Search results

People with schizophrenia and related psychoses may be more likely to be ‘treatment‐resistant’ when dually diagnosed with intellectual disabilities. This case study highlights many of the difficulties which can occur in their assessment and management. Clozapine is currently the best available intervention for treatment‐resistant schizophrenia, and its use has increased in people with intellectual disabilities. However, it is not always effective, and a wide range of adjunctive strategies have been suggestive and tried. The evidence base for the specific use of these additional strategies in people with intellectual disabilities needs to be increased.

This case study seeks to explore the differences between carer and professional perspectives in the assessment and treatment of a young man with intellectual disabilities, autism and mental health problems.

The opinions and perspectives of psychiatrists involved in the care and treatment of “S” and “S”'s mother about the aetiology, course, treatment and prognosis of “S”'s condition, are explored using “explanatory models”.

This paper shows the similarities and the differences of opinions and perspectives about the mental health care of a person with intellectual disabilities.

It shows how the explicit comparison of notions about a person's condition, assessment and treatment may help all involved to work together for the common ground of achieving the best outcomes for service users.