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Psychiatric illness and learning disability: a dual diagnosis

Published online by Cambridge University Press:  02 January 2018

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The prevalence of moderate to profound learning disability is roughly 3 per 1000 and of mild learning disability about 3 per hundred (Abramowicz & Richardson, 1975). There are estimated to be more than 120 million people with learning disability worldwide.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1995 

References

References

Abramowicz, H. K. & Richardson, S. A. (1975) Epidemiology of severe mental retardation in children: community studies. American Journal on Mental Retardation, 80, 1839.Google ScholarPubMed
Anness, V. (1991) A multi-aspect assessment for people with mental handicap. Psychiatric Bulletin, 15, 146.Google Scholar
Carr, J. (1985) The effect on the family of a severely mentally handicapped child. In Mental Deficiency: The Changing Outlook (eds Clarke, A. M., Clarke, A. D. B. & Berg, J. M.) pp. 512548. London: Methuen.Google Scholar
Collacott, R. A., Cooper, S. A. & McGrother, C. (1992) Differential rates of psychiatric disorders in adults with Down's syndrome compared with other mentally handicapped adults. British Journal of Psychiatry, 161, 671674.CrossRefGoogle ScholarPubMed
Corbett, J. (1988) Some special problems of epilepsy. In A Textbook of Epilepsy (eds Laidlaw, J., Richens, A. & Oxley, J.) pp. 533538. Edinburgh: Churchill Livingstone.Google Scholar
Craft, A., Heshuis, L., Johnson, P. J. et al (1987) Mental Handicap and Sexuality: Issues and Perspectives. Tunbridge Wells: Costello.Google Scholar
Curran, J. & Hollins, S. (1994) Consent to medical treatment and people with learning disability. Psychiatric Bulletin, 18, 691693.CrossRefGoogle Scholar
Day, K. & Jancar, J. (1994) Mental and physical health and ageing in mental handicap: a review. Journal of Intellectual Disability Research, 38, 241256.CrossRefGoogle ScholarPubMed
DesNoyers Hurley, A. (1989) Individual psychotherapy with mentally retarded individuals: a review and call for research. Research in Developmental Disabilities. 10, 261275.CrossRefGoogle Scholar
Einfeld, S. L. (1990) Guidelines for the use of psychotropic medication in individuals with developmental disabilities. Australian and New Zealand Journal of Developmental Disabilities, 16, 7173.CrossRefGoogle Scholar
Emerson, E. (1993) Challenging behaviours and severe learning disabilities: recent developments in behavioural analysis and intervention. Behavioural and Cognitive Psychotherapy, 21, 171198.CrossRefGoogle Scholar
Emerson, E., Cambridge, P. & Harris, P. (eds) (1991) Evaluating the Challenge. A Guide to Evaluating Services for People with Learning Difficulties and Challenging Behaviour. London: King's Fund Centre.Google Scholar
Frith, U. (1989) Autism Explaining the Enigma. Oxford: Basil Blackwell.Google Scholar
Gillberg, C. (1988) The neurobiology of infantile autism. Journal of Child Psychology and Psychiatry, 29, 257266.CrossRefGoogle ScholarPubMed
Gillberg, C. (1990) Autism and pervasive developmental disorders. Journal of Child Psychology and Psychiatry, 31, 99120.CrossRefGoogle ScholarPubMed
Grossman, H. J. (ed)(1983) Classification in Mental Retardation. Washington, DC: American Association on Mental Deficiency.Google Scholar
Hollins, S. & Evered, C. (1990) Group process and content: the challenge of mental handicap. Group Analysis, 23, 5667.CrossRefGoogle Scholar
Hollins, S. & Sireling, L. (1994) When Mum Died and When Dad Died. London: St George's Mental Health Library.Google Scholar
Hollins, S. & Sinason, V. (1992) Jenny Speaks Out and Bob Tells All. London: St George's Mental Health Library.Google Scholar
Howlin, P & Rutter, M. (1987) Treatment of Autistic Children. Chichester: John Wiley.Google Scholar
Mansell, J. L. (1993) Services for People with Learning Disabilities and Challenging Behaviour or Mental Health Needs. London: HMSO.Google Scholar
Moss, S., Goldberg, D., Patel, P. et al (1993) Physical morbidity in older people with moderate, severe and profound mental handicap, and its relation to psychiatric morbidity. Social Psychiatry and Psychiatric Epidemiology, 28, 3239.CrossRefGoogle ScholarPubMed
O'Brien, G. (1992) Behavioural phenotypy in developmental psychiatry. Measuring behavioural phenotypes – a guide to available schedules. European Child and Adolescent Psychiatry, supp. 1, 161.Google Scholar
Qureshi, H. & Alborz, A. (1992) Epidemiology of challenging behaviour. Mental Handicap Research, 5, 130145.CrossRefGoogle Scholar
Reid, A. H. (1994) Psychiatry and learning disability. British Journal of Psychiatry, 164, 613618.CrossRefGoogle ScholarPubMed
Rogers, D., Karki, C., Bartlett, C. et al (1991) The motor disorder of mental handicap: an overlap with the motor disorders of severe psychiatric illness. British Journal of Psychiatry, 158, 97102.CrossRefGoogle ScholarPubMed
Rutter, M., Bailey, A., Bolton, P. et al (1994) Autism and known medical conditions: myth and substance. Journal of Child Psychology and Psychiatry, 35, 311322.CrossRefGoogle ScholarPubMed
Ryan, R. (1994) Post-traumatic stress disorder in persons with developmental disabilities. Community Mental Health Journal, Feb.CrossRefGoogle Scholar
Sinason, V. (1992) Mental Handicap and the Human Condition. London: Free Association Books.Google Scholar
Sobsey, D., Gray, S., Wells, D. et al (1991) Disability, Sexuality and Abuse: an annotated bibliography. Baltimore: Paul. H. Brookes.Google Scholar
Sovner, R. & DesNoyers Hurley, A. (1992) The diagnostic treatment formulation for psychotropic drug therapy. The Habilitative Mental Healthcare Newsletter, 11, 8189.Google Scholar
Sturmey, P., Reed, J. & Corbett, J. (1991) Psychometric assessment of Psychiatric disorders in people with learning difficulties (mental handicap): a review of measures. Psychological Medicine, 21, 143155.CrossRefGoogle ScholarPubMed
Trimble, M. (1987) Anticonvulsant drugs and cognitive function: a review of the literature. Epilepsia, 28 (suppl 3), S37S45.CrossRefGoogle ScholarPubMed
Turk, J. & Hill, P. (1995) Behavioural phenotypes in dysmorphic syndromes. Clinical Dysmorphology (in press).CrossRefGoogle Scholar
Turner, T. H. (1989) Schizophrenia and mental handicap: an historical review, with implications for further research. Psychological Medicine, 19, 301314.CrossRefGoogle ScholarPubMed
Wilson, D. N. & Haire, A. (1990) Health care screening for people with mental handicap living in the community. British Medical Journal, 301, 13791381.CrossRefGoogle ScholarPubMed
Wing, L. & Gould, J. (1979) Severe impairments of social interaction and associated abnormalities in children: epidemiology and classification. Journal of Autism and Developmental Disorders, 9, 1130.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar

Suggested reading

ARC & NAPSAC (1993) It Could Never Happen Here! The Prevention and Treatment of Sexual Abuse of Adults with Learning Disabilities in Residential Settings. Nottingham: ARC & NAPSAC.Google Scholar
Department of Health (1994) Specialist Mental Health Services for people with learning disabilities. Advisory Group on Behavioural Disturbance and Mental Health. Services Developments for people with Learning Disabilities, Rm 122, Wellington House, London SE1 8 UGGoogle Scholar
Gillberg, C., Persson, E., Grufman, M. et al (1986) Psychiatric disorders in mildly and severely mentally retarded urban children and adolescents: epidemiological aspects. British Journal of Psychiatry, 149, 6874.CrossRefGoogle ScholarPubMed
Gostason, R. (1985) Psychiatric illness among the mentally retarded: a Swedish population study. Acta Psychiatrica Scandinavica, 71 (suppl. 318), 1117.CrossRefGoogle Scholar
Hogg, J. & Raynes, N. V. (eds) (1987) Assessment in Mental Handicap – A Guide to Assessment Practices, Tests and Checklist. London: Croom Helm.Google Scholar
Holland, A. J. (1994) Learning disability and psychiatric/behavioural disorders: a genetic perspective. In The New Genetics of Mental Illness (eds McGuffin, P. & Murray, R.) pp. 245258.Google Scholar
Jacobson, J. (1982) Problem behaviour and psychiatric impairment within a developmentally disabled population. I: Behaviour frequency. Applied Research in Mental Retardation, 3, 121140.CrossRefGoogle Scholar
Lund, J. (1985) The prevalence of psychiatric morbidity in mentally retarded adults. Acta Psychiatrica Scandanavica, 72, 563570.CrossRefGoogle ScholarPubMed
Russell, O. (1985) Mental handicap. In Current Reviews in Psychiatry No 1. London: Churchill Livingstone.Google Scholar
Rutter, M., Graham, P. & Yule, W. (1970) A neuropsychiatric study in childhood. In Clinics in Developmental Medicine, vol 35 and 36. London: Heinemann Medical Books.Google Scholar
Thompson, D. (1993) Learning Disabilities: The Fundamental Facts. London: Mental Health Foundation.Google Scholar
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