Chapter 8. Mental Health Problems and People with Profound Intellectual and Multiple Disabilities

  1. Jillian Pawlyn BA (Hons), PGCE, RNLD Specialist Practitioner Lecturer1,2 and
  2. Steven Carnaby BSc. (Hons), MSc., Ph.D., D. Clin. Psy., C. Psychol., ILTM Consultant Lead Clinical Psychologist3
  1. Steven Carnaby BSc. (Hons), MSc., Ph.D., D. Clin. Psy., C. Psychol., ILTM Consultant Lead Clinical Psychologist

Published Online: 17 FEB 2009

DOI: 10.1002/9781444301526.ch8

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

How to Cite

Carnaby, S. (2008) Mental Health Problems and People with Profound Intellectual and Multiple Disabilities, in Profound Intellectual and Multiple Disabilities: Nursing Complex Needs (eds J. Pawlyn and S. Carnaby), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444301526.ch8

Editor Information

  1. 1

    Community Learning Disabilities Nursing, ENB 978, UK

  2. 2

    Ridgeway Partnership NHS Trust, Slade, House, Horspath Driftway, Headington, Oxford OX3 7JH, UK

  3. 3

    Westminster Learning Disability Partnership, 215 Lisson Grove, London, NW8 8LW, UK

Author Information

  1. Westminster Learning Disability Partnership, 215 Lisson Grove, London, NW8 8LW, UK

Publication History

  1. Published Online: 17 FEB 2009
  2. Published Print: 5 DEC 2008

ISBN Information

Print ISBN: 9781405151702

Online ISBN: 9781444301526

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Keywords:

  • intellectual disabilities and mental health problems, referred to as ‘dual diagnosis’;
  • mental health and mental health problems;
  • emerging ‘mental health in intellectual disabilities’ paradigm;
  • psychiatric disorder in people with intellectual disabilities;
  • risk factors for people with profound intellectual disabilities;
  • intellectual disabilities facing risk of ‘diagnostic overshadowing’;
  • psychosis in people with intellectual disabilities;
  • anxiety in people with intellectual disabilities

Summary

This chapter contains sections titled:

  • Introduction

  • Learning objectives

  • Mental health and mental health problems

  • Emerging ‘mental health in intellectual disabilities’ paradigm

  • Prevalence of mental health problems in people with an intellectual disability

  • Prevalence of mental health problems in people with severe and profound intellectual disabilities

  • Risk factors

  • Risk factors for people with profound intellectual disabilities

  • Diagnostic overshadowing

  • Presentation of mental illness in people with intellectual disabilities

  • Presentation of psychosis in people with intellectual disabilities

  • Presentation of depression in people with intellectual disabilities

  • Presentation of anxiety in people with intellectual disabilities

  • Eating disorders

  • Personality disorders

  • Challenging behaviour and psychiatric disorder

  • Assessment issues

  • Using a developmental perspective in assessment and diagnosis

  • Assessment tools

  • Formulation

  • Intervention

  • Services and support for people with intellectual disabilities and psychiatric disorder

  • Service provision

  • Training and knowledge of practitioners

  • Conclusion

  • References