Mental Health Aspects of Developmental Disabilities Journal Impact Factor & Information

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ISSN 1057-3291

Publications in this journal

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    ABSTRACT: In the previous Ask the Doctor we addressed the basic neurology of both normal and abnormal movements. We emphasized the complex relationship between these basal ganglia disorders, psychiatric symptoms and various aspects of learning and conditioning This segment will focus on the differential diagnosis of movement disorders for clinicians with regard to autism and severe/profound intellectual disability.
    Mental Health Aspects of Developmental Disabilities 01/2009; 12(1):29-32.
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    ABSTRACT: Identification of psychiatric disorders in individuals with autism and intellectual disability may be complex, especially due to the difficulty of separating psychiatric symptoms from the core symptoms of autism. However, differentiating conceptually between these disorders is a prerequisite for developing more accurate and reliable diagnoses. A panel study design was applied to investigate which symptoms clinicians use to discriminate between autism and four major psychiatric disorders - psychosis, depression, anxiety disorder and obsessive-compulsive disorder. The result was a set of symptoms which were rated as specific to a psychiatric disorder and not characteristic of autism as it appears in individuals with intellectual disability. These symptoms may be used as indicators of psychiatric disorders in this group.
    Mental Health Aspects of Developmental Disabilities 10/2008; 11(4):105-115.
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    ABSTRACT: This article discusses the concept of capacity, various relevant mandates, and a rationale for the assessment of capacity to execute a health care proxy. Some specific New York State regulations, pertaining to the execution of a health care proxy by persons who have intellectual disabilities, are presented and contrasted with regulations in some other jurisdictions. A standard that psychologists and physicians may use in assessing the capacity of a person with cognitive impairments to execute a health care proxy is reviewed. Additionally a protocol for assessing capacity to execute a simple health care proxy is in the appendix.
    Mental Health Aspects of Developmental Disabilities 10/2007; 10(4):145-156.
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    ABSTRACT: This paper addresses the topic of intellectual disability and psychiatric disorder among persons receiving Medicaid Home and Community-Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services. In June 2005 HCBS and ICF/MR programs financed long-term supports for nearly 545,400 persons with intellectual disabilities and other developmental disabilities at a fiscal year 2005 cost of $29.3 billion. This paper describes and compares characteristics and experiences of persons with and without diagnosed psychiatric conditions in addition to intellectual disability in a large, six state, 2720 person sample of HCBS and ICF/MR recipients. Nearly one-third (31.4%) of the sample had psychiatric disorders. Controlling for levels of intellectual disability, they were consistently more likely to be placed in ICF/MR programs and agency-operated congregate care settings, and were less likely to live with family members. They were much more likely to receive medications for mood, anxiety and/or behavior disorders than were persons with intellectual disability only (87% and 32%, respectively). Policy implications include the need to incorporate behavioral health services and supports into state Medicaid waivers for individuals with intellectual disabilities.
    Mental Health Aspects of Developmental Disabilities 07/2007; 10(3):78-90.
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    ABSTRACT: Attachment is a major factor during development throughout the life cycle. Most studies conclude that attachment is a complex interaction between brain development, temperament, and life experiences. This presentation addresses the role of attachment in psychiatric disorders in people with intellectual disabilities.
    Mental Health Aspects of Developmental Disabilities 04/2007; 10(2):53-63.
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    ABSTRACT: Psychotropic medications are commonly prescribed for people with intellectual disability. The recognition of side-effects is especially challenging because of cognitive and self-awareness limitations of many of the individuals. This article discusses how clinicians can approach the detection of side-effects in this population.
    Mental Health Aspects of Developmental Disabilities 10/2006; 9(4):128-130.
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    ABSTRACT: Antipsychotic medications have a long history of use, overuse and misuse in persons with intellectual disability. This article reviews the history of the use of antipsychotic medical from the introduction of second generation antipsychotics (SGAs) in 1990.
    Mental Health Aspects of Developmental Disabilities 07/2006; 9(3):93-101.
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    ABSTRACT: Anxiety is the result of a complex Interaction between environmental stimuli and a network of brain regions devoted to assessing and responding to threat, conflict, or potential danger. Focal seizures may present with a range of affective symptoms that may be difficult to distinguish from anxiety states. The process is complicated further among individuals with intellectual disabilities. In uncertain cases, clinicians need to consider not only the type of anxiety, but also the nature and duration of symptoms, associated neurocognitive changes, previous treatment response, and in some circumstances, more invasive neurodiagnostic procedures.
    Mental Health Aspects of Developmental Disabilities 11/2004; 7(4):124-130.
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    ABSTRACT: There has been a growing consensus about the importance of assessing capacity to give consent. A number of procedures (e.g., elective medical treatment, pharmacotherapy, electroconvulsive therapy), use of restrictive behavioral interventions, and signing a power of attorney) require informed consent. In the mental health system informed consent is very important relative to the issues of pharmacotherapy and electroconvulsive therapy. A protocol for assessing capacity has been developed and used by the Center for the Disabled in Albany, New York, a community-based agency that serves persons with intellectual disabilities or other developmental disabilities. The proposed Center for the Disabled protocol for assessing capacity to give informed consent is based upon three legal criteria-knowledge, rationality, and voluntariness.
    Mental Health Aspects of Developmental Disabilities 07/2004; 7(3):97-106.
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    ABSTRACT: Although physical restraint Is sometimes required in therapeutic intervention, methods to reduce restraint use and assessment of long term outcome have not been researched extensively. This case study evaluated an implementation-reduction strategy to decrease physical restraint of an adolescent girl who had developmental disabilities and severe aggressive behavior. The focus of intervention was manipulating the duration of restraint incidents by changing from a behavior-contingent release criterion to a time-based release criterion. Restraint frequency and duration decreased with Intervention and were maintained through a 21-month follow-up assessment. Clinical and experimental Issues are discussed.
    Mental Health Aspects of Developmental Disabilities 07/2004; 7(3):91-96.