Setting priorities for people with intellectual disability/intellectual developmental disorders across the lifespan: a call to action by the World Psychiatric Association
Author
Roy, AshokCourtenay, Ken
Odiyoor, Mahesh
Walsh, Patricia
Keane, Sarah
Biswas, Asit
Marston, Geoff
Thirulokachandran, Suchithra
Munir, Kerim
Affiliation
Coventry and Warwickshire Partnership NHS Trust; Royal College of Psychiatrists, London; Cheshire and Wirral Partnership NHS Foundation Trust; College of Psychiatrists of Ireland; HSE Dublin South Mental Health Services, Ireland; Leicestershire Partnership NHS Trust; Boston Children's Hospital, Harvard Medical School, Boston, Ma, USAPublication date
2021-08Subject
Mental health
Metadata
Show full item recordAbstract
People with DSM-5 intellectual disability/intellectual developmental disorder (ID/IDD) or ICD-11 disorders of intellectual development (DID) have multiple healthcare needs, but in many countries these needs are neither recognised nor managed effectively. This paper discusses the negative impact that stigma, discrimination and social exclusion have on the identification and care of persons with ID/IDD in low- and middle-income countries (LMICs). It also reviews different models of care for children, adolescents and adults. In discussing some initiatives in LMICs the emphasis is on early diagnosis, with success in providing locally sourced care for affected people and their families. This is where the medical, social and rights-based models of care intersect and is a premise of the person-centred biopsychosocial framework of the World Psychiatric Association's Presidential Action Plan 2020–2023. The plan invites psychiatrists to take a lead in changing the culture of care, as well as medical education, clinical training and research, with a renewed emphasis on workforce integration and service development in terms of community-based rehabilitation strategies.Citation
Roy A, Courtenay K, Odiyoor M, Walsh P, Keane S, Biswas A, Marston G, Thirulokachandran S, Munir K. Setting priorities for people with intellectual disability/intellectual developmental disorders across the lifespan: a call to action by the World Psychiatric Association. BJPsych Int. 2021 Aug;18(3):54-57. doi: 10.1192/bji.2021.6. PMID: 34382957; PMCID: PMC8314992.Type
ArticleAdditional Links
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314992/#:~:text=The%20six%20areas%20of%20the,and%20mental%20health%20related%20comorbiditiesPMID
34382957Journal
BJPsych InternationalPublisher
Cambridge University Pressae974a485f413a2113503eed53cd6c53
10.1192/bji.2021.6