scholarly journals Neuroleptic usage in a community mental handicap unit

1993 ◽  
Vol 17 (11) ◽  
pp. 657-660 ◽  
Author(s):  
Richard J. Harvey ◽  
Sherva E. Cooray
Keyword(s):  
Tardive Dyskinesia ◽  
Psychiatric Diagnosis ◽  
General Public ◽  
Mentally Handicapped ◽  
Neuroleptic Medication ◽  
Mental Handicap ◽  
Television Documentary ◽  
Handicapped People ◽  
Legal Grounds

Increasing concern has been expressed in the psychiatric literature and general press about the use of neuroleptic medication for the treatment of behaviour disturbance in the mentally handicapped (Buck & Sprague, 1989). The issue was highlighted in a television documentary (Public Eye, BBC2, 1 May 1992) which reported a number of cases of tardive dyskinesia in mentally handicapped people who had been treated with neuroleptics. The programme, although taking a characteristically slanted view, will have made an impression on relatives, patients and the general public. It was also intimated that British families may be preparing to test the legal grounds for prescribing these drugs to the mentally handicapped, particularly where there is no formal psychiatric diagnosis.

Psychopathology of People with Mental Handicap and Epilepsy II: Psychiatric Illness

1991 ◽  
Vol 159 (6) ◽  
pp. 826-830 ◽  
Author(s):  
S. Deb ◽  
David Hunter
Keyword(s):  
Communication Skills ◽  
Psychiatric Diagnosis ◽  
Psychiatric Illness ◽  
Initial Screening ◽  
Mentally Handicapped ◽  
Interview Schedule ◽  
Good Communication ◽  
Matched Group ◽  
Mental Handicap ◽  
Handicapped People

The prevalence of psychiatric illness was studied in 150 epileptic mentally handicapped people (both hospital in-patients and living in the community) and a matched group of 150 non-epileptic controls. The Profile of Abilities and Adjustment (PAA) scale was used for the initial screening of psychiatric illness. Mildly to moderately handicapped individuals who had good communication skills and scored positively on the PAA schedule for psychiatric illness were interviewed using the PSE interview schedule. Severely mentally handicapped individuals who scored positively on the PAA's psychiatric illness subscale were observed and information was gathered from their medical notes and carers. A psychiatric diagnosis was made using DSM–III–R criteria. The non-epileptic group showed significantly more psychiatric illness than the epileptic group. Psychiatric illness was diagnosed in 25% of the cohort.

scholarly journals Generic services for people with a mental handicap

1992 ◽  
Vol 16 (4) ◽  
pp. 212-213 ◽  
Author(s):  
Mary E. Nolan ◽  
G. Radakrishnan ◽  
John Lewis
Keyword(s):  
Mental Illness ◽  
Special Needs ◽  
Royal College ◽  
Behavioural Disorders ◽  
Mentally Handicapped ◽  
Policy Documents ◽  
Mental Handicap ◽  
Department Of Health ◽  
Comprehensive Service ◽  
Handicapped People

There has been much discussion on the most suitable services for mentally handicapped people with special needs such as additional mental illness or marked behavioural disorders. A number of policy documents have advocated the use of generic services as a matter of course, such as the All Wales Strategy (1983), while others have acknowledged a possible need for specialist input when such services are used e.g. Needs and Responses (Department of Health, 1989). In 1986 the Royal College of Psychiatrists stated that the psychiatric needs of this group required a specialised service and suggested that ideally this would be integrated with other psychiatric specialities as part of a comprehensive service.

New Long-Stay Patients in a Hospital for Mental Handicap

1976 ◽  
Vol 128 (5) ◽  
pp. 467-470 ◽  
Author(s):  
Douglas A. Spencer
Keyword(s):  
Mental Retardation ◽  
Behaviour Problems ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Formidable Challenge ◽  
Handicapped People ◽  
Profound Mental Retardation

SummaryBetter Services for the Mentally Handicapped (1971) forecasts a diminution in the number of beds in hospitals for mental handicap. It can be achieved only by the admission of fewer new long-stay patients. This paper considers 50 new long-stay cases admitted to a hospital for mentally handicapped in the five years 1970 to 1974. Of these admissions 42 per cent were children, and of all the admissions 54 per cent had Wechsler intelligence quotients under 25. Further, 62 per cent of the admissions were for behaviour problems and 38 per cent were for physical infirmity and helplessness. It is concluded that there are some mentally handicapped people who have problems with which only a hospital can cope. The high nursing dependency and the profound mental retardation of a majority of the new long-stay patients present a formidable challenge.

Predictors of Improvement in Tardive Dyskinesia Following Discontinuation of Neuroleptic Medication

1990 ◽  
Vol 157 (4) ◽  
pp. 585-592 ◽  
Author(s):  
William M. Glazer ◽  
Hal Morgenstern ◽  
Nina Schooler ◽  
Cathy S. Berkman ◽  
Daniel C. Moore
Keyword(s):  
Tardive Dyskinesia ◽  
Outcome Measures ◽  
Psychiatric Diagnosis ◽  
Psychiatric Illness ◽  
Model Fitting ◽  
First Year ◽  
Neuroleptic Medication ◽  
Younger Age ◽  
Noticeable Improvement ◽  
History Of

Forty-nine chronic psychiatric out-patients (ten were schizophrenic) with tardive dyskinesia (TD) were examined monthly for a mean of 40 weeks (range 1–59 months) after discontinuation of neuroleptic medication. Complete and persistent reversibility of TD was rare (2%), but many patients showed noticeable improvement in movements within the first year of discontinuation, which was sometimes interrupted by psychological relapse. Using three separate outcome measures and appropriate model-fitting techniques for each, we identified several predictors of improvement in TD, including an affective or schizoaffective psychiatric diagnosis, chronic (over 20 years) psychiatric illness, being employed, younger age, and increased neuroleptic dose before discontinuation. Consistent findings emerging from these analyses suggest that the type and history of psychiatric illness affect the course of TD.

scholarly journals Psychiatric Services for Mentally Handicapped Adults and Young People

1986 ◽  
Vol 10 (11) ◽  
pp. 321-322 ◽  
Keyword(s):  
Psychiatric Disorder ◽  
High Frequency ◽  
Psychiatric Symptoms ◽  
Psychiatric Morbidity ◽  
Psychiatric Services ◽  
Common Complication ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Epidemiological Surveys ◽  
Handicapped People

Psychiatric disorder is a common complication of mental handicap. Whilst there are few detailed studies of psychiatric morbidity in mentally handicapped people, recent epidemiological surveys indicate that approximately 50% of mentally handicapped people in hospital and in contact with services in the community have suffered from psychiatric symptoms or behavioural problems sufficient to require specialist advice. All forms of psychiatric disorder are seen although the pattern differs somewhat from that in the general population and there is a high frequency of behaviour disorders.

scholarly journals Educational Programmes for General Practitioners and Clinical Assistants in the Mental Handicap Service

1984 ◽  
Vol 8 (8) ◽  
pp. 154-155
Author(s):  
Joan Bicknell
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Community Care ◽  
Current Trend ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
The Family ◽  
Educational Programmes ◽  
Handicapped People ◽  
Family Home

The current trend towards community care for mentally handicapped people means that general practitioners have greater opportunities to meet mentally and multiply handicapped people living in the family home or in small units in the community. In addition, an increasing number of large long-stay mental handicap hospitals have delegated the reponsibility for primary care to local GPs, frequently employed as clinical assistants for this purpose. This is having the welcome effect of allowing the psychiatrist and the trainee in psychiatry to follow their particular interests and develop their own treatment skills.

Training in Life Skills for Community-Based People with a Mental Handicap

1988 ◽  
Vol 51 (7) ◽  
pp. 236-238 ◽  
Author(s):  
Jill French
Keyword(s):  
Independent Living ◽  
Life Skills ◽  
Mentally Handicapped ◽  
Community Based ◽  
Mental Handicap ◽  
Training Facility ◽  
Handicapped People ◽  
And Training

This article is an account of a unit which provides facilities for assessment and training in skills of independent living for mentally handicapped people who are already living in the community. Many of these people have never been long-term hospital residents but have lived in the community with little or no training facility available to meet their specific needs.

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