Patients with intellectual disability (ID) can benefit from the full range of mental health services. To ensure that psychiatric assessment, diagsis 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 undiagsed medical conditions. Many training programs do t 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 diagstic criteria specific for use with individuals with ID There are evidence-based principles dedicated to psychotropic medication use in ID, but consensus guidelines address the high prevalence of poly-pharmacy. Altered diagstic 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 diagstic criteria sets. Psychiatry of Intellectual Disability also includes: * Interviewing techniques and assessment tips for all levels of communicative ability as well as for nverbal 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 AssociateProfessor of Psychiatry at the Boonshoft School of Medicine, WrightState University, Dayton, Ohio and the Project Director forOhio s Coordinating Center of Excellence in MentalIllness/Intellectual Disability. She has been the Professor of DualDiagnosis for the Ohio Department of Mental Health, the OhioDepartment of Developmental Disability, and the Ohio DevelopmentalDisabilities Council since 2003 and has evaluated more than 2,000individuals with co-occurring mental illness and intellectualdisability. She is the recipient of the American PsychiatricAssociation s Frank J. Menolascino Award for Excellence inPsychiatric Services for Developmental Disabilities, the Excellencein Contributions to Clinical Practice Award from the NationalAssociation for the Dually Diagnosed, and a member of Alpha OmegaAlpha Medical Honor Society. She is the recipient of numerousteaching awards and has been awarded more than $3,000,000 in grantsand contracts to support her work in dual diagnosis since 2003. Paulette Marie Gillig, M.D., Ph.D. is Professor ofPsychiatry at the Boonshoft School of Medicine, Wright StateUniversity, Dayton, Ohio and on the Faculty of the GraduateSchool. She has been Ohio Department of Mental HealthProfessor of Rural and Underserved Populations since 1998, islisted in Best Doctors in America, Who's Who inAmerica, Who's Who in the World, is Distinguished Fellowof the American Psychiatric Association and a member of Alpha OmegaAlpha Medical Honor Society. She is the recipient of numerousteaching and has published three books and over 60 articles andbook chapters in the several areas of Community (Public)Psychiatry, Psychotherapy, and the Interface between Psychiatry andNeurology. She is the Section Editor for the journalInnovations in Clinical Neuroscience. She completedresidencies in both Neurology and in Psychiatry, and also holds adoctorate in Social Psychology in the area of cognitiveprocesses.