Skip to main content Accessibility help
×
Home

Mental health services for adults with learning disabilities

  • Nick Bouras (a1) and Geraldine Holt (a1)

Extract

Services for people with learning disabilities have been transformed since the late 1960s by the move from institutional to community care. (Learning disabilities is the term currently used in the UK in preference to mental retardation, developmental disabilities and mental handicap.) Important changes include the progress towards integration, participation, inclusion and choice for people with learning disabilities, which have occurred in the context of the broader civil and human rights movements. It is time to examine the services delivered to people with learning disabilities and comorbid psychiatric disorders (mental illness, personality disorders, behavioural problems with aggression) and the evidence for their effectiveness.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Mental health services for adults with learning disabilities
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Mental health services for adults with learning disabilities
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Mental health services for adults with learning disabilities
      Available formats
      ×

Copyright

Corresponding author

Professor N. Bouras, Estia Centre, York Clinic, Guy's Hospital, 47 Weston Street, London SEI 3RR, UK

References

Hide All
Bouras, N. & Jacobson, J. (2002) Mental health care for people with mental retardation: a global perspective. World Psychiatry, 1, 162165.
Campbell, M., Fitzpatrick, R., Haines, A., et al (2000) Frame work for design and evaluation of complex interventions to improve health. BMJ, 321, 694696.
Chaplin, R. (2004) General psychiatric services for adults with intellectual disability and mental illness: a review. Journal of Intellectual Disability Research, 48, 18.
Coelho, R. J., Kelley, P. S. & Deatsman-Kelly, C. (1993) An experimental investigation of an innovative community treatment model for persons with dual diagnosis (DD/MI). Journal of Rehabilitation, 54, 3742.
Day, K. (1988) Services for psychiatrically disordered mentally handicapped adults. Australia and New Zealand Journal of Developmental Disabilities, 14, 1925.
Deb, S., Thomas, M. & Bright, C. (2001) Mental disorder in adults with intellectual disability: prevalence of functional psychiatric illness among a community-based population aged between 16 and 64 years. Journal of Intellectual Disability Research, 45, 495505.
Department of Health (2001a) From Words into Action: London Learning Disabilities Strategic Framework. London: Stationery Office.
Department of Health (2001b) Valuing People: A New Strategy for Learning Disability for the 21st Century. London: Stationery Office.
Fraser, W. (2000) An Age of Enlightenment. In The New Oxford Textbook of Psychiatry (eds Gelder, M. G., Lopez-Ibor, J. J. & Andreasen, C.), pp. 19311934. Oxford: Oxford University Press.
Hassiotis, A., Barron, P. & O'Hara, J. (2000) Mental health services for people with learning disabilities. BMJ, 321, 583584.
Moss, S., Bouras, N. & Holt, G. (2000) Mental health services for people with intellectual disability: a conceptual framework. Journal of Intellectual Disability Research, 44, 97107.
Oliver, P. C., Piachaud, J., Done, J., et al (2002) Difficulties in conducting a randomised controlled trial of health service interventions in intellectual disability: implications for evidence-based practice. Journal of Intellectual Disability Research, 46, 340355.
Royal College of Psychiatrists (2003) Meeting the Mental Health Needs of Adults with a Mild Learning Disability (Council Report CRI15). London: Royal College of Psychiatrists.
Tyrer, P., Hassiotis, A., Ukoumunne, O., et al (1999) Intensive case management for psychotic patients with borderline intelligence: UK700 Group. Lancet, 354, 9991000.
US Public Health Service (2002) Closing the Gap: A National Blueprint for Improving the Health of Individuals with Mental Retardation. Report of the Surgeon General's Conference on Health Disparities and Mental Retardation. Washington, DC: US Department of Health and Human Services.
Van Minnen, A., Hoogduin, C. A. L. & Broekman, T. G. (1997) Hospital vs. outreach treatment of patients with mental retardation and psychiatric disorders: a controlled study. Acta Psychiatrica Scandinavica, 95, 515522.
Wolf, N. (2000) Using randomised controlled trials to evaluate socially complex services: problems, challenges and recommendations. Journal of Mental Health Policy and Economics, 3, 97109.

Mental health services for adults with learning disabilities

  • Nick Bouras (a1) and Geraldine Holt (a1)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Mental health services for adults with learning disabilities

  • Nick Bouras (a1) and Geraldine Holt (a1)
Submit a response

eLetters

We encountered an error trying to retrieve eLetters for this article. Please try again or contact Customer Services

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *