For many years it has been recognized that some adults with intellectual disabilities are at elevated risk for mental and behavioral health problems. Often the aging process can complicate the identification, diagnosis, treatment and prevention of this type of dual diagnosis and present complex challenges to clinicians and carers. This book is designed as a practical resource for those involved with the support, care and treatment of persons with intellectual disabilities, and should prove particularly useful as this community achieves increased longevity. The book is divided into three parts: Prevalence and Characteristics; Diagnosis and Treatment; and Service System Issues.
Section I: Prevalence and Diagnosis.
Prevalence of Mental, Behavioural and Neurobehavioral Disorders among Older People with Intellectual Disabilities.
Psychopathology and Older Age.
General Etiological Issues.
Assessment of Behavioural and Psychiatric Disorders.
Depression in Adults and Aging Individuals with Intellectual Disabilities.
Cognitive Decline and Aging.
Behavioural and Psychiatric Overlays from Physical and Medical Conditions.
Emotional Health and Aging in Adults with Down Syndrome.
Section II Treatments and Interventions.
Psychotherapy and Other Psychological Interventions.
Aging–Related Behavioural Interventions.
Dynamics of Bereavement and Grief Reactions.
Section III Service System Issues.
Community Mental Health and Support Services: Planning Principles and Models.
Prevention Strategies and Community Education.
Future Directions and Challenges
Vee P. Prasher is Associate Professor Neurodevelopmental Psychiatry within Birmingham Specialist Community Health NHS Trust (services for People with Learning Disabilities), United Kingdom
Matthew P. Janicki is Research Associate Professor, Department of Disability and Human Development, University of Illinois at Chicago, United States of America
Foreword written by Allen C. Crocker MD, Associate Professor of Pediatrics, Harvard Medical School, United States of America