local partners Clinical Commissioning Groups / Local Authorities) in commissioning support and services for children and young people with learning disability, autism or both.
Individuals with intellectual disabilities (ID) are at increased risk for depression and anxiety disorders; however, there is a paucity of research that pertains to associative factors for these mental health disorders in this population. The objective of this investigation was to determine factors associated with depression and anxiety problems in children with ID.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
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The Care Quality Commission (CQC) is calling for an independent review of every person who is being held in segregation in mental health wards for children and young people and wards for people with a learning disability or autism. These reviews should examine the quality of care, the safeguards to protect the person and the plans for discharge.
Editorial. One in seven children with an impairing mental health disorder has intellectual disability (ID). Despite the ubiquity of ID, many clinicians are less confident in the assessment and management of mental disorders in youth with ID. Key to determining how to modify these is a good understanding of the child's developmental/cognitive strengths and weaknesses. There is very limited evidence for mental health interventions specific to children with ID. In this context, NICE guidelines generally recommend the same interventions identified for typically developing children. However, psychological interventions should be adapted for developmental level and communication ability. Medication should be selected carefully taking account of co‐existing conditions, drug interactions and the greater sensitivity to adverse effects in this population. Assessment and intervention should always take account of the child's wider context, including education. There is little evidence regarding the best service models in relation to efficacy and efficiency, but the high prevalence of ID amongst youth with mental health problems suggests that all mental health professionals should have competence in working with youth with milder levels of ID.. To read the full article, log in using your MPFT NHS OpenAthens details.
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The service, developed following feedback from local parents, is open to children and young people aged 18 or under with a moderate to severe learning disability who present with challenging behaviours or mental health issues that cannot be met by existing services.
Following a referral into the service by family doctors, patients will receive a holistic assessment by a care co-ordinator and a personalised care plan designed in collaboration with family members.