This case report concerns a woman with intellectual disability, schizoaffective disorder, and avoidance and refusal of having her blood drawn. She required but refused blood draws to properly monitor the therapeutic dose of a necessary psychotropic medication. During intervention at a community-based habilitation setting and under simulated…

Family impact (or family burden) is a concept born in the field of mental health that has successfully been exported to the ambit of intellectual disability (ID). However, differences in family impact associated with severe mental health disorders (schizophrenia), to ID or to mental health problems in ID should be expected. Seventy-two adults with…

Background: Knowledge of discourse abilities of adults with intellectual disability (ID) and mental illness is limited. The present study examined the procedural discourse skills of two cohorts of adults with ID--one cohort with (n = 7) and one cohort without (n = 7) a psychiatric diagnosis of psychosis. Methods: Participants completed the "dice…

There is very limited evidence on the patterns of recreational substance use among adults with Intellectual Disabilities (ID) who have co-morbid mental health problems. In this study we collected clinical and socio-demographic information as well as data on substance use patterns for consecutive new referrals (N = 115) to specialist mental health…

Background: This paper examines the experiences of people with intellectual disabilities, in secure care, with a diagnosis of schizophrenia. The paper specifically looks at the perceptions of the participants in relation to their diagnosis and experience of psychosis. Method: Eleven adults with intellectual disabilities in a medium secure unit…

The objective of this study was to explore whether people with intellectual disability from ethnic minority groups have higher rates of mental health problems and access different care pathways than their White counterparts. Clinical and socio-demographic data were collected for 806 consecutive new referrals to a specialist mental health service…

The present study examined rates of co-morbid psychopathology and clinical management/care pathways in adult females (N = 50) and males (N = 100) with autism spectrum disorders (ASD) and intellectual disability (ID) living in community settings. We also compared a sub-sample (N = 60) with ASD to an age-, gender- and ID-matched control group (N =…

Background: UK policies aim to facilitate access to general psychiatric services for adults with intellectual disability (ID). If this is to be achieved, it is important to have a clear idea of the characteristics and proportion of people with ID who currently access specialist psychiatric services and the nature and extent of psychiatric…

Researchers have paid increasing attention to mental health issues in adults with autism spectrum disorders (ASDs) over the last decades. However, little is known about how rates of clinical referrals, types of mental health diagnoses and treatment in adults with ASDs and intellectual disability have changed. We examined patterns of change in…

Background: Tuberous sclerosis (TS) is a multi- system disorder with complex genetics. The neurodevelopmental manifestations of TS are responsible for considerable morbidity. The prevalence of epilepsy and intellectual disabilities among individuals with TS have been well described. Ours is the first study that explores the prevalence and pattern…

Three experiments were conducted in an investigation of information-processing capabilities of mentally retarded adults, nonretarded children (mental age control), and nonretarded adults (chronological age control). Findings support the theory of a structural defect in mentally retarded persons that results in slow information processing.…

An adult chronic schizophrenic, residual type, with an additional diagnosis of mild-moderate retardation, received social skills training (SST). Videotaped role-play assessments showed change occurred following SST, while a multiple-baseline design demonstrated functional control over the behaviors. (Author/CL)

Distributions of psychiatric classifications among 42,479 persons with mental retardation were reviewed to determine relative rates of disorders for persons with both mental retardation and mental disorder. Analyses indicated that rates of reported schizophrenic and psychotic disorders were generally higher than expected relative to rates of other…

Research was conducted to teach two adults with schizophrenia and mental retardation to respond to recorded audio prompts when completing routine prevocational tasks. Subsequent improvements in the individuals' task completion performance suggest that audio prompts may serve as an efficient alternative to instructor assistance. (Author/GCP)

The validity of the schizophrenia subscale of the Psychopathology Instrument for Mentally Retarded Adults (PIMRA) was evaluated with 65 adults having mild to moderate mental retardation as well as either schizophrenia, depression, or no psychopathology. Univariate and multivariate analyses were conducted, as were interrater reliability analyses.…