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An intensive personalised support approach to treating individuals with psychosis and co-morbid mild intellectual disability

Published online by Cambridge University Press:  13 May 2016

M. Raftery ,
K. Burke ,
N. Murray ,
O. O’Duinn ,
I. Murray  and
B. Hallahan
M. Raftery*
Affiliation:
Galway Roscommon Mental Health Services, Roscommon Primary Care Centre, Roscommon, Ireland Brothers of Charity Services Roscommon, Roscommon, Ireland
K. Burke
Affiliation:
Department of Psychology, Health Service Executive West, Mental Health Services, Claremorris, Co. Mayo, Ireland
N. Murray
Affiliation:
Brothers of Charity Services Roscommon, Roscommon, Ireland
O. O’Duinn
Affiliation:
Galway Roscommon Mental Health Services, Roscommon Primary Care Centre, Roscommon, Ireland
I. Murray
Affiliation:
Galway Roscommon Mental Health Services, Roscommon Primary Care Centre, Roscommon, Ireland
B. Hallahan
Affiliation:
Galway Roscommon Mental Health Services, Roscommon Primary Care Centre, Roscommon, Ireland Department of Psychiatry, National University of Ireland Galway, Galway, Ireland
*
*Address for correspondence: M. Raftery, BA, MSc, Psychology Department, Galway Roscommon Mental Health Services, Roscommon Primary Care Centre, Roscommon, Ireland. (Email: martina.raftery@gmail.com)
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Abstract

Objectives

To evaluate the clinical benefits and associated cost effectiveness of an intensive personalised support (IPS) approach for clients suffering from psychosis and co-morbid mild intellectual disability (ID).

Method

Four individuals with a psychotic disorder and co-morbid mild ID participated in an 18-month IPS rehabilitative intervention. Biopsychosocial measures were used to evaluate clinical effectiveness. A cost analysis was undertaken to examine the cost effectiveness of the intervention.

Results

Reductions in psychopathology including anxiety symptoms were noted in all individuals. In addition, increased functioning and quality of life were demonstrated in all cases. Overall cost reductions were noted in inpatient care, accommodation and legal/emergency expenses.

Conclusion

The IPS approach was clinically effective particularly in addressing individual’s psychosocial needs, psychological functioning, daily living skills and overall quality of life. Costs had decreased for three of the four individuals, ranging from a 17% to 46% savings. The findings highlight that the intervention was cost effective in most cases at this early stage. However, further research is necessary in order to ascertain if cost savings occur over time.

Keywords

Co-morbidintensive personalised supportmild intellectual disabilitypsychosis
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 34 , Issue 2 , June 2017 , pp. 99 - 109
Copyright
© College of Psychiatrists of Ireland 2016 

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