Mental Health, Intellectual Disabilities and the Aging Process

by Davidson, Philip; Prasher, Vee; Janicki, Matthew

• ISBN13: 9781405101646
• ISBN10: 1405101644
• Edition: 1st
• Format: Paperback
• Copyright: 2003-06-27
• Publisher: Wiley-Blackwell

Summary

This book is the third in a series with the International Association for the Scientific Study of Intellectual Disabilities (Series Editor: Matthew P. Janicki). These publications are designed to address the issues of health, adult development and aging among persons with intellectual disabilities. For many years it has been recognized that some adults with intellectual disabilities are at elevated risk for mental and behavioral health problems. Often the aging process can complicate the identification, diagnosis, treatment and prevention of this type of dual diagnosis and present complex challenges to clinicians and carers. This book is designed as a practical resource for those involved with the support, care and treatment of persons with intellectual disabilities, and should prove particularly useful as this community achieves increased longevity. The book is divided into three parts: Prevalence and Characteristics; Diagnosis and Treatment; and Service System Issues.

Author Biography

Philip W. Davidson is Professor of Pediatrics and Psychiatry and Director of the Strong Center for Developmental Disabilities, University of Rochester School of Medicine and Dentistry, United States of America

Vee P. Prasher is Associate Professor – Neurodevelopmental Psychiatry within Birmingham Specialist Community Health NHS Trust (services for People with Learning Disabilities), United Kingdom

Matthew P. Janicki is Research Associate Professor, Department of Disability and Human Development, University of Illinois at Chicago, United States of America

Foreword written by Allen C. Crocker MD, Associate Professor of Pediatrics, Harvard Medical School, United States of America

Table of Contents

Contributors	vii
Series Foreword	xi
Foreword	xiii
Acknowledgements	xvi
Introduction	1	(6)
Goals of the book	2	(3)
Final thoughts	5	(2)
Part 1 Prevalence and Characteristics	7	(88)
Prevalence of Mental and Behavioral Disorders	9	(13)
John W. Jacobson
Issues affecting prevalence estimation	9	(3)
Prevalence of mental and behavior disorders	12	(6)
Future research needs	18	(1)
Summary	18	(1)
References	19	(3)
Psychopathology in Older Age	22	(16)
Janette Tyrrell
Philip Dodd
Prevalence of psychiatric disorder	22	(2)
Psychiatric assessment scales	24	(2)
Specific psychiatric disorders	26	(7)
Summary	33	(1)
References	34	(4)
Assessment of Behavioral and Psychiatric Disorders	38	(13)
Anthony J. Holland
Background	39	(1)
Diagnostic classification, labels and definitions	40	(2)
Psychiatric and psychological assessment models	42	(1)
The process of assessment	43	(2)
Diagnosis of specific psychiatric disorders	45	(2)
Summary	47	(1)
References	48	(3)
Depression in Aging Individuals with Intellectual Disabilities	51	(16)
Vee Prasher
Prevalence	51	(2)
Etiological factors	53	(2)
Clinical presentation	55	(1)
Assessment and diagnosis of depression	56	(3)
Treatment	59	(3)
Prognosis	62	(1)
Summary	62	(1)
References	63	(4)
Behavioral Manifestations of Medical Conditions	67	(14)
Stephen Sulkes
Laura Smith Emmick
Types of specific psychiatric and behavioral manifestations	68	(4)
Known behavioral associations with specific medical conditions	72	(3)
Summary	75	(1)
References	75	(6)
Emotional and Behavioral Disturbances in Adults with Down Syndrome	81	(14)
Paul Patti
John Tsiouris
Challenging and madadaptive behaviors	82	(1)
Common psychiatric signs and symptoms	83	(2)
Psychiatric diagnoses	85	(1)
Illustrative case examples	86	(3)
Summary	89	(1)
References	90	(5)
Part 2 Diagnosis and Treatment	95	(102)
Psychological Interventions and Psychotherapy	97	(23)
Germain Weber
Characteristics affecting psychotherapeutic interventions	98	(2)
Alternative approaches	100	(3)
A general model for psychotherapy in old age	103	(1)
Model adaptations for older people with ID	104	(2)
Considerations for psychological interventions	106	(3)
Interventions related to specific situations in old age	109	(3)
Supporting mental health	112	(2)
Summary	114	(1)
References	115	(5)
Aging-Related Behavioral Interventions	120	(12)
Peter Sturmey
General features and history of applied behavior analysis	121	(2)
Applications	123	(1)
ABA intervention with older adults	124	(3)
Summary	127	(1)
References	128	(4)
Psychotropic Medications	132	(18)
Nancy N. Cain
James Mead
Use of psychotropic medications in aging persons with dual diagnosis	132	(2)
Specific classes of psychotropic medications	134	(12)
Summary	146	(1)
References	147	(3)
Legal, Ethical and Due Process Issues	150	(16)
Celia B. Fisher
Christine D. Cea
Philip W. Davidson
Nancy N. Cain
Informed consent, proxy consent and right to refuse treatment	151	(5)
Drugs used for non-approved applications with adults with ID	156	(5)
Diagnostic-based pharmacological treatment	161	(1)
Summary	162	(1)
References	163	(3)
Coping with Bereavement: the Dynamics of Intervention	166	(13)
Sandra Dowling
Sheila Hollins
The historical and social context framing current discussion	166	(1)
How did this thinking impact on practice?	167	(2)
Issues of bereavement for older people with ID	169	(2)
Older people and their aging parents	171	(1)
Intervening before a death	172	(3)
Inclusion at bereavement	175	(1)
A current bereavement intervention study	175	(1)
Summary	176	(1)
References	176	(3)
Psychosocial Concerns Among Aging Family Carers	179	(18)
Philip McCallion
Stacey R. Kolomer
Demography of caring	179	(1)
Primary family carers	180	(1)
Family caring and psychosocial distress	181	(1)
Service system issues	181	(1)
Differences between mothers and fathers as carers	182	(1)
Stress and coping differences among carers	183	(1)
Carers from diverse cultures	184	(1)
Grandparent carers	185	(1)
Interventions	186	(5)
Summary	191	(1)
References	191	(6)
Part 3 Service System Issues	197	(46)
Community Mental Health and Support Services	199	(15)
Nick Bouras
Geraldine Holt
Policy and planning	199	(2)
Service models	201	(2)
Distinguishing between challenging behaviors and mental health problems or psychiatric disorders	203	(1)
Developing a continuum of generic and specialist mental health services	204	(1)
Provision of adequate assessment and treatment	205	(1)
Provision of essential supports and services	206	(2)
A conceptual framework of services	208	(1)
Summary	209	(1)
References	210	(4)
Community Education and Prevention Strategies	214	(9)
Lynda L. Geller
John C. Pomeroy
Training model	216	(4)
Prevention strategies	220	(1)
Summary	221	(1)
References	222	(1)
Nurse Roles in Supporting Aging Persons with Mental Health Problems	223	(15)
Mary McCarron
Colin Griffiths
Contrasts and challenges in aging persons with ID	224	(1)
General approaches	225	(2)
Nursing roles in assessment and intervention	227	(2)
Interventions	229	(6)
Summary	235	(1)
References	236	(2)
Future Directions and Challenges	238	(5)
Philip W. Davidson
Vee Prasher
Matthew P. Janicki
References	242	(1)
Index	243