This article presents the authors' response to the invited commentaries on their paper (Wallace and Beange, 2008). On the point of "specialism", the authors emphasise a fundamental premise of their argument: the proposed "specialist" hospital-based service is inherently enmeshed within generic services at the hospital level,…

Although the presence of intellectual disability (ID) per se is not usually regarded as a health problem, the biopsychosocial implications of cognitive impairment contribute to the vulnerability of adult patients with ID in any healthcare system. The adult patient with ID differs from a patient in the general population in terms of health…

The medical evaluation of 165 mentally retarded Australian adults found an average of 2.6 health problems, well above the number in the general population. In order of frequency, conditions found included obesity, ocular impairment, serious dental problems, and aural disorders. Active health promotion with this group is recommended. (DB)