Mental illness, problem behaviour, needs and service use in adults with intellectual disability

Schützwohl, Matthias; Koch, A.; Koslowski, Nadine; Puschner, Bernd; Voß, Elke; Salize, Hans Joachim; Pfennig, Andrea; Vogel, Anke

doi:10.1007/s00127-016-1197-4

Cited by 43 publications

(37 citation statements)

References 31 publications

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“…The rates of diagnosed mental illness were found to be higher for males than for females. The overall rate of mental illness recorded in this sample was generally lower than that reported in previous studies internationally, but similar to those in the recent German study reported by Schutzwohl et al () who used DSM‐IV‐TR diagnoses. The slightly higher rates reported by Cooper et al () who used ICD‐10 diagnoses (14.5%; excluding problem behaviours and autistic spectrum disorder) are likely explained by the inclusion of a broader range of disorders.…”

Section: Discussionsupporting

confidence: 86%

“…Other recent research has cautioned that symptoms of potential comorbid psychiatric diagnoses could be being attributed to problem behaviours, with a recent study highlighting that problem behaviours are one of the most common reasons for the referral of people with intellectual disabilities to mental health services (Perry et al, ). These kind of observed differences in prevalence estimates were also demonstrated in a German study of 371 adults with intellectual disability that reported a point prevalence of diagnosed mental illness of 10.8% but a much higher rate (45.3%) of problem behaviours (Schutzwohl et al, ).…”

Section: Introductionmentioning

confidence: 72%

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Crime and victimization among people with intellectual disability with and without comorbid mental illness

Thomas

Nixon

Ogloff

et al. 2019

Research Intellect Disabil

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Background Accumulating evidence internationally points to an increased risk of crime perpetration and victimization among people with an intellectual disability (ID). This study aimed to examine the impact that comorbid mental illness had on the association between intellectual disability, crime perpetration and criminal victimization. Method A case linkage methodology involving 2,220 individuals with an intellectual disability from an Australian State. Results One in four (27%) had contacts with public mental health services; 8.2% had a comorbid mental illness. This “dual disability” group was between 2.97 and 3.22 times more likely than those with intellectual disability alone to have a history of criminal charges, and between 2.76 and 2.97 times more likely to have been a victim of crime. Conclusions The extent of criminality and victimization found among people with dual disability indicates a potentially multiply stigmatized group for whom the need for a coordinated cross‐agency service response remains paramount.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 72%

Crime and victimization among people with intellectual disability with and without comorbid mental illness

Thomas

Nixon

Ogloff

et al. 2019

Research Intellect Disabil

View full text Add to dashboard Cite

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“…In theory, prevention strategies should focus on reducing the burden of T2DM, but this can be challenging because of the complex interplay between physical and mental health problems, and support needs that contribute towards health inequalities in this population (Schutzwohl et al . ; Kinnear et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…As the life expectancy of people with intellectual disabilities (ID) increases (World Health Organisation 2000;Bittles et al 2002;Emerson et al 2012;Dieckmann et al 2015), they become more at risk of developing later non-communicable diseases, including type 2 diabetes mellitus (T2DM) (Hermans and Evenhuis 2014;Reppermund and Trollor 2016;Cooper et al 2018). In theory, prevention strategies should focus on reducing the burden of T2DM, but this can be challenging because of the complex interplay between physical and mental health problems, and support needs that contribute towards health inequalities in this population (Schutzwohl et al 2016;Kinnear et al 2018). Preventing or delaying the onset of T2DM is important because T2DM is a progressive disease that is associated with a range of microvascular and macrovascular complications, including peripheral neuropathy, chronic kidney disease, coronary artery disease, heart failure and stroke (Kosiborod et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors

Tyrer

Ling

Bhaumik

et al. 2020

J intellect Disabil Res

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Background As people with intellectual disabilities (ID) are now living longer, they are more at risk of developing non‐communicable diseases, including type 2 diabetes mellitus. However, understanding of factors associated with diabetes for targeted management and prevention strategies is limited. This study aimed to investigate prevalence of diabetes in adults (aged ≥18 years) with ID and its relationship with demographic, lifestyle, independence and health factors. Method This was a cross‐sectional analysis of interview data from 1091 adults with ID from the Leicestershire Learning Disability Register from 1 January 2010 to 31 December 2016. Logistic regression models were used to identify factors associated with diabetes in the study population. Results The study population did not have healthy lifestyles: just under half reported having lower physical activity levels than people without ID of a similar age; one‐quarter consumed fizzy drinks daily; and 20% consumed five or more fruit and/or vegetables per day. Prevalence of carer/self‐reported diabetes was 7.3% (95% confidence interval 5.9–9.0). After adjustment, diabetes was positively associated with South Asian ethnicity (P = 0.03) and older age groups (P < 0.001). Diabetes was less common in people living with family members (P = 0.02). We did not find a relationship between any of the lifestyle, independence and health factors investigated. Conclusions A significant proportion of people with ID are living with diabetes. Diabetes management and prevention strategies should be tailored to individuals' complex needs and include consideration of lifestyle choices. Such strategies may want to focus on adults of South Asian ethnicity and people living in residential homes where prevalence appears to be higher.

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“…Das ursprüngliche Antwortformat dieser Variablen (1 = ja, 2 = nein, 3 = kein Bedarf) wurde dichotomisiert (0 = nein, 1 = ja) und Personen, die keinen Bedarf angegeben haben, von weiteren Analysen ausgeschlossen. Ähnliche Ergebnisse gehen aus den wenigen nationalen und aus internationalen Studien hervor [3,8,17,24]. Im zweiten Teilhabebericht der Bundesregierung wird bspw.…”

Section: Introductionunclassified

Inanspruchnahme und wahrgenommene Barrieren des Gesundheitswesens bei Menschen mit Behinderung in Deutschland: Ergebnisse des GEDA 2014/2015-EHIS-Survey

Wetzel

Rathmann

2020

Präv Gesundheitsf

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Zusammenfassung Hintergrund Menschen mit Behinderung sind in der gesundheitlichen Versorgung benachteiligt. Eine bedarfsgerechte Gesundheitsversorgung verlangt einen gleichberechtigten Zugang zum Gesundheitswesen ohne Barrieren. Erstmals werden Inanspruchnahme und wahrgenommene Barrieren des Gesundheitswesens bei Menschen mit und ohne Behinderung, differenziert nach dem Grad der Behinderung (GdB) mittels repräsentativer Daten für Deutschland ausgewertet. Fragestellung Gibt es Unterschiede in der Inanspruchnahme und den wahrgenommenen Barrieren des Gesundheitswesens von Menschen mit im Vergleich zu Menschen ohne Behinderung? Material und Methode Datenbasis bildet der Survey „Gesundheit in Deutschland Aktuell 2014/2015“. Die Stichprobe umfasst 23.481 Personen mit und ohne Behinderung, wovon 1295 Personen (5,5 %) einen GdB <50 und 2395 Personen (10,2 %) einen GdB ≥50 aufweisen. Uni-, bi- und multivariate Analysen wurden für die abhängigen Variablen Besuch von Haus- und Fachärzt*innen, ambulante und stationäre Krankenhausaufenthalte und wahrgenommene Barrieren (u. a. Wartezeit auf einen Termin, Entfernung, Nicht-Bezahlbarkeit von Untersuchungen) vorgenommen. Ergebnisse Menschen mit Behinderung haben höhere Chancen für eine Inanspruchnahme des Gesundheitswesens als Menschen ohne Behinderung. Dabei zeigt sich ein behinderungsspezifischer Gradient nach dem GdB. Menschen mit Behinderung nehmen außerdem häufiger Barrieren im Gesundheitswesen wahr als Menschen ohne Behinderung z. B. für Untersuchungsverzögerungen aufgrund einer weiten Entfernung und weil sie sich ärztliche Untersuchungen nicht leisten können. Schlussfolgerungen Die Ergebnisse verdeutlichen den in der Behindertenrechtskonvention der Vereinten Nationen geforderten Abbau von Barrieren im Gesundheitswesen für Menschen mit Behinderung. Studien sind aufgefordert zielgruppenadäquate Bedarfe und Barrieren in der Gesundheitsversorgung, differenziert nach dem GdB, zu erfassen.

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Mental illness, problem behaviour, needs and service use in adults with intellectual disability

Cited by 43 publications

References 31 publications

Crime and victimization among people with intellectual disability with and without comorbid mental illness

Crime and victimization among people with intellectual disability with and without comorbid mental illness

Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors

Inanspruchnahme und wahrgenommene Barrieren des Gesundheitswesens bei Menschen mit Behinderung in Deutschland: Ergebnisse des GEDA 2014/2015-EHIS-Survey

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