Unmet Needs of Adults in Community Mental Health Care With and Without Intellectual and Developmental Disabilities: A Cross-Sectional Study.

The cross-sectional study compared the clinical and need profiles for clients with and without intellectual and developmental disabilities (IDD) in seven mental health case management programs in Toronto, Canada on March 31, 2013. Unmet needs in domains within four broad clusters were measured by st...

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Publicado en:Community Mental Health Journal Vol. 53; no. 1; pp. 15 - 27
Autores principales: Sirotich, Frank, Lunsky, Yona, Durbin, Anna, Durbin, Janet
Formato: Artículo
Publicado: Springer Nature Jan2017
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2017
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        10.1007/s10597-015-9961-6
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        atl: Unmet Needs of Adults in Community Mental Health Care With and Without Intellectual and Developmental Disabilities: A Cross-Sectional Study.
      aug:
        au:
          Sirotich, Frank
          Lunsky, Yona
          Durbin, Anna
          Durbin, Janet
        affil:
          Canadian Mental Health Association (CMHA)-Toronto Branch , Toronto Canada
          Department of Psychiatry , University of Toronto , Toronto Canada
      su:
        Canada
        Developmental disabilities
        People with intellectual disabilities
        Needs assessment
        Cross-sectional method
        Comparative studies
        Medical needs assessment
        Probability theory
      sug:
        subj:
          Developmental disabilities
          People with intellectual disabilities
          Needs assessment
          Cross-sectional method
          Canada
          Comparative studies
          Medical needs assessment
          Probability theory
      keyword:
        Case management
        Developmental disability
        Intellectual disability
        Mental health disorder
        Unmet needs
        Case management
        Developmental disability
        Intellectual disability
        Mental health disorder
        Unmet needs
      ab: The cross-sectional study compared the clinical and need profiles for clients with and without intellectual and developmental disabilities (IDD) in seven mental health case management programs in Toronto, Canada on March 31, 2013. Unmet needs in domains within four broad clusters were measured by staff using an internationally utilized tool, the Camberwell Assessment of Need. Among the 2560 clients, 8.3 % had a co-occurring IDD. For most assessed domains rates of unmet need were not different for persons with and without IDD. However, the IDD group had greater unmet needs for adaptive functioning/skills and cognitive needs [self-care ( p = 0.023), education ( p < 0.001), transportation ( p < 0.001), and information on condition ( p = 0.038)]. While clients with IDD and psychiatric diagnoses often receive poor quality care, in the case management programs examined their rates of unmet need were similar to individuals without IDD across most assessed domains, including in the areas of addictions and physical health care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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