Patterns between psychiatric disorders and challenging behaviours in people with learning disabilities explored

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This study set out to look at associations between psychiatric disorders in people with learning disabilities and challenging behaviours. The study used a large sample and controlled for sex, age, autism and degree of learning disability. The researchers used data from 47% of all people with learning disabilities who were known to and receiving services [read the full story…]

Closer liaison will improve appropriateness of referrals to community mental health in learning disability team

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The estimates of prevalence of mental illness in people with a learning disability varies across studies. The authors of this study suggest that up to 50 % may develop significant psychiatric problems at some point in their lives. The researchers set out to look at ways in which community services for people with learning disabilities [read the full story…]

Common behavioural and psychiatric problems in Prader-Willi syndrome identified in review

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This review of existing research looked at behavioural and psychiatric problems in people with Prader-Willi syndrome, a complex genetic disorder. The review found hyperphagia (compulsively overeating over a long period) compulsions/repetitive behaviour, self-injury (especially skin-picking), and aggressive behaviours to be common in people with Prader–Willi syndrome. The most frequently found psychiatric disorders were psychotic, affective, [read the full story…]

Mental disorder in children and adolescents with learning disabilities between 30 and 50%

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The extent to which mental disorder and learning disability co-occur varies substantially between studies. This review set out to identify studies in children and/or adolescents with acceptably rigorous methods and to ascertain key risk factors. The review found nine studies with acceptable methods, 4 which compared prevalence of mental disorder in populations of those with [read the full story…]

Case study identifies need for better evidence base for alternative strategies in treatment resistant psychosis

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People with learning disabilities with schizophrenia and related psychoses have been found to be more likely to be treatment resistant than those without learning disabilities. This paper describes a case study which highlights many of the issues faced when carrying out assessments and developing management plans for such individuals. The authors point out that Clozapine, [read the full story…]

Audit finds symptom rating checklist in clinical practice helps people with learning disabilities and psychosis

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This audit of clinical practice in a mental health service for people with learning disabilities looked at the current approach to people with learning disabilities and psychotic disorders. The researchers looked at clinical practice with 910 people who were patients of the learning disability psychiatrists in Buckinghamshire. The current approach to clinical practice in the [read the full story…]

Collaborative approaches ensure mental health projects based on needs

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This paper describes the need for transparent and honest relationships with stakeholders in the process of reproviding a service. It highlights the role of audit and monitoring quality to determine the ‘health’ and effectiveness of services. Having a collaborative approach to addressing problems means that involvement is impolitic so stakeholders can offer feedback based on [read the full story…]

Review finds no consistent definition of trauma and no reliable means of measuring its effects in people with learning disabilities.

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This systematic review looks at the literature on the effects of adverse life events or trauma on people with intellectual disabilities. The authors point out that there is a limited number of studies in this area and that effects of trauma seen in the general population literature are not necessarily transferable to the intellectual disability [read the full story…]

What are the experiences of people with learning disabilities who are psychiatric in-patients in out of area placements?

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People with learning disabilities and complex mental health problems are often most at risk of being placed in services a long way from their homes, their families and any natural support systems they may have built up. This study interviewed 17 service users directly affected in this way: they had all been placed away from [read the full story…]