Integrated mental health treatment guidelines for prescribers in intellectual and developmental disabilities

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES Journal of Policy and Practice in Intellectual Disabilities Pub Date : 2022-12-16 DOI:10.1111/jppi.12447
Andrea Caoili, Melanie Hecker, Susan Klick, Jennifer McLaren, Joan Beasley, Jarrett Barnhill
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Abstract

Few healthcare providers receive guidance on the unique needs of persons with intellectual and developmental disabilities and mental healthcare needs. Our aim was to develop a tool for health care providers to use as a guide to address the complex needs of this patient population. The development of the Integrated Mental Health Treatment Guidelines for Prescribers in Intellectual and Developmental Disabilities consisted of five steps: focus groups, draft of the guidelines, evaluation of the guidelines, finalization, and dissemination of the guidelines. The focus groups revealed themes in five domains: (1) relationships, communication, and openness; (2) understanding the person, their environment, and culture; (3) importance of an integrated care and wellness approach; (4) consideration of treatment modifications; (5) recommendations from focus group participants regarding the guidelines. These focus groups informed the development of the guidelines. Forty-three prescribers evaluated the guidelines noting multiple strengths and some recommendations. Based on this feedback the guidelines were modified as needed, finalized, and disseminated. This paper describes the development of the Integrated Mental Health Treatment Guidelines for Prescribers in Intellectual and Developmental Disabilities. An evidence-informed, easy-to-use, web-based guide with links to best practice resources. These guidelines incorporate integrated health, other mental health approaches, and the input of patients.

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智力和发育障碍处方者综合心理健康治疗指南
很少有保健提供者得到关于智力和发育残疾者的独特需求和精神保健需求的指导。我们的目的是为医疗保健提供者开发一种工具,作为解决这一患者群体复杂需求的指南。《智力和发育障碍处方者综合心理健康治疗指南》的制定包括五个步骤:焦点小组、指南草案、评估指南、最后定稿和传播指南。焦点小组揭示了五个领域的主题:(1)关系、沟通和开放;(2)了解这个人、他们的环境和文化;(3)综合护理和健康方法的重要性;(四)处理变更的考虑;(5)焦点小组参与者对指南的建议。这些焦点小组为准则的制定提供了信息。43名开处方者对指南进行了评估,指出了多种优势和一些建议。根据这些反馈意见,根据需要对指南进行了修改、定稿和分发。本文描述了智力和发育障碍处方者综合心理健康治疗指南的发展。以证据为依据、易于使用、基于网络的指南,并附有最佳实践资源的链接。这些指导方针包括综合卫生、其他精神卫生方法以及患者的意见。
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来源期刊
CiteScore
4.10
自引率
5.90%
发文量
38
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