Discovery of previously undetected intellectual disability by psychological assessment: A study of consecutively referred child and adolescent psychiatric inpatients

Pogge, David L.; Stokes, John; Buccolo, Martin; Pappalardo, Stephen; Harvey, Philip D.

doi:10.1016/j.ridd.2014.03.012

Cited by 7 publications

(1 citation statement)

References 22 publications

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“…The prevalence of MID/BIF does not seem to have been studied extensively in psychiatric adult patients, with the exception of some studies in MID patients [ 7 , 8 ] or BIF patients [ 9 ], it is thus unknown in people with severe mental illness treated in inpatient and outpatient settings, and often seems to go unrecognized [ 9 , 10 ]. Such unawareness is likely to result in inadequate treatment, more lengthy hospital stays, more use of coercive measures, and poor outcome [ 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures

et al. 2017

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BackgroundFailure to detect psychiatric patients’ intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures.AimsIn this prospective dynamic cohort study we screened for intellectual disabilities in patients admitted to psychiatric wards, and investigated the use of coercive measures with these patients.MethodsWe used the Screener for Intelligence and Learning disabilities (SCIL) to screen patients admitted to two acute psychiatric wards, and assessed patient characteristics and coercive measures during their stay and over the last 5 years.ResultsResults on the SCIL suggested that 43.8% of the sample had Mild Intellectual Disability or Borderline Intellectual Functioning (MID/BIF). During their current stay and earlier stays in the previous 5 years, these patients had an increased risk of involuntary admission (OR 2.71; SD 1.28–5.70) and coercive measures (OR 3.95, SD 1.47–10.54).ConclusionsThis study suggests that functioning on the level of MID/BIF is very prevalent in admitted psychiatric patients and requires specific attention from mental health care staff.

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