Adults with Intellectual and Developmental Disabilities Presenting to a Psychiatric Emergency Department: A Descriptive Analysis and Predictors of Admission

Autor/inn/en	Fernandes, Natasha A.; Sawyer, Amanda; Zaheer, Juveria; Lunsky, Yona
Titel	Adults with Intellectual and Developmental Disabilities Presenting to a Psychiatric Emergency Department: A Descriptive Analysis and Predictors of Admission
Quelle	In: Journal of Mental Health Research in Intellectual Disabilities, 13 (2020) 4, S.384-395 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Zaheer, Juveria) ORCID (Lunsky, Yona)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1931-5864
DOI	10.1080/19315864.2020.1822963
Schlagwörter	Adults; Intellectual Disability; Developmental Disabilities; Predictor Variables; Psychiatric Hospitals; At Risk Persons; Mental Disorders; Health Needs; Foreign Countries; Individual Characteristics; Symptoms (Individual Disorders); Canada (Toronto) + Suchen Sie Ihr Suchwort? Intellect; Disability; Disabilities; Verstand; Behinderung; Entwicklungsstörung; Prädiktor; Phsychiatric institution; Psychiatrische Einrichtung; Risikogruppe; Mental illness; Geisteskrankheit; Ausland; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Psychiatrische Symptomatik
Abstract	Introduction: This study presents demographic and clinical profiles of adults with intellectual and developmental disabilities seen at a psychiatric emergency department (ED). Predictors of admission were also identified. Methods: A retrospective chart review conducted from Oct 2016 to Jan 2017. Results: A total of 73 patients representing 105 visits were identified with suicidality or self-harm being the most frequent presentation. Information from third party sources (collateral) was recorded in the hospital chart 43% of the time. Thirty-six percent of the 105 visits resulted in hospitalization. Patients who were admitted were more likely to have collateral obtained (RR = 2.0, p <0.01), restraints used (RR = 2.5, p < 0.001), and friend/family (RR = 2.9, p < 0.01) or the police (RR = 2.3, p = 0.03) present. Conclusion: Study findings suggest that adults with intellectual and developmental disabilities commonly present to the specialized psychiatric emergency department setting. Many of these patients are inadequately supported and need stronger connections to community-based resources. Collateral information should more frequently be obtained and disability considerations could be better incorporated into management plans. (As Provided).
Anmerkungen	Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01