scholarly journals Psychiatric Services for Mentally Handicapped Adults and Young People

1986 ◽  
Vol 10 (11) ◽  
pp. 321-322 ◽  
Keyword(s):  
Psychiatric Disorder ◽  
High Frequency ◽  
Psychiatric Symptoms ◽  
Psychiatric Morbidity ◽  
Psychiatric Services ◽  
Common Complication ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Epidemiological Surveys ◽  
Handicapped People

Psychiatric disorder is a common complication of mental handicap. Whilst there are few detailed studies of psychiatric morbidity in mentally handicapped people, recent epidemiological surveys indicate that approximately 50% of mentally handicapped people in hospital and in contact with services in the community have suffered from psychiatric symptoms or behavioural problems sufficient to require specialist advice. All forms of psychiatric disorder are seen although the pattern differs somewhat from that in the general population and there is a high frequency of behaviour disorders.

scholarly journals Generic services for people with a mental handicap

1992 ◽  
Vol 16 (4) ◽  
pp. 212-213 ◽  
Author(s):  
Mary E. Nolan ◽  
G. Radakrishnan ◽  
John Lewis
Keyword(s):  
Mental Illness ◽  
Special Needs ◽  
Royal College ◽  
Behavioural Disorders ◽  
Mentally Handicapped ◽  
Policy Documents ◽  
Mental Handicap ◽  
Department Of Health ◽  
Comprehensive Service ◽  
Handicapped People

There has been much discussion on the most suitable services for mentally handicapped people with special needs such as additional mental illness or marked behavioural disorders. A number of policy documents have advocated the use of generic services as a matter of course, such as the All Wales Strategy (1983), while others have acknowledged a possible need for specialist input when such services are used e.g. Needs and Responses (Department of Health, 1989). In 1986 the Royal College of Psychiatrists stated that the psychiatric needs of this group required a specialised service and suggested that ideally this would be integrated with other psychiatric specialities as part of a comprehensive service.

5. Psychiatric morbidity in general practice

1991 ◽  
Vol 19 ◽  
pp. 41-45 ◽  
Author(s):  
C. Bellantuono ◽  
P. Williams ◽  
M. Tansella
Keyword(s):  
General Practice ◽  
Emotional Disorders ◽  
Psychiatric Symptoms ◽  
Psychiatric Morbidity ◽  
Great Majority ◽  
Psychiatric Services ◽  
Level 3 ◽  
Level 1 ◽  
Pass Through ◽  
Level 2

It is well known that the great majority of patients presenting psychiatric symptoms are treated by GPs rather than by specialist psychiatric personnel (Shepherd et al. 1966). Goldberg & Huxley (1980) have proposed a model to describe psychiatric disorders and their care, consisting of five levels and four filters. Level 1 refers to psychiatric and emotional disorders in the community as a whole, and filter 1 represents the decision to, and act of, consulting a GP. Level 2 consists of all psychiatric morbidity that presents to GPs, although a proportion is not recognized as such (the hidden psychiatric morbidity – HPM). Filter 2 is thus the process of identification, and level 3 refers to the morbidity so identified (the conspicuous psychiatric morbidity – CPM). Filter 3 is the process of referral to the specialist psychiatric services, the patients of which are designated as level 4. A proportion of patients at this level will be admitted to hospital (i.e. will pass through filter 4) and reach level 5 (psychiatric in-patients).

Forensic Aspects of Mental Handicap

1989 ◽  
Vol 155 (05) ◽  
pp. 591-594 ◽  
Author(s):  
Jeremy Turk
Keyword(s):  
Psychological Distress ◽  
Psychiatric Disorder ◽  
Mentally Handicapped ◽  
Mental Handicap

Areas of need exist where people with a mental handicap experience problems greater than, or differing from, the rest of the population. For example, there is a greater than average incidence of psychiatric disorder in mentally handicapped adults (Heaton-Ward, 1977) and children (Rutter et al, 1970; Gath & Gumley, 1986). Also, their families experience greater psychological distress and require support in their own right (Dupont, 1986; Shulman, 1988).

Postpartum Psychiatric Disorder: Who Should be Admitted and to Which Hospital?

1996 ◽  
Vol 30 (6) ◽  
pp. 709-714 ◽  
Author(s):  
Bryanne Barnett ◽  
Mary Morgan
Keyword(s):  
Adverse Effects ◽  
Psychiatric Disorder ◽  
Postnatal Depression ◽  
Psychiatric Morbidity ◽  
Secondary Level ◽  
Research Data ◽  
Psychiatric Services ◽  
Cost Efficient

Objective: To review the question of whether an infant should be admitted to psychiatric services when a severe psychiatric disorder necessitates admission of the mother. Method: All available literature on mother-infant joint admission was reviewed and arguments for and against are summarised. Results: Early reports favoured joint admission, then opinions changed, possibly for economic reasons. Recent thinking encompasses research data on (i) longer-term adverse effects of postnatal depression on the children, and (ii) the finding of psychological and psychiatric morbidity in many of the fathers. Joint admission to designated special units is valuable, but such facilities are only cost-efficient and effective if established as part of an appropriate broader plan for managing postpartum psychiatric disorder. Conclusions: (1) Further research is needed to answer this question definitively. (2) Services at primary and secondary level require expansion. (3) All services should target the whole family.

Psychopathology of People with Mental Handicap and Epilepsy II: Psychiatric Illness

1991 ◽  
Vol 159 (6) ◽  
pp. 826-830 ◽  
Author(s):  
S. Deb ◽  
David Hunter
Keyword(s):  
Communication Skills ◽  
Psychiatric Diagnosis ◽  
Psychiatric Illness ◽  
Initial Screening ◽  
Mentally Handicapped ◽  
Interview Schedule ◽  
Good Communication ◽  
Matched Group ◽  
Mental Handicap ◽  
Handicapped People

The prevalence of psychiatric illness was studied in 150 epileptic mentally handicapped people (both hospital in-patients and living in the community) and a matched group of 150 non-epileptic controls. The Profile of Abilities and Adjustment (PAA) scale was used for the initial screening of psychiatric illness. Mildly to moderately handicapped individuals who had good communication skills and scored positively on the PAA schedule for psychiatric illness were interviewed using the PSE interview schedule. Severely mentally handicapped individuals who scored positively on the PAA's psychiatric illness subscale were observed and information was gathered from their medical notes and carers. A psychiatric diagnosis was made using DSM–III–R criteria. The non-epileptic group showed significantly more psychiatric illness than the epileptic group. Psychiatric illness was diagnosed in 25% of the cohort.

New Long-Stay Patients in a Hospital for Mental Handicap

1976 ◽  
Vol 128 (5) ◽  
pp. 467-470 ◽  
Author(s):  
Douglas A. Spencer
Keyword(s):  
Mental Retardation ◽  
Behaviour Problems ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Formidable Challenge ◽  
Handicapped People ◽  
Profound Mental Retardation

SummaryBetter Services for the Mentally Handicapped (1971) forecasts a diminution in the number of beds in hospitals for mental handicap. It can be achieved only by the admission of fewer new long-stay patients. This paper considers 50 new long-stay cases admitted to a hospital for mentally handicapped in the five years 1970 to 1974. Of these admissions 42 per cent were children, and of all the admissions 54 per cent had Wechsler intelligence quotients under 25. Further, 62 per cent of the admissions were for behaviour problems and 38 per cent were for physical infirmity and helplessness. It is concluded that there are some mentally handicapped people who have problems with which only a hospital can cope. The high nursing dependency and the profound mental retardation of a majority of the new long-stay patients present a formidable challenge.

Psychiatric disorder in an adult training centre and a hospital for the mentally handicapped

1977 ◽  
Vol 7 (3) ◽  
pp. 525-528 ◽  
Author(s):  
Brian R. Ballinger ◽  
Andrew H. Reid
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
Adult Patients ◽  
Mentally Handicapped ◽  
Psychiatric Disturbance ◽  
Psychiatric Interview ◽  
Training Centre ◽  
Adult Training ◽  
Mental Subnormality

SynopsisSeventy-five mentally handicapped adult individuals attending a training centre were compared with 75 adult patients in a mental subnormality hospital using a standardized psychiatric interview. Ten of the individuals at the training centre were rated in the pathological range for overall psychiatric disturbance compared with 23 patients in hospital. Details are presented for the various psychiatric symptoms.

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