Contributions of Mental and Behavioral Health Conditions to Health Service Utilization Among People With Intellectual and Developmental Disabilities in Massachusetts

Lauer, Emily; Nicola, N. De; Warsett, Kimberley S.; Monterrey, Rodrigo

doi:10.1352/2326-6988-7.3.188

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…Despite the prevalence of mental health conditions, research suggests that people with IDD may not be receiving adequate mental health care in the community. Compared to people without IDD, people with IDD appear more likely to seek care in the emergency room for mood and anxiety disorders and to be hospitalized for mood and psychotic disorders (Lauer et al, 2019 ). Additionally, Lunsky and Balogh ( 2010 ) found that patients with IDD were more likely to have multiple hospitalizations related to the presence of mental health challenges compared to people without disabilities.…”

Section: Mental Health Conditions and Iddmentioning

confidence: 99%

Co-Occurring Mental Illness and Behavioral Support Needs in Adults with Intellectual and Developmental Disabilities

Lineberry

Bogenschutz

Broda

et al. 2023

Community Ment Health J

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People with intellectual and developmental disabilities (IDD) have higher incidences of mental health conditions and behavioral support needs than people without IDD but may not receive needed care from community providers. We examined rates of co-occurring conditions in a representative sample of adults with IDD who use state funded services in [state name redacted for peer review]. Using data from two datasets, we identified four categories of mental health and behavioral conditions. We used these categories to examine differences in individual- and system-level factors in people with and without co-occurring conditions. We found high rates of co-occurring conditions in our sample. We found important disability factors and system-level characteristics that were associated with having a diagnosed mental health condition or behavioral support needs. Differing patterns of diagnosis and treatment for co-occurring conditions suggests more work needs to be done to support people with IDD and co-occurring mental health conditions living in the community.

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Section: Mental Health Conditions and Iddmentioning

confidence: 99%

Co-Occurring Mental Illness and Behavioral Support Needs in Adults with Intellectual and Developmental Disabilities

Lineberry

Bogenschutz

Broda

et al. 2023

Community Ment Health J

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“…Research indicates that individuals with neurodevelopmental disabilities (NDD) generally have poorer health than those without disabilities. Individuals with NDD present with greater levels of obesity, inpatient hospitalizations, emergency room visits, and medical appointments (Boulet et al, 2009 ; Havercamp & Scott, 2015 ; Havercamp et al, 2004 ; Lauer et al, 2019 ; Weiss et al, 2018 ) and are less likely to receive needed medical care than those without disabilities (Center for Disease Control, 2019 ). Physicians also report that they order fewer preventive care services (i.e., blood pressure checks, cholesterol monitoring, mammograms) and provide less counseling on high-risk behaviors (i.e., smoking, inactivity) for patients with NDD (Rehabilitation Research & Training Center [RRTC], 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Virtual Training of Medical Students to Promote the Comfort and Cooperation of Patients with Neurodevelopmental Disabilities

Hoang

Lerman

Nguyen

2023

J Autism Dev Disord

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Patients with neurodevelopmental disabilities generally have less access to necessary medical care compared to those without disabilities. Barriers to adequate care include patient fear and uncooperative behavior during routine medical procedures and inadequate preparation of medical professionals to treat this population. Researchers have identified multiple behavior-analytic procedures for promoting comfort and cooperation during medical treatments. Efficient, cost-effective training programs are needed to widely disseminate behavior-analytic procedures to medical students and professionals. The purpose of this study was to assess the efficacy of a virtual training to prepare medical students to implement behavioral procedures that could be easily incorporated into typical wellness examinations. Seven medical students received behavioral skills training (BST) delivered remotely via the Internet. Results showed that the training successfully increased students’ correct implementation of the procedures in roleplay with the experimenter and with patients with neurodevelopmental disabilities. Responding also maintained at high levels 2 weeks after the training. These findings suggest that virtual BST is an efficient, practical approach for training health care professionals to implement general behavior management strategies to increase the comfort and cooperation of patients with NDD.

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“…3 Consistent with these higher rates, they are also more likely to access formal health services such as primary and hospital-based care. [4][5][6] Despite this greater access, people with IDD experience higher rates of outcomes that suggest poor quality or poor coordination of care. Compared to the general population, they are more likely to reuse in-patient and emergency department services, often within 30 days of a previous discharge or visit, suggesting insufficient support for managing their health issues in the community after discharge.…”

Section: Introductionmentioning

confidence: 99%

Looking across health and healthcare outcomes for people with intellectual and developmental disabilities and psychiatric disorders: population-based longitudinal study

Lin

Balogh

Chung³

et al. 2020

Br J Psychiatry

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Background Intellectual and developmental disabilities (IDDs) and psychiatric disorders frequently co-occur. Although each has been associated with negative outcomes, their combined effect has rarely been studied. Aims To examine the likelihood of five negative health and healthcare outcomes for adults with IDD and mental health/addiction disorders (MHAs), both separately and together. For each outcome, demographic, clinical and system-level factors were also examined. Method Linked administrative data-sets were used to identify adults in Ontario, Canada, with IDD and MHA (n = 29 476), IDD-only (n = 35 223) and MHA-only (n = 727 591). Five outcomes (30-day readmission, 30-day repeat ED visit, delayed discharge, long-term care admission and premature mortality) were examined by logistic regression models with generalised estimating equation or survival analyses. For each outcome, crude (disorder groups only) and complete (adding biosocial covariates) models were run using a general population reference group. Results The IDD and MHA group had the highest proportions across outcomes for both crude and complete models. They had the highest adjusted ratios for readmissions (aOR 1.93, 95%CI 1.88–1.99), repeat ED visit (aOR 2.00, 95%CI 1.98–2.02) and long-term care admission (aHR 12.19, 95%CI 10.84–13.71). For delayed discharge, the IDD and MHA and IDD-only groups had similar results (aOR 2.00 (95%CI 1.90–2.11) and 2.21 (95%CI 2.07–2.36). For premature mortality, the adjusted ratios were similar for all groups. Conclusions Poorer outcomes for adults with IDD, particularly those with MHA, suggest a need for a comprehensive, system-wide approach spanning health, disability and social support.

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Contributions of Mental and Behavioral Health Conditions to Health Service Utilization Among People With Intellectual and Developmental Disabilities in Massachusetts

Cited by 5 publications

References 34 publications

Co-Occurring Mental Illness and Behavioral Support Needs in Adults with Intellectual and Developmental Disabilities

Co-Occurring Mental Illness and Behavioral Support Needs in Adults with Intellectual and Developmental Disabilities

Virtual Training of Medical Students to Promote the Comfort and Cooperation of Patients with Neurodevelopmental Disabilities

Looking across health and healthcare outcomes for people with intellectual and developmental disabilities and psychiatric disorders: population-based longitudinal study

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