Managing demand for social care among adults with intellectual disabilities

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It is clear that adult social care in the United Kingdom (UK), as in many other countries, faces serious challenges, most simply summarised as rising demand from demographic changes and greater pressure on available resources. The interventions to address this will need to be at all levels (national policy and legislation, managing local systems and in individual [read the full story…]

Mental health: at what cost?

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In their debut Mental Elf blog, Martin Knapp and Gloria Wong summarise a systematic review of cost-of-illness studies, which explores the distribution of the costs between different mental health and neurodevelopmental conditions.

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Violence and mental illness: does ignoring this blog stigmatise some people who need our help?

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In his debut blog, Joseph Schwartz explores a systematic review finding that a range of psychiatric disorders are associated with an elevated risk of violence.

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Experience of psychotropic medication and decision-making

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Jennifer Rose Oulton reviews a qualitative study that explores the experiences of psychotropic medication use and decision-making for adults with learning disabilities and their carers.

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Top Dental Elf Blogs Apr– Jun 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

The Cochrane review of interdental cleaning devices, whether antibiotics are needed for dental implant placement and oral health programmes for people with intellectual difficulties were our most popular blogs of the spring.

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Intellectual disability and oral health

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This review of on the oral health of community dwelling adults with intellectual disabilities included 33 mainly cross-sectional studies showing a the continuing high prevalence of oral disease and treatment need

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Oral hygiene programmes for people with intellectual disabilities

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This Cochrane review of oral hygiene interventions for people with intellectual difficulties included 34 studies (19 RCTs, 15 non-randomised studies) find some interventions provided benefits but their clinical importance was unclear.

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“Nobody knows the trouble I’ve seen”. Depression and bipolar disorder in people with intellectual disabilities

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Kathryn Mitchell and Stephen Moore summarise a recent prospective cohort study in the British Journal of Psychiatry, which looks at the incidence of unipolar and bipolar depression, and mania in adults with intellectual disabilities.

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Children and adolescents with intellectual disabilities: oral health status

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This review of oral health status in people with intellectual disabilities included 39 studies. Higher level of dental plaque, worse gingival status, and fewer decayed and filled permanent teeth were seen than in patients without intellectual disabilities.

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Substance misuse and addiction in people with intellectual and developmental disabilities

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Andrew Jones summarises a recent Canadian cohort study, which explores the extent of substance misuse and addictive disorders among adults with intellectual and developmental disabilities.

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