Difficulties in Addressing Diagnostic, Treatment and Support Needs in Individuals with Intellectual Disability and Persistent Challenging Behaviours
A Descriptive File Study of Referrals to an Expertise Centre
Bibliographic Data
| ID | 15501646 |
|---|---|
| Authors | Gerda de Kuijper (0000-0001-5315-2110, University Medical Center Groningen, corresponding author), Tryntsje Fokkema (0000-0002-3767-2770, GGZ Drenthe), M E R G N Jansen (0009-0008-2829-3139), Pieter J Hoekstra (0000-0003-1018-9954, University Medical Center Groningen), Annelies de Bildt (0000-0002-4196-2404, University Medical Center Groningen) |
| Year | 2023 |
| Volume | 20 |
| Issue | 14 |
| Pages | 6365-6365 |
| Publication date | 2023-07-14 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20146365 |
| PMID | 37510597 |
| OpenAlex | W4384616327 |
| Language | EN |
| References cited | 3 |
Service providers may experience difficulties in providing appropriate care to optimize the functioning of individuals with intellectual disability and challenging behaviour. External consultation to identify and address the unmet support needs underlying the behaviour may be beneficial. Applying the multidimensional American Association Intellectual and Developmental Disabilities (AAIDD) model may facilitate this approach. We aimed to describe the content and outcomes of consultation for individuals with intellectual disability and challenging behaviour referred to the Dutch Centre for Consultation and Expertise in relation to the AAIDD model. Interventions were based on the clients' diagnostic, treatment, and support needs and were categorized according to the five dimensions of the AAIDD model. Outcomes of the consultations were assessed based on reports in the file and rated as 'clear improvement', 'improvement' or 'no improvement or deterioration'. In two-thirds of the 104 studied files, consultees were satisfied with the improvement in functioning. Interventions targeted the difficulties of the service providers in supporting their clients and were most often applied within the Health and Context dimensions of the AAIDD model. We may conclude that consultation of an expert team may be valuable to support the care providers, and the use of the AAIDD model may be helpful to address the unmet needs to improve the functioning of individuals with challenging behaviour
Borderline intellectual functioning · Challenging behaviour · Cognition · Context (archaeology · Intellectual disability · Psychiatry · Psychological intervention · Service (business · Service provider · Autism Spectrum Disorder Research · Clinical Psychology · Down syndrome and intellectual disability research · Family and Disability Support Research · Medicine · Nursing · Psychology
| Citation velocity | historical |
|---|---|
| Highly cited | No |