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Psychiatric and Behavioural Disorders in Intellectual and Developmental Disabilities
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Details

  • 9 b/w illus. 12 tables
  • Page extent: 440 pages
  • Size: 247 x 174 mm
  • Weight: 0.87 kg

Library of Congress

  • Dewey number: n/a
  • Dewey version: n/a
  • LC Classification: RC451.4.M47 P77 2007
  • LC Subject headings:
    • People with mental disabilities--Mental health
    • People with mental disabilities--Mental health services

Library of Congress Record

Paperback

 (ISBN-13: 9780521608251)




Psychiatric and Behavioural Disorders in Intellectual and
Developmental Disabilities




Entirely revised and updated, this new edition of a very well-received and successful book provides the essentials for all those involved in the fields of intellectual, developmental and learning disabilities, drawing both on clinical experience and on the latest research findings. An international, multidisciplinary team of experts cover the available literature in full and bring together the most relevant and useful information on mental health and behavioural problems of people with intellectual, developmental and learning disabilities and mental retardation. In addition, this book highlights the principles behind clinical practice for assessment, management and services. It offers hands-on, practical advice for psychiatrists, psychologists, nurses, therapists, social workers, managers and service providers.

Nick Bouras is Professor of Psychiatry in the Division of Psychological Medicine and Health Service Research Department at the Institute of Psychiatry King’s College London and Chairman of the Mental Health Studies Programme. He is also Consultant Psychiatrist at South London and Maudsley NHS Trust and Director of the Estia Training, Research and Development Centre at Guy’s Hospital, London.

Geraldine Holt is Honorary Senior Lecturer in Psychiatry at the Institute of Psychiatry, King’s College London, and Consultant Psychiatrist at South London and the Maudsley NHS Trust.

From reviews of the first edition:
‘A set of excellent contributors, drawn from around the world, provide generally excellent reviews and updates for this volume . . . this is an excellent and current overview that will be of interest to practitioners and investigators alike.’
Fred Volkmar, The American Journal of Psychiatry

‘The multidisciplinary approach is central to work in this field. This book confirms that it is enjoyable and exciting . . . Each of the 25 chapters is a gem . . . I strongly recommend this as a book that should be browsed through by anyone involved in this work.’

T. P. Berney, Journal of Child Psychology and Psychiatry and Allied Disciplines




Psychiatric and Behavioural
Disorders in Intellectual and
Developmental Disabilities

Second Edition


Edited by

Nick Bouras and Geraldine Holt

King's College, London






CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo

Cambridge University Press
The Edinburgh Building, Cambridge CB2 2RU, UK

Published in the United States of America by Cambridge University Press, New York

www.cambridge.org
Information on this title: www.cambridge.org/9780521608251

© Cambridge University Press 2007

This publication is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without
the written permission of Cambridge University Press.

First published 2007

Printed in the United Kingdom at the University Press, Cambridge

A catalogue record for this publication is available from the British Library

ISBN-13 978-0-521-60825-1 paperback

Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or
third-party internet websites referred to in this publication, and does not guarantee that any content on
such websites is, or will remain, accurate or appropriate.

Every effort has been made in preparing this publication to provide accurate and up-to-date information
which is in accord with accepted standards and practice at the time of publication. Although case histories
are drawn from actual cases, every effort has been made to disguise the identities of the individuals
involved. Nevertheless, the authors, editors and publishers can make no warranties that the information
contained herein is totally free from error, not least because clinical standards are constantly changing
through research and regulation. The authors, editors and publishers therefore disclaim all liability for
direct or consequential damages resulting from the use of material contained in this publication. Readers
are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or
equipment that they plan to use.




Contents




  List of contributors
  Preface
 
Part I   Assessment and diagnosis page
1   Diagnosis of mental disorders in people with intellectual disabilities 3
  Peter Sturmey
2   Mental health assessment and monitoring tools for people with intellectual disabilities 24
  Caroline Mohr and Helen Costello
3   Inter-disciplinary multi-modal assessment for mental health problems in people with intellectual disabilities 42
  Jean O’Hara
4   The relationship between challenging behaviours and psychiatric disorders in people with severe intellectual disabilities 62
  Colin Hemmings
5   The interface between medical and psychiatric disorders in people with intellectual disabilities 76
  Nick Lennox
 
Part II   Psychopathology and special topics
6   The psychopathology of children with intellectual disabilities 93
  Bruce Tonge
7   Depression, anxiety and adjustment disorders in people with intellectual disabilities 113
  Chrissoula Stavrakaki and Yona Lunsky
8   Schizophrenia spectrum disorders in people with intellectual disabilities 131
  David Clarke
9   Personality disorder 143
  William R. Lindsay
10   Dementia and mental ill-health in older people with intellectual disabilities 154
  Sally-Ann Cooper and Anthony J. Holland
11   People with intellectual disabilities who are at risk of offending 173
  Glynis Murphy and Jonathan Mason
12   Behavioural phenotypes: growing understandings of psychiatric disorders in individuals with intellectual disabilities 202
  Robert M. Hodapp and Elisabeth M. Dykens
13   Mental health problems in people with autism and related disorders 215
  Celine Saulnier and Fred Volkmar
14   Self-injurious behaviour 225
  John Hillery and Philip Dodd
15   Mental health and epilepsy among adults with intellectual disabilities 238
  Shoumitro Deb
16   Neuroimaging and intellectual disabilities 252
  Max Pickard and Dene Robertson
 
Part III   Treatment and therapeutic interventions
17   Treatment methods for destructive and aggressive behaviour in people with severe developmental and intellectual disabilities 269
  R. Matthew Reese, Jessica Hellings and Stephen Schroeder
18   Behavioural approaches to treatment: principles and practices 283
  Betsey A. Benson and Susan M. Havercamp
19   Psychopharmacology in intellectual disabilities 310
  Bryan King
20   Psychosocial interventions for people with intellectual disabilities 330
  Dave Dagnan
21   Psychodynamic approaches to people with intellectual disabilities: individuals, groups/systems and families 339
  Georgina Parkes and Sheila Hollins
 
Part IV   Policy and service systems
22   Mental health and intellectual disabilities: the development of services 353
  Stuart Cumella
23   Clinical services for people with intellectual disabilities and psychiatric or severe behaviour disorders 364
  Philip W. Davidson and Jean O’Hara
24   Staff supporting people with intellectual disabilities and mental health problems 388
  Chris Hatton and Fiona Lobban
25   Professional training for those working with people with intellectual disabilities and mental health problems 400
  Helen Costello, Geraldine Holt, Nancy Cain, Elspeth Bradley, Jennifer Torr, Robert Davis, Niki Edwards, Nick Lennox and Germain Weber
  Index 412




Contributors




Betsey A. Benson

Adjunct Associate Professor of Psychology

Nisonger Center, The Ohio State University

1581 Dodd Drive, Colombus, Ohio, 43210–1296

USA

Nick Bouras

Professor of Psychiatry

King’s College, London

The Institute of Psychiatry

Estia Centre

York Clinic – Guy’s Hospital

47 Weston Street

London SE1 3RR

UK

Elspeth A. Bradley

Associate Professor, Department of Psychiatry, University of Toronto,

CANADA

Nancy N. Cain

Associate Clinical Professor of Psychiatry

300 Crittenden Blvd, Rochester, NY 14642

USA

David Clarke

Consultant Psychiatrist

North Warwickshire Primary Care Trust

Lea Castle Centre, Kidderminster DY10 3PP

UK

Sally-Ann Cooper

Professor of Learning Disabilities

University of Glasgow

Section of Psychological Medicine, Division of Community Based Sciences, Academic Centre

Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 ONH.

UK

Helen Costello

Senior Researcher

King’s College London

The Institute of Psychiatry

Estia Centre – Guy’s Hospital

66 Snowsfields, London SE1 3SS

UK

Stuart Cumella

Head of the Division of Neuroscience

Division of Neuroscience, University of Birmingham Medical School

University of Birmingham Medical School, Birmingham B15 2TT

UK

Dave Dagnan

Consultant Clinical Psychologist and Clinical Director

North Cumbria Mental Health and Learning Disability NHS Trust and Institute for Health Research

University of Lancaster North Cumbria Mental Health and Learning Disability NHS Trust, Psychological Services, West Cumberland Hospital, Hensingham, Whitehaven, Cumbria

UK

Philip W. Davidson

Professor of Psychiatry and Paediatrics

Strong Centre for Developmental Disabilities

University of Rochester Medical Centre

601 Elmwood Avenue, Rochester NY 14642

USA

Robert Davis

Associate Professor

The Centre for Developmental Disability Health Victoria, Department of General Practice Monash University, Suite 202, 3 Chester Street, Oakleigh, Vic. 3166

AUSTRALIA


Shoumitro Deb

Clinical Professor of Neuropsychiatry & Intellectual Disability

Division of Neuroscience, University of Birmingham

University of Birmingham, Division of Neuroscience, Department of Psychiatry

Queen Elizabeth Psychiatric Hospital, Mindelsohn Way

Birmingham B15 2QZ

UK

Philip Dodd

Consultant Psychiatrist in the Psychiatry of Learning Disability, St. Michael’s House, Dublin

St. Michael’s House, Adare Green, Coolock, Dublin 17

IRELAND

Elisabeth M. Dykens

Associate Director, Kennedy Center for Research on Human Development and Professor of Psychology and Human Development

Peabody College Vanderbilt University

230 Appleton Place, Box 40, Nashville, TN 37203

USA

Niki Edwards

Clinical Coordinator and Lecturer

Queensland Centre for Intellectual & Developmental Disability School of Population Health The University of Queensland, Mater Hospital, South Brisbane 4101

AUSTRALIA

Chris Hatton

Professor of Psychology, Health and Social Care

Institute for Health Research, Lancaster University, Lancaster LA1 4YT

UK

Susan M. Havercamp

Assistant Professor of Psychiatry

Center for Development & Learning, University of North Carolina, CB#7255, Chapel Hill, NC, 27599–7255

USA

Jessica Hellings

Associate Professor of Psychiatry

University of Kansas Medical Center

3901 Rainbow Blvd, Kansas City, Kansas, 66160

USA

Colin Hemmings

Consultant Psychiatrist

South London and the Maudsley NHS Trust

Department of Mental Health in Learning Disabilities and Estia Centre

York Clinic, Guy’s Hospital, London SE1 3RR

UK

John Hillery

Consultant Psychiatrist, Stewarts Hospital, Palmerstown, Dublin 20

IRELAND

Robert M. Hodapp

Professor of Special Education

Kennedy Center for Research on Human Development

Peabody College, Vanderbilt University

230 Appleton Place, Box 328, Nashville, TN 37203

USA

Anthony J. Holland

Professor of Learning Disabilities

The Health Foundation

University of Cambridge

Developmental Psychiatry, Learning Disabilities Unit, Douglas House, 18B Trumpington Road, Cambridge CB2 2AH

UK

Sheila Hollins

Head of Division of Mental Health

Professor of Learning Disability

St. George’s, University of London

Cranmer Terrace

London SW17 0RE

UK

Geraldine Holt

Consultant Psychiatrist, South London & Maudsley NHS Trust, The Institute of Psychiatry

Estia Centre

York Clinic – Guy’s Hospital

47 Weston Street

London SE1 3RR

UK

Bryan King

Professor and Vice Chair of Psychiatry and Behavioural Sciences

University of Washington

Washington

USA

Nick Lennox

Associate Professor

Queensland Centre for Intellectual & Developmental Disability School of Population Health The University of Queensland

Mater Hospital, South Brisbane 4101

AUSTRALIA

William R. Lindsay

Consultant Forensic Clinical Psychologist

The State Hospital

Clinical Psychology Department, Wedderburn House, 1 Edward Street, Dundee DD1 5NS

UK

Fiona Lobban

Senior Lecturer in Clinical Psychology

Division of Clinical Psychology, Liverpool University, Liverpool

UK

Yona Lunsky

Assistant Professor, Department of Psychiatry, University of Toronto

Dual Diagnosis Program, Centre for Addiction and Mental Health

1001 Queen Street West, Toronto, Ont. M6J 1H4

CANADA

Jonathan Mason

Clinical Psychologist

Cedar House, Dover Rd, Barham, Canterbury, Kent CT4 6PW

UK

Caroline Mohr

Consultant Clinical Psychologist

Centre for Developmental Psychiatry and Psychology, Monash University, Melbourne, Victoria, Australia

Haumietiketike, P.O. Box 50–233, Porirua, Wellington, New Zealand.

Glynis Murphy

Professor of Clinical Psychology

Institute for Health Research

University of Lancaster

Lancaster LA1 4YT

UK

Jean O’Hara

Consultant Psychiatrist

South London and the Maudsley NHS Trust

Department of Mental Health in Learning Disabilities and the Estia Centre

York Clinic, Guy’s Hospital, London SE1 3RR

UK

Georgina Parkes

Specialist Registrar

South West London and St George’s Mental Health NHS Trust

Division of Mental Health

St George’s, University of London, Cranmer Terrace, London SW17 ORE

UK

Max Pickard

Consultant Psychiatrist in Mental Health of Learning Disabilities

South London and the Maudsley NHS Trust and the Estia Centre

York Clinic, Guy’s Hospital, London SE1 3RR

UK

R. Matthew Reese

Clinical Associate Professor of Paediatrics

Developmental Disabilities Center

University of Kansas Medical Center

3901 Rainbow Blvd, Kansas City, Kansas 66160

USA

Dene Robertson

Consultant Psychiatrist

King’s College London, The Institute of Psychiatry, Section of Brain Maturation

De Crespigny Park, London SE5 8AF

UK

Celine Saulnier

Associate Research Scientist in Clinical Psychology

Child Study Center, Yale University School of Medicine

P.O. Box 207900, New Haven, CT 06520–7900

USA

Stephen Schroeder

Emeritus Director and Professor Schiefelbush Institute for Life Span Studies

University of Kansas

3901 Rainbow Blvd, Kansas City, Kansas 66160

USA

Chrissoula Stavrakaki

Professor of Psychiatry

737 Manor Avenue

Ottawa-Ontario K1M 0E4

CANADA

Peter Sturmey

Professor of Psychology

Department of Psychology, Queens College and The Graduate Centre, City University of New York

USA

Bruce Tonge

Professor of Psychiatry, Monash University

Centre for Developmental Psychology & Psychiatry, Monash Medical Centre

Clayton VIC. 3168

AUSTRALIA

Jennifer Torr

Senior Lecturer in Mental Health

The Centre for Developmental Disability Health Victoria, Department of General Practice, Monash University, Suite 202, 3 Chester Street, Oakleigh, Vic. 3166

AUSTRALIA

Fred Volkmar

Irving B. Harris Professor of Child Psychiatry, Pediatrics, and Psychology

Child Study Center, Yale University School of Medicine, P.O. Box 207900, New Haven, CT 06520–7900

USA

Germain Weber

Professor of Psychology, Department of Clinical, Biological and Differential Psychology, Faculty of Psychology,

University of Vienna, Universitaetsstrasse 7, A-1010 Vienna

AUSTRIA




Preface




People with intellectual disabilities and mental health problems have the same right to high standards of assessment, treatment, and as good a quality of life as other people. Historically, the mental health problems of people with intellectual disabilities have had a low priority in health care systems around the world. Consequently the treatment facilities have been insufficient, the training of staff underdeveloped and the care offered far from the best to meet their mental health needs. This is further compounded by the fact that the mental health problems of people with intellectual disabilities are often very complex, difficult to diagnose and require specialist multiprofessional involvement.

The potential for comprehensive and effective care of people with intellectual disabilities and mental health problems has improved greatly in recent years with developments in the way that people with disabilities are viewed within society, increased understanding of psychological processes and with advances in neuroscience, genetics and neuro imaging. There are now more effective treatment methods including behaviour therapy, psychopharmacology, psychosocial interventions and psychotherapy.

This second edition of the book Psychiatric and Behavioural Disorders in Developmental Disabilities and Mental Retardation is fully revised and offers an up-to-date account in the field. In this edition we have replaced the term ‘mental retardation’ with ‘intellectual disabilities’ as the latter has gained widespread international recognition and acceptance.

Several new chapters have been added on mental health assessment and monitoring tools for people with intellectual disabilities, interdisciplinary multimodal assessment for mental health problems, the interface between medical and psychiatric disorders, personality disorders, mental health problems in people with autism and related disorders, mental health and epilepsy among adults with intellectual disabilities, psychosocial interventions and psychodynamic approaches.

New contributors drawn from the broad international multiprofessional context of intellectual disabilities and mental health have re-written several of the latter chapters in this edition. Some topics are approached from different points of view, offering a variety of perspectives and dimensions.

On reflection, looking back at the very first book, Mental Health in Mental Retardation published in 1994, we can see the significant progress that has occurred in the fields of intellectual disabilities and mental health. Though research continues constantly to appear in our areas of professional interests including psychiatry, psychology, genetics, paediatrics, occupational therapy, speech and language therapy and social work, more research including randomized controlled trials is necessary to assess clinical effectiveness. Also, vigorous evaluation of service models and international comparative research will facilitate further advances and practices.

For this book, thanks are owed to all contributors, to Mary Spiller for her invaluable assistance in helping us with the editing, and to Pauline Graham of Cambridge University Press for her advice and support.

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