Individuals With Intellectual Disabilities Who Live With Family and Experience Psychiatric Crisis: Who Uses the Emergency Department and Who Stays Home?

Mental health care for Canadians with developmental disabilities.

“…More recently, I have directed my attention toward understanding the experience of caregiving in parents of individuals with DD and mental health problems when individuals with DD are in psychiatric crisis. Through collaborations with the Dual Diagnosis Program at the Centre for Addiction and Mental Health (led by Dr. Yona Lunsky), this research has contributed to our understanding of the psychological impact that caregiving can have on families of individuals with DD who have mental health problems (Weiss & Lunsky, 2011), caregiver perceptions of the health care system (Weiss, Lunsky, Gracey, Canrinus, & Morris, 2009), and the changing health service needs and barriers to service utilization across the life span (Weiss & Lunsky, 2010; Weiss, Slusarczyk, & Lunsky, 2011). This work has resulted in a novel measure to quickly assess family crisis, which is now being used at a number of specialized DD programs in Ontario as part of the standard intake and evaluation process (Brief Family Distress Scale; Weiss & Lunsky, 2011).…”

A Review of Canadian Mental Health Research on Intellectual and Developmental Disabilities

“…Evidence from qualitative research highlights the challenges encountered in the emergency department by persons with IDD (Lunsky, Gracey, & Bradley, 2008;Weiss, Lunsky, Gracey, Canrinus, & Morris, 2009), whereas quantitative studies identify rates and predictors of emergency department use in this population (Lunsky, Balogh, & Cairney, 2012;Weiss, Slusarczyk, & Lunsky, 2011). Adults with psychiatric disorder and IDD are more likely to visit the hospital and more likely to visit frequently than the general population with 55% visiting the hospital in a 2-year period (Lunsky, Lin, Balogh, KleinGeltink, Bennie et al, 2011).…”

Les Principales Caractéristiques D’une Clientèle Dite « multiproblématique » Au Sein Du RSSS Au Québec

“…Les antécédents de violence sont considérés comme étant un facteur prédicteur des plus significatifs (Lunsky, Balogh et Cairney, 2012;Weiss, Slusarczyk et Lunsky, 2012). Par ailleurs, le type de violence, qu'elle soit subie ou agie, ainsi que les cibles des actes violents sont des facteurs de risque prépondérants (Hodgins, Tiihonen et Ross, 2005;Murray et Farrington, 2010;Voyer et al, 2009).…”

“…Par ailleurs, la capacité d'insight, la régulation des émotions et le contrôle pulsionnel sont considérables, particulièrement chez les personnes aux prises avec des troubles neurologiques (CIUSSS MCQ, 2015b;Joyal, Gendron et Côté, 2008;Voyer et al, 2009). L'adhésion aux soins et l'observance thérapeutique font le pont entre la désinstitutionalisation et les symptômes associés à une augmentation du risque de violence (Elbogen et al, 2006;Senon et Manzanera, 2006;Weiss et al, 2012). Il est surtout intéressant de soulever qu'un suivi serré augmente l'adhésion aux soins diminuant ainsi les risques de comportements violents (Voyer et al, 2009).…”