This article explores the authors’ experiences of supporting the mental health of children and young people with learning disabilities during the coronavirus disease 2019 (COVID-19) pandemic. The article discusses the prevalence of and risk factors for the development of mental health issues in this group. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Anne Longfield, the Children’s Commissioner for England, is today publishing a new report, ‘Far less than they deserve: Children with learning disabilities or autism living in mental health hospitals’. The report shows how too many children are being admitted to secure hospitals unnecessarily – in some cases are spending months and years of their childhood in institutions when they should be in their community. It warns that the current system of support for those with learning disabilities or autism is letting down some of the most vulnerable children in the country.
The Care Quality Commission (CQC) is calling for an independent review of every person who is being held in segregation in mental health wards for children and young people and wards for people with a learning disability or autism. These reviews should examine the quality of care, the safeguards to protect the person and the plans for discharge.
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We have worked with NHS England on a programme to ensure children and young people with a learning disability, autism or both are able to access appropriate medication, and are not prescribed inappropriate psychotropic medication. Find out more and read our full pledge.
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Individuals with intellectual disabilities (ID) are at increased risk for depression and anxiety disorders; however, there is a paucity of research that pertains to associative factors for these mental health disorders in this population. The objective of this investigation was to determine factors associated with depression and anxiety problems in children with ID.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
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Research on the self‐concept of youth with intellectual disabilities has not been summarized in more than four decades. The present systematic review addresses this gap.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Editorial. One in seven children with an impairing mental health disorder has intellectual disability (ID). Despite the ubiquity of ID, many clinicians are less confident in the assessment and management of mental disorders in youth with ID. Key to determining how to modify these is a good understanding of the child's developmental/cognitive strengths and weaknesses. There is very limited evidence for mental health interventions specific to children with ID. In this context, NICE guidelines generally recommend the same interventions identified for typically developing children. However, psychological interventions should be adapted for developmental level and communication ability. Medication should be selected carefully taking account of co‐existing conditions, drug interactions and the greater sensitivity to adverse effects in this population. Assessment and intervention should always take account of the child's wider context, including education. There is little evidence regarding the best service models in relation to efficacy and efficiency, but the high prevalence of ID amongst youth with mental health problems suggests that all mental health professionals should have competence in working with youth with milder levels of ID.. To read the full article, log in using your MPFT NHS OpenAthens details.
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Transition from child-centred to adult-oriented health services occurs at a time when young people are going through adolescence, with all the excitement and uncertainty that accompanies it. Most elements of good transitional care for young people with disabilities are the same as those for all young people with long term conditions.
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Implications for practice and research
Younger people with intellectual disability experience much poorer health and an increased risk of a mental health condition during transition to adulthood than those in the general population. This underscores their need for comprehensive healthcare and proactive mental illness detection and treatment during transition.
Longitudinal studies of health-related outcomes are needed for younger people with intellectual disabilities. Future research could explore the impact of preventative strategies such as targeted mental health initiatives on the emergence of mental health conditions in younger people with intellectual disability during transition.
To read the full article, log in using your NHS OpenAthens details.
This document provides guidance for Transforming Care Partnerships (and their local partners Clinical Commissioning Groups / Local Authorities) in commissioning support and services for children and young people with learning disability, autism or both.
Transition to adulthood may be a period of vulnerability for health for individuals with intellectual disabilities. No large-scale studies have compared the health of individuals with and without intellectual disabilities undergoing transition. The aims of this study were (1) to compare health during transition for individuals with and without intellectual disabilities across a whole country population and (2) to establish whether transition is associated with health in the population with intellectual disabilities. To read the full article, log in using your SSSFT NHS OpenAthens details.
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This study explored the effectiveness of eye movement desensitisation and reprocessing (EMDR) therapy for post-traumatic stress disorder (PTSD) in persons with mild to borderline intellectual disability (MBID) using a multiple baseline across subjects design. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai