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Assessing the needs of adults with i...

Martin, Lynn.

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Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID).

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID)./
作者:	Martin, Lynn.
面頁冊數:	276 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3459.
Contained By:	Dissertation Abstracts International66-06B.
標題:	Psychology, Psychometrics. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR02983
ISBN:	9780494029831

Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID).
Martin, Lynn.

Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID). - 276 p.

Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3459.

Thesis (Ph.D.)--University of Waterloo (Canada), 2005.

This dissertation represents a first step toward a better understanding of the strengths, preferences, and needs of adults with intellectual disability (ID) living in community and institutional settings. First, adults with and without ID in psychiatric and complex continuing care (CCC) hospitals/units were compared to determine whether adults with ID fit into these settings designed for persons with mental illness and/or older adults. Second, a new assessment system that collects information about all key domains affecting the lives of community-dwelling adults with ID was developed and evaluated with respect to internal consistency and criterion validity of embedded scales. This instrument, which has been called interRAI-Intellectual Disability (interRAI-ID), represents a first step toward comprehensive assessment designed for adults with ID that is intended to highlight their strengths, preferences, and needs, with the aim of supporting interventions to promote independence. Third, various personal, clinical, and social characteristics of community dwelling adults with ID were compared to those of adults with ID in institutions to discover which characteristics differentiate adults with ID across settings, and which are associated with institutionalization. Last, as problem behaviour has been identified as one of the most prevalent problems affecting persons with ID, the personal, clinical, and social factors related to aggression were identified for adults with ID in community and institutional settings.

ISBN: 9780494029831Subjects--Topical Terms:

1017742
Psychology, Psychometrics.

Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID).
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245 1 0 $a Assessing the needs of adults with intellectual disability in different care settings: Development and evaluation of the interRAI-Intellectual Disability (interRAI-ID).
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500 $a Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3459.
502 $a Thesis (Ph.D.)--University of Waterloo (Canada), 2005.
520 $a This dissertation represents a first step toward a better understanding of the strengths, preferences, and needs of adults with intellectual disability (ID) living in community and institutional settings. First, adults with and without ID in psychiatric and complex continuing care (CCC) hospitals/units were compared to determine whether adults with ID fit into these settings designed for persons with mental illness and/or older adults. Second, a new assessment system that collects information about all key domains affecting the lives of community-dwelling adults with ID was developed and evaluated with respect to internal consistency and criterion validity of embedded scales. This instrument, which has been called interRAI-Intellectual Disability (interRAI-ID), represents a first step toward comprehensive assessment designed for adults with ID that is intended to highlight their strengths, preferences, and needs, with the aim of supporting interventions to promote independence. Third, various personal, clinical, and social characteristics of community dwelling adults with ID were compared to those of adults with ID in institutions to discover which characteristics differentiate adults with ID across settings, and which are associated with institutionalization. Last, as problem behaviour has been identified as one of the most prevalent problems affecting persons with ID, the personal, clinical, and social factors related to aggression were identified for adults with ID in community and institutional settings.
520 $a Three data sets were analyzed for this study: pilot implementation of the Resident Assessment Instrument for Mental Health version 1 (RAI-MH 1.0) in 34 psychiatric hospitals/units in Ontario, Manitoba, and Alberta (3,717 patients, 129 with an ID); census data on patients in CCC hospitals/units in Ontario using the Minimum Data Set 2.0 (MDS 2.0) (86,663 patients, 753 with ID); and data from a pilot of the interRAI-ID in four community agencies providing support to adults with ID (160 clients with ID).
520 $a Results showed that in psychiatric and CCC settings, adults with and without ID had different personal, clinical, and social profiles. In each setting, adults with ID were more functionally impaired, had fewer social resources, and had much higher rates of aggressive behaviour than adults without ID. In addition, the treatments and interventions offered to adults with ID in each setting focussed mainly on behaviour management, regardless of the identification of other areas of potential need (e.g., depression, community reintegration). The importance of having an ID in predicting moderate or worse cognitive impairment (Cognitive Performance Scale or CPS score 3+), impairment in activities of daily living (ADL-Short Form or ADL-SF score 5+), depression (Depression Rating Scale or DRS score 3+), and aggression (Aggressive Behaviour Scale or ABS score 1+) was also tested. These analyses revealed that the presence of an ID was significantly related to cognitive impairment, ADL impairment, and aggression in each hospital setting. The presence of an ID was also related to elevated risk of depression (bivariate and multivariate levels) in CCC, but not in psychiatric settings. Though its relationship to psychosis and withdrawal could not be tested in CCC (all Positive (PSS) and Negative (NSS) Symptoms Scale items are not available in the MDS 2.0), the presence of an ID was related to psychosis (bivariate and multivariate levels) and withdrawal (bivariate only) in psychiatric settings. These results suggest that professionals should consider specialized service plans in each of these areas for adults with ID in their care. (Abstract shortened by UMI.)
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