Quality of Diagnosis and Treatment Plans After Using the 'Diagnostic Guideline for Anxiety and Challenging Behaviours' in People with Intellectual Disabilities: A Comparative Multiple Case Study Design

Journal of Applied Research in Intellectual Disabilities : JARID
A C PruijssersT van Achterberg

Abstract

People with intellectual disabilities often have a multitude of concurrent problems due to the combination of cognitive impairments, psychiatric disorders (particularly anxiety) and related challenging behaviours. Diagnoses in people with intellectual disabilities are complicated. This study evaluates the quality of the diagnoses and treatment plans after using a guideline that was developed to support professionals in their diagnostic tasks. A comparative multiple case study with an experimental and control condition, applying deductive analyses of diagnoses and treatment plans. The analyses revealed that the number of diagnostic statements and planned treatment actions in the experimental group was significantly larger and more differentiated than in the control condition. In the control group, consequential harm and protective factors were hardly mentioned in diagnoses and treatment plans. Working with the 'Diagnostic Guideline for Anxiety and CB' leads to improved diagnoses and treatment plans compared with care as usual.

References

Feb 1, 2003·Journal of Intellectual Disability Research : JIDR·E Emerson
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Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Aug 30, 2008·The Psychiatric Quarterly·Ervin DavisSy Atezaz Saeed
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Jun 7, 2011·Intellectual and Developmental Disabilities·Eric Emerson
Jun 28, 2011·Research in Developmental Disabilities·Halina RzepeckaShona Murphy
Jul 28, 2011·Journal of Paediatrics and Child Health·Mick O'Keeffe, Caroline Macaulay
Jan 23, 2013·Journal of Intellectual Disability Research : JIDR·A C PruijssersT van Achterberg

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Citations

Dec 27, 2019·Journal of Psychiatric and Mental Health Nursing·Mirjam Johanna van DamErik Oudman

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