Prevalence of Mental Illness among Mentally Handicapped People: Discussion Paper

Ineichen, Bernard

doi:10.1177/014107688407700911

Cited by 9 publications

(5 citation statements)

References 22 publications

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“…In fact, historically, mental health conditions were rarely diagnosed in individuals with MR because many behavioral and emotional problems were thought to be due to institutionalization. 9,29 Further complicating the matter, it has even been noted that the effects of prolonged institutional care are difficult to distinguish from symptoms of schizophrenia among those with severe MR. 30 Symptoms of mental health disorders have often been seen as characteristic of MR. 7,19 While today it is recognized that mental health conditions exist in individuals with MR and are separate from MR, 18,19 distinguishing symptoms of mental health conditions from those of MR can actually be quite challenging. 9,18,[31][32][33][34][35][36][37] The presence of MR, for instance, often diminishes the diagnostic significance of behavior that would otherwise be indicative of a mental health disorder.…”

Section: Risk For Mental Health Disorders Among Those With Mrmentioning

confidence: 99%

“…18,24,30 Administrative data generally represent only individuals seeking services and thus have limitations as well. For example, the reported dual diagnosis prevalence based solely on administrative data from community settings may under-represent the true prevalence of mental health problems in the MR population 46 since many individuals with both mental illness and severe MR live in institutions and do not use community-based mental health services.…”

Section: Risk For Mental Health Disorders Among Those With Mrmentioning

confidence: 99%

“…Most domestic studies of dual diagnosis have been conducted with small sample sizes and have used medical records or registry data from hospitals or clinics, which count the number of patients admitted or served (administrative data). 18,24,30 Administrative data generally represent only individuals seeking services and thus have limitations as well. For example, the reported dual diagnosis prevalence based solely on administrative data from community settings may under-represent the true prevalence of mental health problems in the MR population 46 since many individuals with both mental illness and severe MR live in institutions and do not use community-based mental health services.…”

Section: Type Of Datamentioning

confidence: 99%

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Mental Health Disorders among Individuals with Mental Retardation: Challenges to Accurate Prevalence Estimates

et al. 2004

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SYNOPSISObjectives. The objectives of this literature review were to assess current challenges to estimating the prevalence of mental health disorders among individuals with mental retardation (MR) and to develop recommendations to improve such estimates for this population.Methods. The authors identified 200 peer-reviewed articles, book chapters, government documents, or reports from national and international organizations on the mental health status of people with MR. Based on the study's inclusion criteria, 52 articles were included in the review.Results. Available data reveal inconsistent estimates of the prevalence of mental health disorders among those with MR, but suggest that some mental health conditions are more common among these individuals than in the general population. Two main challenges to identifying accurate prevalence estimates were found: (1) health care providers have difficulty diagnosing mental health conditions among individuals with MR; and (2) methodological limitations of previous research inhibit confidence in study results.Conclusions. Accurate prevalence estimates are necessary to ensure the availability of appropriate treatment services. To this end, health care providers should receive more training regarding the mental health treatment of individuals with MR. Further, government officials should discuss mechanisms of collecting nationally representative data, and the research community should utilize consistent methods with representative samples when studying mental health conditions in this population.

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Section: Risk For Mental Health Disorders Among Those With Mrmentioning

confidence: 99%

Section: Risk For Mental Health Disorders Among Those With Mrmentioning

confidence: 99%

Section: Type Of Datamentioning

confidence: 99%

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Mental Health Disorders among Individuals with Mental Retardation: Challenges to Accurate Prevalence Estimates

et al. 2004

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“…Matson and Sevin (1994), identify personal competence, adaptive behaviours and social skills, as having a particular contribution to make in the promotion of mental health and in the treatment of mental health problems in people with learning disability. Horner (1980), argues for the removal of environments that discourage social engagements and Russell (1991), for the reduction of negative social engagements, whilst Ineichen (1984) notes that the most effective way to promote mental health in people with learning disabilities is to remove the conditions that bring problems about.…”

Section: Service Accomplishments As a Common Framework For Applied Bementioning

confidence: 99%

People with learning disabilities who also have mental health problems: practice issues and directions for learning disability nursing

Gilbert

Todd

Jackson

1998

Journal of Advanced Nursing

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The plight of people with learning disabilities who have mental health problems has become an issue of contemporary importance in the provision of health services to this section of the population. This paper will argue that learning disability nursing has a central role to play in the promotion of mental health for this client group (Department of Health 1995a). However, learning disability nursing presently operates without a clear model of mental health. Therefore, before this potential can be realized there is a need to establish the common ground between the discourses of learning disability nursing and those of psychiatric nursing which might be related to this client group. This paper begins by identifying the background issues relating to the problems of meeting the mental health needs of people with learning disabilities. It then proposes that an applied behavioural approach has the potential to provide a coherent theory that can link the discourses of normalization, developmental psychiatry and mental health nursing, whilst also establishing the applied behavioural approach as a powerful technology upon which meaningful interventions can be designed.

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“…Various investigators have shown that behavioural and psychiatric disorders have a far higher prevalence in mentally retarded people than in the nonretarded population. Reported prevalences have varied irom 20 to 64% the cases studied (Rutter et al 1970;Corbett 1979;Reid 1980;Eaton & Menolascino 1982;Szymanski 1977;Ineichen 1984;Gillberg et al 1986). It seems likely that prevalence of disorders increases in inverse proportion to intellectual level (Gillberg et al 1986).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of psychiatric and behavioural disorders in mentally retarded individuals: the state of the art

Došen¹

1993

J intellect Disabil Res

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It is now well known that a higher proportion of people with mental retardation show behavioural and psychiatric disorders compared to their non‐mentally retarded counterparts. However, the exact relationship between psychiatric illness and behavioural disorder in this population is far from clear. There are problems of using the standard diagnostic and classification categories in this population, particularly in those who are severely and profoundly mentally retarded. Recently, there have been many novel approaches to this diagnostic dilemma, including ‘developmental approach’ and ‘psychodynamic approach’. In the Netherlands, the so‐called ‘developmentaldynamic’ approach has been used in the diagnosis and treatment of behavioural and psychiatric disorders in the mentally retarded. There have also been many treatment approaches, including drug therapy, behavioural treatment, psychotherapy, cognitive and social learning. Also the Dutch, Swiss and German traditions have extensive experience in the directive pedagogical treatment of the mentally retarded.

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Prevalence of Mental Illness among Mentally Handicapped People: Discussion Paper

Cited by 9 publications

References 22 publications

Mental Health Disorders among Individuals with Mental Retardation: Challenges to Accurate Prevalence Estimates

Mental Health Disorders among Individuals with Mental Retardation: Challenges to Accurate Prevalence Estimates

People with learning disabilities who also have mental health problems: practice issues and directions for learning disability nursing

Diagnosis and treatment of psychiatric and behavioural disorders in mentally retarded individuals: the state of the art

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