Mental ill-health and care pathways in adults with intellectual disability across different residential types
| Autor: | Jean O'Hara, Nick Bouras, Geraldine Holt, Dimitrios Paschos, Eddie Chaplin, Jane McCarthy, Elias Tsakanikos |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty media_common.quotation_subject Comorbidity Personality Disorders Residential Facilities Adjustment Disorders Young Adult Intellectual Disability London Intellectual disability Developmental and Educational Psychology medicine Humans Personality Child Psychiatry media_common Depressive Disorder Mental Disorders Social environment Middle Aged medicine.disease Anxiety Disorders Personality disorders Mental health Clinical Psychology Child Development Disorders Pervasive Critical Pathways Housing Schizophrenia Anxiety Dementia Female Residence medicine.symptom Psychology Psychopathology |
| Zdroj: | Research in Developmental Disabilities. 31:458-463 |
| ISSN: | 0891-4222 |
| Popis: | The aim of this study was to investigate co-morbid psychopathology and clinical characteristics of adults with ID living across different types of residential settings. All participants were first time referrals to specialist services in South-East London who lived either with their family (N = 375) or in supported residence (N = 280) or independently (N = 95). Psychiatric diagnoses were based on ICD 10 criteria following clinical interviews with key informants and patients. Logistic regression analyses showed that personality disorders were more likely to be diagnosed in people who lived independently or in supported residence, while anxiety disorders were more likely in those living with their family. Overall, those who lived in independent residence had higher rates of co-morbid psychopathology. These effects were independent of ID level and age differences. Younger adults were more likely to live with their families while those with higher ID level were about 17 times more likely to live independently. The largest proportion of referrals to outpatients lived in independent residence although there were no significant differences in other care pathways. The findings are discussed in terms of implications for service planning and development. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect