Profiles of Patients With Intellectual Disability and Mental Illness in Specialized and Generic Units in an Ontario Psychiatric Hospital

REFERENCES

• Addington , D. , Addington , J. and Ens , I. 1993 . Mentally retarded patients on general hospital psychiatric units . Canadian Journal of Psychiatry , 38 : 134 – 136 .
   PubMed Web of Science ®Google Scholar
• Alexander , R. T. , Piachaud , J. and Singh , I. 2001 . Two districts, two models: In-patient care in the psychiatry of learning disability . The British Journal of Developmental Disabilities , 47 : 105 – 110 .
   Web of Science ®Google Scholar
• American Psychiatric Association . 1994 . “ Global Assessment of Functioning Scale ” . In Diagnostic and statistical manual of mental disorders , 4th , 32 Washington, DC : Author .
   Google Scholar
• Barrett , N. and Paschos , D. 2006 . Alcohol-related problems in adolescents and adults with intellectual disabilities . Current Opinion in Psychiatry , 19 : 481 – 485 . doi:10.1097/01.yco.0000238474.07078.41
   Google Scholar
• Chaplin , R. 2009 . New research into general psychiatry services for adults with intellectual disability and mental illness . Journal of Intellectual Disability Research , 53 : 189 – 199 . doi:10.1111/j.1365–2788.2008.01143.x
   PubMed Web of Science ®Google Scholar
• Charlot , L. R. and Beasley , J. B. 2005 . Specialized inpatient mental health care for people with intellectual disabilities . Mental Health Care for People with Intellectual Disabilities , 8 : 100 – 103 .
   Google Scholar
• Ellis , R. H. , Wackwitz , J. H. and Foster , M. 1991 . Uses of an empirically derived client typology based on level of functioning: Twelve years of the CCAR . Journal of Behavioral Health Services and Research , 18 ( 2 ) : 88 – 100 . doi:10.1007/BF02518603
   Google Scholar
• Ellis , R. H. , Wilson , N. Z. and Foster , F. M. 1984 . Statewide treatment outcome assessment in Colorado: The Colorado client assessment record . Community Mental Health Journal , 20 ( 1 ) : 72 – 89 . doi:10.1007/BF00754105
   PubMed Web of Science ®Google Scholar
• Hemmings , C. P. , O'Hara , J. , McCarthy , J. , Holt , G. , Eoster , F. Costello , H. 2009 . Comparison of adults with intellectual disabilities and mental health problems admitted to specialist and generic inpatient units . British Journal of Learning Disabilities , 37 ( 2 ) : 123 – 128 . doi:10.1111/j.1468–3156.2008.00532.x
   Web of Science ®Google Scholar
• Hilsenroth , M. J. , Ackerman , S. J. , Blagys , M. D. , Baumann , B. D. , Baity , M. R. Smith , S. R. 2000 . Reliability and validity of DSM-IV axis V . American Journal of Psychiatry , 157 : 1858 – 1863 . doi:10.1176/appi.ajp.157.11.1858
   PubMed Web of Science ®Google Scholar
• Hirdes , J. P. , Smith , T. F. , Rabinowitz , T. , Yamauchi , K. , Perez , E. Curtin-Telegdi , N. 2002 . The Resident Assessment Instrument-Mental Health (RAI-MH): Inter-rater reliability and convergent validity . Journal of Behavioral Health Services and Research , 29 : 419 – 432 . doi:10.1007/BF02287348
   PubMed Web of Science ®Google Scholar
• Jess , G. , Torr , J. , Cooper , S. , Lennox , N. , Edwards , N. Galea , J. 2008 . Specialist versus generic models of psychiatry training and service provision for people with intellectual disabilities . Journal of Applied Research in Intellectual Disabilities , 21 : 183 – 193 . doi:10.1111/j.1468–3148.2007.00394.x
   Web of Science ®Google Scholar
• Kwok , H. W. M. 2001 . Development of a specialized psychiatric service for people with learning disabilities and mental health problems: Report of a project from Kwai Chung Hospital, Hong Kong . British Journal of Learning Disabilities , 29 ( 1 ) : 22 – 25 . doi:10.1046/j.1468–3156.2001.00095.x
   Google Scholar
• Lunsky , Y. , Bradley , E. , Durbin , J. and Koegl , C. 2008 . A comparison of patients with intellectual disability receiving specialised and general services in Ontario's psychiatric hospitals . Journal of Intellectual Disability Research , 52 : 1003 – 1012 . doi:10.1111/j.1365–2788.2008.01049.x
   PubMed Web of Science ®Google Scholar
• Lunsky , Y. , Bradley , E. , Durbin , J. , Koegl , C. , Canrinus , M. and Goering , P. 2006 . The clinical profile and service needs of hospitalized adults with a dual diagnosis in psychiatric hospitals . Psychiatric Services , 57 ( 1 ) : 77 – 83 . doi:10.1176/appi.ps.57.1.77
   PubMed Web of Science ®Google Scholar
• Lunsky , Y. , Garcin , N. , Morin , D. , Cobigo , V. and Bradley , E. 2007 . Mental health services for individuals with intellectual disabilities in Canada: Findings from a national survey . Journal of Applied Research in Intellectual Disabilities [Special issue: Dual Diagnosis] , 20 : 439 – 447 . doi:10.1111/j.1468–3148.2007.00384.x
   Web of Science ®Google Scholar
• Lunsky , Y. , Gracey , C. and Bradley , E. 2009 . Adults with autism spectrum disorders using psychiatric hospitals in Ontario: Clinical profile and service needs . Research in Autism Spectrum Disorders , 3 : 1006 – 1013 . doi:10.1016/j.rasd.2009.06.005
   Web of Science ®Google Scholar
• Lunsky , Y. , White , S. E. , Palucka , A. M. , Weiss , J. , Bockus , S. and Gofine , T. 2010 . Clinical outcomes of a specialized inpatient unit for adults with mild to severe intellectual disability and mental illness . Journal of Intellectual Disability Research , 54 : 60 – 69 . doi:10.1111/j.1365–2788.2009.01213.x
   PubMedGoogle Scholar
• Martin , L. , Hirdes , J. P. and Fries , B. E. 2007 . Examining the characteristics of persons with intellectual disability receiving hospital services: Part I. Psychiatric hospitals/units . Journal on Developmental Disabilities , 13 ( 3 ) : 89 – 104 .
   Google Scholar
• Matson , J. L. and Neal , D. 2009 . Psychotropic medication use for challenging behaviors in persons with intellectual disabilities: An overview . Research in Developmental Disabilities , 30 : 572 – 586 . doi:10.1016/j.ridd.2008.08.007
   PubMed Web of Science ®Google Scholar
• McGillicuddy , N. B. 2006 . A review of substance use research among those with mental retardation . Mental Retardation and Developmental Disabilities Research Reviews , 12 ( 1 ) : 41 – 47 . doi:10.1002/mrdd.20092
   PubMedGoogle Scholar
• Ministry of Community and Social Services . 2006 . Opportunities and action: Transforming supports in Ontario for people who have a developmental disability , Toronto, Ontario, Canada : Queen's Printer for Ontario .
   Google Scholar
• Ministry of Health and Long-Term Care & Ministry of Community and Social Services . 2008 . Joint policy guideline for the provision of community mental health and developmental services for adults with a dual diagnosis , Toronto, Ontario, Canada : Queen's Printer for Ontario .
   Google Scholar
• Oliver , P. , Cooray , S. , Tyrer , P. and Cicchetti , D. 2003 . Use of the Global Assessment of Function scale in learning disability . British Journal of Psychiatry , 182 ( 44 ) : 32 – 35 . doi:10.1192/bjp.182.44.s32
   Google Scholar
• Palucka , A. M. , Bradley , E. and Lunsky , Y. 2008 . A case of unrecognized intellectual disability and autism misdiagnosed as schizophrenia: Are there lessons to be learned? . Mental Health Aspects of Developmental Disabilities , 11 ( 2 ) : 1 – 6 .
   Google Scholar
• Saeed , H. , Ouellette-Kuntz , H. , Stuart , H. and Burge , P. 2003 . Length of stay for psychiatric inpatient services: A comparison of admissions of people with and without developmental disabilities . The Journal of Behavioural Health Services and Research , 30 : 406 – 417 . doi:10.1007/BF02287428
   PubMed Web of Science ®Google Scholar
• Savage , M. , Benia , F. , Balanquit , M. and Palucka , A. M. 2007 . Unrecognized medical concern as a cause of “psychiatric” disorder and challenging behaviour in developmental disability: A case study . Journal on Developmental Disabilities , 13 : 205 – 210 .
   Google Scholar
• Shedlack , K. J. , Hennen , J. , Magee , C. and Cheron , D. M. 2005 . Brief report: A comparison of the Aberrant Behavior Checklist and the GAF among adults with mental retardation and mental illness . Psychiatric Services , 56 : 484 – 486 . doi:10.1176/appi.ps.56.4.484
   PubMedGoogle Scholar
• Söderberg , P. , Tungström , S. and Armelius , B. 2005 . Reliability of Global Assessment of Functioning ratings made by clinical psychiatric staff . Psychiatric Services , 56 : 434 – 438 . doi:10.1176/appi.ps.56.4.434
   PubMed Web of Science ®Google Scholar
• Startup , M. , Jackson , M. C. and Bendix , S. 2002 . Brief report: The concurrent validity of the Global Assessment of Functioning (GAF) . British Journal of Clinical Psychology , 41 : 417 – 422 . doi:10.1348/014466502760387533
   PubMed Web of Science ®Google Scholar
• Tungström , S. , Söderberg , P. and Armelius , B. 2005 . Relationship between the Global Assessment of Functioning and other DSM axes in routine clinical work . Psychiatric Services , 56 : 439 – 443 . doi:10.1176/appi.ps.56.4.439
   PubMed Web of Science ®Google Scholar
• Urbanoski , K. , Rush , B. and Ehtesham , S. 2009 . The Resident Assessment Instrument at CAMH: A comprehensive review of current practices and potential opportunities , Toronto, Ontario, Canada : Health Systems Research and Consulting Unit .
   Google Scholar
• Xenitidis , K. , Gratsa , A. , Bouras , N. , Hammond , R. , Ditchfield , H. Holt , G. 2004 . Psychiatric inpatient care for adults with intellectual disabilities: Generic or specialist units? . Journal of Intellectual Disability Research , 48 ( 1 ) : 11 – 18 . doi:10.1111/j.1365–2788.2004.00586.x
   PubMedGoogle Scholar