Intellectual Disabilities And Dual Diagnosis

Based on decades of experience treating individuals who live with both intellectual disabilities and psychiatric disorders, this handbook clarifies the extremely complex nature of working with dual diagnosis. In-depth information about the diagnostic process, hands-on treatment considerations, and the elements of proper staff training are featured, and complicating factors in identifying appropriate psychiatric diagnoses are addressed. Exploring the problematic underreporting of psychiatric symptoms and disorders, this guide is ideal for a variety of contexts, offering innovative approaches to treatment and intervention strategies that can be immediately implemented. Additional topics covered include medical contributors to psychiatric conditions, positive behavioral supports, and transitional planning.

This handbook addresses behavior problems and mental health disorders in persons with intellectual disabilities. It provides an overview of the history of dual diagnosis and related theories, ethics, diagnostic systems, mental health disorders, and challenging behaviors. The handbook examines general clinical issues, such as the effects of cognitive performance on the choice of assessment and treatment methods, service delivery systems, education models, risk factors, functional assessment, and structured interviews. Chapters provide a much-needed reference for practitioners and practitioners in training. The applied focus of the book continues with assessment/diagnosis sections of mental health disorders, and challenging behaviors. In addition, chapters describe treatments for discrete mental health and behavior problems, such as intellectual disabilities, severe psychopathology, autism, ADHD, substance abuse, and aggression. Topics featured in this handbook include: Genetic disorders and dual diagnosis. Assessment of anxiety in persons with dual diagnosis. Aging with intellectual disabilities. Feeding problems and assessment in individuals with dual diagnosis. Pica in individuals with intellectual disability. Treatment of social skills in dual diagnosis. The Handbook of Dual Diagnosis is an essential reference for researchers, graduate students, clinicians and related therapists and professionals in clinical child and school psychology, child and adolescent psychiatry, social work, developmental psychology, behavioral therapy/rehabilitation, pediatrics, and special education.

Contemporary policy in the care of persons with developmental disabilities is focused on "social inclusion" and equity. Healthcare professionals in the mainstream are tasked to ensure that their services are both available and responsive to caring for individuals. This clinical guide, written by a psychiatrist and a clinical psychologist with clinical and academic expertise, aims to outline relevant knowledge, skills, and attitudes needed to promote better health outcomes for people with developmental disabilities. The guide is organized into three sections and includes learning objectives and self-examination questions on content. The first section on knowledge covers definitions, etiological factors, health problems, mental health problems, and the service needs of individuals and their caregivers as they evolve over the lifespan. Section two focuses on skills including assessment, case formulations, interprofessional collaboration, and the provision of developmental services, psychosocial treatments, and biomedical treatments. The final section reviews attitudes related to the provision of empathetic support, respect for interprofessional collaboration, vigilance about neglect and abuse, and various special challenges in providing care. The authors also address informed consent, sexuality, parenting, and individuals in conflict with the law.

This book covers a curriculum of topics for treating patients with co-occurring intellectual disabilities and mental illness, better known as dual diagnosis (DD). Though these patients represent approximately three percent of the population, they are largely underserved due to a huge gap in the literature and limited training on this topic among non-psychiatric practitioners. They are often medically fragile and have co-occurring seizure disorders and other neurologic conditions, frequently presenting to psychiatrists with behavior problems when in fact they have undiagnosed, under-diagnosed or undertreated medical conditions. A medical professional who is not trained to spot the nuanced symptoms can therefore be unprepared to work with such patients. They may misdiagnose, inappropriately prescribe medications, and fail to employ the best practices as a result. This is particularly problematic because such patients often function at significantly higher levels when accurately diagnosed and appropriately treated. Written by experts in the field, this text covers the psychiatric and medical assessment of DD patients, neurologic conditions, interviewing techniques, medications, and other topics that DD patients may present with. The book also covers a myriad of other issues surrounding DD patients that physicians often struggle with, including DD patients at the interface of the legal system, human rights concerns, tips for working with families and caregivers, and general ethical considerations. The text is specifically designed for physicians who may need quick access to information in either print or digital form. Each chapter opens with case vignettes to easily demonstrate each particular scenario and is followed up with concise, practical information. All chapters include tables that summarize the clinical pearls as well as the DSM-5 and DM-ID diagnostic criteria that is most vital to care, making this an excellent resource in both the classroom and in a treatment setting. This book offers a pathway to accurate diagnosis and treatment, leaving psychiatrists and trainees better prepared to offer the full range of mental health treatment for their dual diagnosis patients.

Improved outcomes for individuals with co-occurring intellectual/developmental disability (IDD) and mental illness depends upon effective psychiatric treatment. Effective treatment requires an accurate psychiatric diagnosis. Obtaining that accurate diagnosis for individuals with IDD has been, and remains, very challenging. This book was written to address this challenge. More than 100 experts from around the world have now updated the DM-ID to accompany the DSM-5.

This volume presents cutting-edge advances in case conceptualization and intervention for children and adolescents, who typically present for mental health treatment with multiple, overlapping problems. Leading clinician-researchers examine common processes--including stress and coping, attention and interpretation biases, avoidant behaviors, and peer and family interactions--that underlie the development and maintenance of diverse forms of psychopathology. They describe exemplary treatments that target these processes and can be used across diagnostic categories. Chapters on specific treatment protocols address the theoretical foundations, clinical strategies used, which patient populations each treatment is suitable for, and the status of the empirical evidence base.