Future clinical priorities in neurodevelopmental disorders: an international perspective

Roy, Ashok; Roy, Meera; Shah, Henal

doi:10.1192/bja.2022.69

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Barriers to accessing healthcare systems faced by people with neurodevelopmental disorders worldwide are discussed by Roy et al (2023). Their article explores service models globally and proposes a model of integrated care.…”

Section: Person-centred Social and Integrated Care Modelsmentioning

confidence: 99%

Neurodevelopmental disorders including intellectual disability: a clinical toolkit for mental health professionals (part 2)

Biswas,

Casey

2023

BJPsych advances

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SUMMARYThis editorial introduces the second of two special issues of BJPsych Advances on neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit hyperactivity disorder and epilepsy. Topics discussed in the issue include using technological advances such as apps to manage epilepsy in intellectual disability, person-centred support and integrated care, training, and non-restrictive approaches and appropriate medication for managing self-injurious and challenging behaviour.

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Section: Person-centred Social and Integrated Care Modelsmentioning

confidence: 99%

Neurodevelopmental disorders including intellectual disability: a clinical toolkit for mental health professionals (part 2)

Biswas,

Casey

2023

BJPsych advances

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“…Overall, this issue is an exceptional special issue on neurodevelopmental disorders and communitybased interventions for persons with NDD, with a good mix of original research articles, an audit, a bibliometric study, a systematic review, narrative reviews and most importantly three articles on users and caregiver's perspectives, which many a times gets lost amidst research articles. This is all the more important since the challenges from the patient perspective include difficulties with early detection, service access and stigma (Roy et al 2023), which can delay habilitation.…”

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confidence: 99%

Habilitation Models for Neurodevelopmental Disorders

Sharma,

Chaturvedi

2023

J. Psychosoc. Rehabil. Ment. Health

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identified comprehensively include physical fitness, activities of daily living, interpersonal functioning, education and vocation, community and social life, self-management, carer and family support, prevention of secondary mental health sequelae, and nutrition. The package calls for multi-disciplinary inputs from rehabilitation specialists, dietitians and nutritionists, nursing professionals, occupational therapists, physiotherapists, psychologists, social work and counselling professionals, special educators, specialist medical practitioners, and speech and language therapists/pathologists. This ideal coverage of different fields of specialization and a spectrum of interventions that must be facilitated by them in a coordinated manner, may be challenging to adapt in the medico-social reality of most practitioners who provide habilitation interventions to persons with NDDs.NDDs have disordered neurodevelopment in either one or more domains of motor, cognitive, social, and emotional abilities. Clinical heterogeneity is characteristic of NDDs. For instance, although all individuals with autism spectrum disorders (ASD) show developmental deficits in social communication abilities and pattens of restricted interests, the degree of the deficit, as well as the associated motor, cognitive and emotional abilities may vary widely. Similarly, although individuals with specific learning disorders (SLD) all have problems with one or more learning areas -reading, writing, arithmetic -the degree of the difficulty in the area, as well as associated developmental difficulties vary. Heterogeneity is a rule Rehabilitation is geared towards a return to health and functioning. In the medical world, this return is typically from illness. How does the concept then apply to neurodevelopmental disorders (NDDs), that are not typical illnesses, which would have onset and recovery in time? The idea, therefore, is habilitation, i.e. attainment, maintenance and utilization of skills for functionalities of daily living. With a common goal of optimization of functionality and well-being, perhaps the terms habilitation or rehabilitation are both applied in this context. This editorial reflects upon some concepts and conundrums in the field.Practical challenges abound this space since care for medical disorders, including NDDs, has not substantially moved beyond acute care models that serve illnesses with targeted and short-term interventions (Cainelli, 2022). Effective models to address the underlying multi-systemic dynamics of conditions such as NDDs are lacking. The World Health Organization recently released a package of interventions for rehabilitation of NDDs (WHO, 2023). The areas

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Future clinical priorities in neurodevelopmental disorders: an international perspective

Cited by 2 publications

References 5 publications

Neurodevelopmental disorders including intellectual disability: a clinical toolkit for mental health professionals (part 2)

Neurodevelopmental disorders including intellectual disability: a clinical toolkit for mental health professionals (part 2)

Habilitation Models for Neurodevelopmental Disorders

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