Mental health in children with disabilities and their families: red flags, services' impact, facilitators, barriers, and proposed solutions
Kayla Heslon,
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Jessica Helena Hanson,
No information about this author
Tatiana Ogourtsova
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et al.
Frontiers in Rehabilitation Sciences,
Journal Year:
2024,
Volume and Issue:
5
Published: Feb. 12, 2024
Background
Children
and
youth
with
neurodevelopmental
disabilities
(NDDs)
their
caregivers
are
at
a
high
risk
of
experiencing
mental
health
challenges,
that
in
turn
can
significantly
affect
functioning,
productivity,
quality
life.
In
this
already
vulnerable
population,
difficulties
now
more
frequently
reported
pronounced
secondary
to
the
isolation
uncertainties
experienced
during
pandemic.
Our
previous
work
has
shown
important
services'
gaps
for
children/youth
NDDs
families,
highlighting
need
optimize
tailor
existing
practices.
Objective
To
explore
barriers,
facilitators,
impact,
solutions
from
perspectives
HCPs
CGs,
describe
common
precursors
challenges
children
these
two
groups.
Methods
triangulation
mixed-method
study
design
embedding
quantitative
qualitative
approaches,
participants
completed
survey
semi-structured
interview.
Descriptive
statistics
hybrid
inductive/deductive
thematic
approach
were
used
data
analysis.
Results
Over
700
utterances
analyzed
(247
[
n
=
10],
531
clinicians
16])
included
143
173
statements
related
barriers/facilitators,
respectively.
Common
(
7
categories)
identified
feelings/perception
self,
behavioral
physical
manifestations,
emotional
dysregulation,
school-related
factors,
among
others.
Clinicians
widespread
pediatric,
family-centered
services
conveyed
lacking
resources/training
meet
demand.
Caregivers
indicated
being
only
moderately
satisfied
when
care
was
received.
Salient
facilitators
by
having
an
interdisciplinary
team
caregiver's
engagement
therapeutic
processes.
Participants
recommended
improvements
increase
accessibility
mediate
discrepancy
between
emergence
received;
must
target
broader
population
be
comprehensive
(e.g.,
care,
addressing
high-risk
transition
periods);
training/toolkits
support
clinicians’
evidence-based
practice.
Conclusion
findings
emphasize
necessity
systematic
standardized
families.
Enhancing
caregiver
support,
adopting
proactive,
crucial
improving
quality.
These
proposed
provide
valuable
insights
shaping
policies
practices
pediatric
services.
Language: Английский
Interventions to reduce falls in community‐dwelling adults with intellectual disability: a systematic review
Journal of Intellectual Disability Research,
Journal Year:
2023,
Volume and Issue:
67(11), P. 1073 - 1095
Published: July 12, 2023
Abstract
Background
People
with
intellectual
disability
have
a
high
risk
of
falls
and
falls‐related
injuries.
Although
people
are
at
increased
falls,
there
is
need
to
better
understand
the
efficacy
interventions
that
can
help
reduce
address
factors
in
this
population.
This
systematic
review
aimed
evaluate
type,
nature
effectiveness
undertaken
community‐dwelling
adults
quality
evidence.
Method
Four
electronic
databases
were
searched:
Ovid
MEDLINE,
PsycINFO,
CINAHL
Plus
Cochrane
Library.
Studies
included
if
they
involved
aged
18
years
or
over,
least
50%
study
participants
had
disability,
community‐dwelling,
evaluated
any
aiming
falls.
Study
was
assessed
using
National
Institutes
Health
assessment
tools.
Reporting
followed
Preferred
Items
for
Systematic
Reviews
Meta‐Analyses
(PRISMA)
guidelines.
Results
Seven
studies
eligible
review,
total
286
mean
age
50.4
years.
As
only
one
randomised
trial
identified,
narrative
synthesis
results
undertaken.
Five
exercise
interventions,
clinic
programme,
stretch
fabric
splinting
garments.
Methodological
varied
(two
rated
as
good,
four
fair,
poor).
Exercise
terms
type
dosage,
frequency
intensity,
most
did
not
align
recommendations
successful
prevention
reported
older
people.
While
majority
reduced
differed
methods
reporting
utilise
statistical
analyses
outcomes.
Conclusion
identified
small
number
intervention
disability.
several
improvements
fall
outcomes,
ability
draw
conclusions
about
limited
by
sample
sizes
few
studies.
Further
large‐scale
research
required
implement
specifically
Language: Английский
The Curriculum in IDD Healthcare (CIDDH) eLearn Course: Evidence of Continued Effectiveness Using the Streamlined Evaluation and Analysis Method (SEAM)
John P. Bartkowski,
No information about this author
Xiaohe Xu,
No information about this author
Katherine Klee
No information about this author
et al.
Knowledge,
Journal Year:
2024,
Volume and Issue:
4(1), P. 68 - 84
Published: Feb. 21, 2024
Medical
professionals
are
rarely
trained
to
treat
the
unique
healthcare
needs
and
health
disparities
of
people
with
intellectual
developmental
disabilities
(IDD).
The
Curriculum
in
IDD
Healthcare
(CIDDH)
eLearn
course
aims
redress
gaps
delivery
medical
care
IDD.
An
initial
comprehensive
evaluation
CIDDH
in-person
training
content
had
previously
underscored
its
knowledge
skill
transfer
efficacy
for
Mississippi
providers.
Training
has
recently
become
available
nationwide
through
an
online
self-paced
modality
address
physicians’
education
needs.
This
study
introduces
applies
a
new
framework
called
SEAM
(Streamlined
Evaluation
Analysis
Method)
that
offers
promising
avenue
rendering
follow-up
appraisal
after
rigorous
evidence
program
effectiveness
been
established.
reduces
data-reporting
burden
on
trainees
maximizes
instructor–trainee
contact
time
by
relying
abbreviated
post-only
questionnaire
focused
subjective
trainee
appraisals.
It
further
methodological
analytical
complexity
enhance
programmatic
self-assessment
facilitate
sound
data
interpretation
when
external
evaluator
is
unavailable.
Ratings
from
small
sample
early-cohort
provide
important
test
during
CIDDH’s
transition
learning
clinicians
nationwide.
Using
SEAM,
achieved
high
ratings
this
wave
across
various
evaluative
domains.
concludes
highlighting
several
implications
SEAM.
Language: Английский
Mental and Behavioral Health, and Crisis Services for People with Intellectual and Developmental Disabilities in Medicaid Home- and Community-Based Services
Carli Friedman,
No information about this author
Carine M. Luxama
No information about this author
Journal of Autism and Developmental Disorders,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 29, 2024
Language: Английский
“It’s a Circus”: Family Caregivers’ Perceptions on Accessing Mental Health Care for Individuals with Intellectual and Developmental Disabilities
Journal of Mental Health Research in Intellectual Disabilities,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 15
Published: Nov. 10, 2024
Background
Previous
research
has
demonstrated
that
individuals
with
intellectual
and
developmental
disabilities
(IDD)
experience
a
variety
of
barriers
in
accessing
mental
health
care
family
caregivers
often
play
an
integral
role
helping
IDD
navigate
these
systems.
However,
little
focused
on
caregivers'
perceptions
services.
Language: Английский