Cognitive and Behavioural Pro Files of the Elderly Mentally Handicapped

Hewitt, Kevin; Fenner, Maxine; Torpy, David

doi:10.1111/j.1365-2788.1986.tb01316.x

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…A wide range of prevalence rates has been found in studies of ID populations without Down syndrome. Some studies have found higher prevalence rates and risk shifted to younger ages relative to the general population [Hewitt et al, ; Cooper, ; Strydom et al, ]. Cooper [] conducted a population‐based study of 134 individuals with ID over the age of 65 years living in the United Kingdom (five having Down syndrome).…”

Section: Dementia In Populations With Id Without Down Syndromementioning

confidence: 99%

Dementia and mild cognitive impairment in adults with intellectual disability: Issues of diagnosis

Krinsky‐McHale

Silverman

2013

Dev Disabil Res Revs

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Individuals with intellectual disability (ID) are now living longer with the majority of individuals reaching middle and even "old age." As a consequence of this extended longevity they are vulnerable to the same age-associated health problems as elderly adults in the general population without ID. This includes dementia, a general term referring to a variety of diseases and conditions causing substantial loss of cognitive ability and functional declines; adults with Down syndrome are at especially high risk. A great deal of recent effort has focused on the very earliest detectable indicators of decline (and even prodromal stages of dementia-causing diseases). A condition called mild cognitive impairment (MCI) has been conceptually defined as a decline in functioning that is more severe than expected with typical brain aging but not severe enough to meet criteria for a diagnosis of dementia. Consensus criteria for both dementia and MCI have been developed for typically developing adults but are of limited applicability for adults with ID, given their pre-existing cognitive impairments. Early diagnosis will continue to be of growing importance, both to support symptomatic treatment and to prevent irreversible neuropathology when interventions are developed to slow or halt the progression of underlying disease. While the intellectual and developmental disabilities field has for some time recognized the need to develop best-practices for the diagnosis of MCI and dementia, there remains a pressing need for empirically based assessment methods and classification criteria.

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Section: Dementia In Populations With Id Without Down Syndromementioning

confidence: 99%

Dementia and mild cognitive impairment in adults with intellectual disability: Issues of diagnosis

Krinsky‐McHale

Silverman

2013

Dev Disabil Res Revs

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“…Others have reported that third party reports of the behaviour of mentally handicapped people may be grossly unreliable, even for such salient behaviours as incontinence (Smith et al, 1975). It may be that the present study's method of assessing reliability was excessively conservative since the subjects were particularly prone to skill change as they included a number of people in rehabilitation services and a number of elderly subjects (Hewitt et al, 1986). A number of studies have examined the relationship between staff reports of adaptive behaviour and found only modest correspondence with direct observation of the behaviour (Halpern et al, 1979;Millham et al, 1979).…”

Section: Discussionmentioning

confidence: 90%

Psychometric properties of the Social Training Achievement Record (the STAR profile)

Sturmey

Crisp

Newton

1988

J intellect Disabil Res

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ABSTRACT. Seven hundred and sixty‐eight Social Training Achievement Records were collected independently in two settings during routine assessment of mentally handicapped people, mostly adults in hospital. All scales and total scores were highly internally consistent. Factor analysis on one sample yielded two factors named General Adaptive Behaviour and Community and Equipment Skills. This factor structure was replicated on the second sample. This factor solution is highly similar to that reported for the Adaptive Behavior Scale (Nihira, 1976). Two new scales were derived on the basis of these factor analyses which were also highly internally consistent. Parallel forms of these scales were also satisfactorily developed. Total scores and scores on the two new scales were adequate in routine clinical practice and showed good concurrent and criterion group validities. Reliabilities of individual items were less satisfactory. Suggestions for future developments of this scale are made.

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“…Table 4 sets out the cognitive objectives in the care of ageing people with mental handicap, again using a preventive framework. Hewitt et al (1986) found ongoing intellectual development in adulthood until late middle age, followed by a decline in 18%, indicating the importance of capitalizing on the whole period of intellectual development and giving support during the phase of intellectual decline. Table 5 sets out the psychiatric objectives in the care of ageing people with mental handicap, again using a preventive framework.…”

Section: Use Of a Preventive Perspectivementioning

confidence: 99%

“…The Wider Community: integration into the wider community Hewitt et al 1986) continuing adult education continuing work opportunities 2. To detect cognitive deterioration early, in order to make effective provision e.g.…”

Section: Psychiatric Objectivesmentioning

confidence: 99%

Ageing in learning difficulties: the development of health care outcome indicators

Jenkins¹,

Brooksbank²,

Miller³

1994

J intellect Disabil Res

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ABSTRACT. A system of outcome indicators for the health and social care of ageing people with learning disabilities is required to ensure that clinicians, planners, purchasers and policy makers can monitor and evaluate the impact of health and social care. As longevity is increasing in people widi learning disabilities, special problems are found in the physical health, psychological health and social wellbeing of the elderly. This paper reviews theoretical aspects of outcome indicators, and uses the various classes of outcome measures available to draw up a system of indicators for clinicians, researchers and planners. This paper represents the personal view of the authors, prepared for a conference in August 1992.

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Cognitive and Behavioural Pro Files of the Elderly Mentally Handicapped

Cited by 8 publications

References 12 publications

Dementia and mild cognitive impairment in adults with intellectual disability: Issues of diagnosis

Dementia and mild cognitive impairment in adults with intellectual disability: Issues of diagnosis

Psychometric properties of the Social Training Achievement Record (the STAR profile)

Ageing in learning difficulties: the development of health care outcome indicators

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