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…]
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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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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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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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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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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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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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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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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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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