The validity of two diagnostic systems for personality disorder in people with intellectual disabilities: a short report

Lindsay, William R.; Logten, Anne van; Didden, Robert; Steptoe, Lesley; Taylor, John L.; Hogue, Todd

doi:10.1108/jidob-04-2015-0004

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…The proportion who meet the criteria for PD may therefore be higher than our sample would suggest. It has been previously recognised that PD diagnosis in patients with LD is problematic due to a number of factors: a dearth of reliable instruments for diagnosis, the use of different criteria for diagnosis, overlap of features making it difficult to distinguish whether impairments are because of PD or LD, cognitive impairment reducing the ability of patients to describe some symptoms of PD (Eaton and Menolascino, 1982) and concerns by clinicians that PD is a pejorative diagnosis that does not confer any extra benefit to the patient beyond their existing LD diagnosis (Lindsay et al, 2017)). These factors may contribute to the seemingly low rate in our study.…”

Section: Discussionmentioning

confidence: 99%

Learning disability, autism and the Criminal Procedure (Scotland) Act

Williams¹,

Warwick²,

McKay³

et al. 2020

AMHID

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Purpose This paper aims to investigate the use of Part VI of the Criminal Procedure (Scotland) Act 1995 (CPSA) for people with Learning Disability (LD) and/or Autism. This is in the context of a recent review commissioned by the Scottish Government into whether the provisions in the Mental Health (Care and Treatment) (Scotland) Act 2003 (MHA) meet the needs of these groups which would also affect associated legislation such as CPSA. Design/methodology/approach All CPSA orders active on the 3 January 2018 were identified and analysed for a number of variables including diagnoses, detention length, level of hospital security and medication use. Findings Of the 580 people on CPSA orders, 69 (11.9%) had LD and 27 (4.7%) had possible/definite Autism. Most people with LD (56.5%) did not have a mental illness or personality disorder. Most (81.2%) had mild LD. There were two patients whose only diagnosis was Autism. Mean duration of detention was longer for those with LD than for those without. Most patients with LD alone were prescribed medication (61.5%) and, if in hospital, were managed in low secure units (59%). Originality/value The results indicate that people with LD or Autism are differently affected by the application of the CPSA from other people with mental disorders, and that this is potentially discriminatory, if it is not objectively justified . It supports the stance from the recent review that to reduce the potential for discrimination, substantial changes to MHA and CPSA should be considered in the wider review of the MHA in Scotland.

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Section: Discussionmentioning

confidence: 99%