Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Assessment and diagnosis
- 1 Diagnosis of mental disorders in people with intellectual disabilities
- 2 Mental health assessment and monitoring tools for people with intellectual disabilities
- 3 Inter-disciplinary multi-modal assessment for mental health problems in people with intellectual disabilities
- 4 The relationship between challenging behaviours and psychiatric disorders in people with severe intellectual disabilities
- 5 The interface between medical and psychiatric disorders in people with intellectual disabilities
- Part II Psychopathology and special topics
- Part III Treatment and therapeutic interventions
- Part IV Policy and service systems
- Index
- References
5 - The interface between medical and psychiatric disorders in people with intellectual disabilities
from Part I - Assessment and diagnosis
Published online by Cambridge University Press: 15 December 2009
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Assessment and diagnosis
- 1 Diagnosis of mental disorders in people with intellectual disabilities
- 2 Mental health assessment and monitoring tools for people with intellectual disabilities
- 3 Inter-disciplinary multi-modal assessment for mental health problems in people with intellectual disabilities
- 4 The relationship between challenging behaviours and psychiatric disorders in people with severe intellectual disabilities
- 5 The interface between medical and psychiatric disorders in people with intellectual disabilities
- Part II Psychopathology and special topics
- Part III Treatment and therapeutic interventions
- Part IV Policy and service systems
- Index
- References
Summary
Introduction
This chapter will discuss the interface between medical and psychiatric disorders in people with intellectual disabilities (ID). The Oxford Modern Australian Dictionary, 1998, defines interface as ‘a place where interaction occurs between two processes’. To fully understand this interaction we will need a broad framework that accounts for the underlying influences on the clinical presentation of medical and psychiatric conditions. A proposed framework, which can assist in understanding the individual and the nature of the influences on health, will be presented and discussed. Then the evidence for the poor health status of people with ID will be presented along with reasons why this situation may currently exist. The high levels of morbidity and psychosocial neglect experienced by this population highlight the importance of this interface. Finally, commonly encountered conditions, and an approach to their clinical features, are discussed.
Conceptual framework
A conceptual framework is helpful in describing the complex interaction between psychiatric and physical disorders. This framework may also be useful for the broader conceptualization of the constructs and also during the consultative process.
The framework in Table 5.1, adapted from Professor Tony Holland's model (personal communication), and extended to incorporate more recent findings and trends, is a simple four-by-four table. According to this model, each dimension along the x-axis, from biological to spiritual, can contribute to our understanding of an individual's current presentation. These dimensions can have varying degrees of influence on the person's health and well-being.
- Type
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- Information
- Publisher: Cambridge University PressPrint publication year: 2007
References
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