Inter-Professional Collaborative Care: A Way to Enhance Services for Adults with Intellectual Disability and/or Autism Spectrum Disorder and Mental Health Problems
DOI:
https://doi.org/10.6000/2292-2598.2016.04.01.2Keywords:
Inter-professional mental health team, intellectual disability, autism spectrum disorder, collaborative care, inpatient and outpatient services.Abstract
This article describes our inter-professional mental health service for adults with intellectual disability and/or autism spectrum disorder. The service consists of an inpatient unit and outpatient program that are closely aligned and operate within a mental health and addictions teaching hospital. We provide information about recent changes to our model of care and the structures and activities that are used to support inter-professional team development and team functioning. Roles and functions of different mental health professionals on the team are outlined and case examples of adults with intellectual disability and complex mental health needs are provided to illustrate how the inter-professional team members work together.
References
Summers J, Bradley E, Flannery J. Developmental disabilities and mental ill-health. In Brown I, Percy M, editors. Developmental disabilities in Ontario. 3rd ed. Toronto, Ontario: Association on Developmental Disabilities 2011; p. 641-72.
Reid J, Summers J, Adamson J, Habjan B, Meister C, Gignac, V. Mental health issues in clients with severe communication impairments. In Griffiths D, Stavrakaki C, Summers J, editors. An introduction to the mental health needs of persons with developmental disabilities. Sudbury, Ontario: Habilitative Mental Health Resource Network 2002; p. 539-59.
Bouras N, Szymanski L. Services for people with mental retardation and psychiatric disorders: US-UK comparative overview. Int J Social Psychiatry 1997; 43: 64-71. http://dx.doi.org/10.1177/002076409704300106 DOI: https://doi.org/10.1177/002076409704300106
Department of Developmental Disability Neuropsychiatry. Accessible mental health services for people with an intellectual disability: A guide for providers. University of New South Wales: Department of Developmental Disability Neuropsychiatry 2014.
Radford JP. Towards a post-asylum society: A brief history of developmental disability policy in Ontario. In Brown I, Percy M, editors. Developmental Disabilities in Ontario. 3rd ed. Toronto, Ontario: Association on Developmental Disabilities 2011; p. 25-40.
Summers J, Bradley E, Fletcher R. (in press). People with intellectual and developmental disabilities and mental health needs. In Wehmeyer M, Brown I, Percy M, Shogren K, Fung A, editors. A comprehensive guide to intellectual and developmental disabilities. 2nd ed. Baltimore: Paul H. Brookes.
D’Amour D, Ferrada-Videla M, San Martin Rodriguez L, Beaulieu M. The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. J Interprof Care 2005; 19: 116-31. http://dx.doi.org/10.1080/13561820500082529 DOI: https://doi.org/10.1080/13561820500082529
Health Force Ontario. Implementing interprofessional care in Ontario: Final report of the Interprofessional Care Strategic Implementation Committee 2010.
Rosen A, Callaly T. Interdisciplinary teamwork and leadership: Issues for psychiatrists. Australas Psychiatry 2005; 13(3): 234-40. http://dx.doi.org/10.1111/j.1440-1665.2005.02195.x DOI: https://doi.org/10.1080/j.1440-1665.2005.02195.x
Summers J, Boyd K, Reid J, Adamson J, Habjan B, Gignac V, et al. The interdisciplinary mental health team. In Griffiths D, Stavrakaki C, Summers J, editors. An introduction to the mental health needs of persons with developmental disabilities. Sudbury, Ontario: Habilitative Mental Health Resource Network 2002; p. 325-57.
Canadian Interprofessional Health Collaborative. A national interprofessional competency framework. Vancouver: College of Health Disciplines 2010.
Registered Nurses’ Association of Ontario. Developing and sustaining interprofessional health care: Optimizing patients/clients, organizational and systems outcomes. Toronto, Canada: Registered Nurses’ Association of Ontario 2013.
Wood S, Gangadharan S, Tyrer F, Gumber R, Devapriam J, Hiremath A, et al. Successes and challenges in the implementation of care pathways in an intellectual disability service: Health professionals’ experiences. J Policy Pract Intellect Disabil 2014; 11: 1-7. http://dx.doi.org/10.1111/jppi.12063 DOI: https://doi.org/10.1111/jppi.12063
Vinokur-Kaplan D. Enhancing the effectiveness of interdisciplinary mental health treatment teams. Adm Policy Ment Health 1995; 22: 521-30. http://dx.doi.org/10.1007/BF02106536 DOI: https://doi.org/10.1007/BF02106536
Borlido C, Remington G, Graff-Guerrero A, Arenovich T, Hazra M, Wong A. et al. Switching from 2 antipsychotics to 1 antipsychotic in schizophrenia: A randomized, double-blind, placebo-controlled study. J Clin Psychiatry 2016; 77: e14-e20. http://dx.doi.org/10.4088/JCP.14m09321 DOI: https://doi.org/10.4088/JCP.14m09321
Slevin E, Truesdale-Kennnedy M, McConkey R, Barr O, Taggart L. Community learning disability teams: Developments, composition and good practice. J Intellect Disabil 2008; 12: 59-79. http://dx.doi.org/10.1177/1744629507083583 DOI: https://doi.org/10.1177/1744629507083583
Azimi K, Modi M, Hurlburt J, Lunsky Y. Occurrence of medical concerns in psychiatric outpatients with intellectual disabilities. J Mental Health Res Intellect Disabil 2016. http://dx.doi.org/10.1080/19315864.2015.1108377 DOI: https://doi.org/10.1080/19315864.2015.1108377
Charlot L, Abend S, Ravin P, Mastis K, Hunt A, Deutsch C. Non-psychiatric health problems among psychiatric inpatients with intellectual disabilities. J Intellect Disabil Res 2011; 55: 199-209, DOI: 10.1111/j.1365-2788.2010.1294.x DOI: https://doi.org/10.1111/j.1365-2788.2010.01294.x
Lunsky Y, Gracey C, Bradley E. Adults with autism spectrum disorders using psychiatric hospitals in Ontario: Clinical profile and service needs. Res Autism Spectr Disord 2009; 3: 1006-13. http://dx.doi.org/10.1016/j.rasd.2009.06.005 DOI: https://doi.org/10.1016/j.rasd.2009.06.005
Mukaetova-Ladinska EB, Perry E, Baron M, Povey C. Ageing in people with autism spectrum disorder. Int J Geriatr Psychiatry 2012; 27: 109-18. http://dx.doi.org/10.1002/gps.2711 DOI: https://doi.org/10.1002/gps.2711
Thorpe L. Mental health and the intellectually disabled elderly. Psychiatr Times 2005; 22: 88-90.
Venville A, Sawyer AM, Long M, Edwards N, Hair S. Supporting people with an intellectual disability and mental health problems: A scoping review of what they say about service provision. J Mental Health Res Intellect Disabil 2015; 8: 186-212, DOI: 10.1080/1935864.2015.1069912. DOI: https://doi.org/10.1080/19315864.2015.1069912