Book description
Patients with intellectual disability (ID) can benefit from the full
range of mental health services. To ensure that psychiatric assessment,
diagnosis and treatment interventions are relevant and effective;
individuals with ID should be evaluated and treated within the context
of their developmental framework. Behavior should be viewed as a form of communication.
Individuals with ID often present with behavioral symptoms
complicated by limited expressive language skills and undiagnosed
medical conditions. Many training programs do not include focused
study of individuals with ID, despite the fact that patients with ID
will be seen by virtually every mental health practitioner. In this
book, the authors present a framework for competent assessment and
treatment of psychiatric disorders in individuals with ID.
Psychiatry of Intellectual Disability is a resource guide
for psychiatrists, nurse practitioners, and other prescribers treating
patients with ID. It is a supplemental text for psychiatry residents,
medical students, psychology graduate students, psychotherapists,
counselors, social workers, behavior support specialists and nurses.
To assist the practicing clinician the book includes:
- Clinical vignettes
- Clinical pearls
- Charts for quick reference
- Issues concerning medications and poly-pharmacy
- Altered diagnostic criteria specific for use with individuals
with ID
There are no evidence-based principles dedicated to psychotropic
medication use in ID, but consensus guidelines address the high
prevalence of poly-pharmacy. Altered diagnostic criteria have been
published which accommodate less self-report and incorporate
collateral information; this book reviews the literature on
psychotropic medications, consensus guidelines, and
population-specific diagnostic criteria sets.
Psychiatry of Intellectual Disability also includes:
- Interviewing techniques and assessment tips for all levels of
communicative ability as well as for nonverbal individuals
- Assessment of aggression to determine etiology and formulate a
treatment plan
- Overview of types of psychotherapy and suggested alterations for
each to increase efficacy
- Relevant legal issues for caregivers and treatment providers
The detective work involved in mental health assessment of
individuals with ID is challenging yet rewarding. The highest quality
mental health treatment limits hospital days, improves quality of life
and often allows individuals to live in the least restrictive
environments.
Psychiatry of Intellectual Disability is a must have
resource for clinicians treating the ID population.
Julie P. Gentile, M. D. (jen-TILL-ee) is Associate Professor of
Psychiatry at the Boonshoft School of Medicine, Wright State
University, Dayton, Ohio and the Project Director for Ohio's
Coordinating Center of Excellence in Mental Illness/Intellectual
Disability. She has been the Professor of Dual Diagnosis for the Ohio
Department of Mental Health, the Ohio Department of Developmental
Disability, and the Ohio Developmental Disabilities Council since 2003
and has evaluated more than 2,000 individuals with co-occurring mental
illness and intellectual disability. She is the recipient of the
American Psychiatric Association's Frank J. Menolascino Award for
Excellence in Psychiatric Services for Developmental Disabilities, the
Excellence in Contributions to Clinical Practice Award from the
National Association for the Dually Diagnosed, and a member of Alpha
Omega Alpha Medical Honor Society. She is the recipient of numerous
teaching awards and has been awarded more than ,000,000 in grants and
contracts to support her work in dual diagnosis since 2003.
Paulette Marie Gillig, M. D., Ph. D. is Professor of Psychiatry
at the Boonshoft School of Medicine, Wright State University, Dayton,
Ohio and on the Faculty of the Graduate School. She has been Ohio
Department of Mental Health Professor of Rural and Underserved
Populations since 1998, is listed in Best Doctors in America,
Who's Who in America, Who's Who in the World, is
Distinguished Fellow of the American Psychiatric Association and a
member of Alpha Omega Alpha Medical Honor Society. She is the
recipient of numerous teaching and has published three books and over
60 articles and book chapters in the several areas of Community
(Public) Psychiatry, Psychotherapy, and the Interface between
Psychiatry and Neurology. She is the Section Editor for the journal
Innovations in Clinical Neuroscience. She completed
residencies in both Neurology and in Psychiatry, and also holds a
doctorate in Social Psychology in the area of cognitive processes.
