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Mental health services for people with intellectual disability: challenges to care delivery
Author(s) -
Chaplin Eddie,
O’Hara Jean,
Holt Geraldine,
Bouras Nick
Publication year - 2009
Publication title -
british journal of learning disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 39
eISSN - 1468-3156
pISSN - 1354-4187
DOI - 10.1111/j.1468-3156.2008.00540.x
Subject(s) - mainstream , intellectual disability , mental health , service (business) , public relations , service delivery framework , project commissioning , medical model of disability , nursing , psychology , medicine , publishing , psychiatry , business , political science , marketing , law
Accessible summary• This paper looks at how care is given to people with intellectual disability who have mental health problems. • The paper looks at care since Valuing People came out in 2001. • It shows there are not enough services for people with intellectual disability who have mental health problems. • It shows there are not enough services for people who have autism and mental health problems. • Lots of people feel that mainstream mental health services are not good enough for people with intellectual disability. Lots of people feel mainstream services could be better. • The paper looks at how people can get help and support in their local area and not having to move away to get help. • The paper looks at what services might be needed in the future. What can be done to make services better? • The people who pay for services are called commissioners. They should think about how they can make local services better for with intellectual disability and mental health problems. • Commissioners should work more together with those who support people with intellectual disability to improve services. • People with intellectual disability should be happy with the services they have in their local places. • Services need to remember that people change as they get older. • Services need to remember that what people want. This can change when they get older.Summary The commissioning and provision of mental health services for people with intellectual disability is often complex and characterised by different service delivery models. This paper looks at the current situation 7 years after the White Paper, Valuing People (From words into action: London learning disabilities strategic framework, Department of Health, London), within the context of the National Service Framework for Mental Health (Establishing responsible commissioner; draft guidance. HSC draft, Department of Health, London). It sets out to illustrate problems faced in providing local services in the United Kingdom for those with intellectual disability and other neurodevelopmental disorders. This paper proposes new ways of working and introduces the concept of a neurodevelopmental model designed to address gaps and inequalities within services by offering solutions that embrace joint working.