A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.

<h4>Background</h4>Failure to detect psychiatric patients' intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures.<h4>Aims</h4>In this prospective dynamic cohort study we screened for intellectual disabilities in patients admit...

Full description

Saved in:
Bibliographic Details
Main Authors: Jeanet Grietje Nieuwenhuis, Eric Onno Noorthoorn, Henk Llewellyn Inge Nijman, Paul Naarding, Cornelis Lambert Mulder
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0168847&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849765028615421952
author Jeanet Grietje Nieuwenhuis
Eric Onno Noorthoorn
Henk Llewellyn Inge Nijman
Paul Naarding
Cornelis Lambert Mulder
author_facet Jeanet Grietje Nieuwenhuis
Eric Onno Noorthoorn
Henk Llewellyn Inge Nijman
Paul Naarding
Cornelis Lambert Mulder
author_sort Jeanet Grietje Nieuwenhuis
collection DOAJ
description <h4>Background</h4>Failure to detect psychiatric patients' intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures.<h4>Aims</h4>In this prospective dynamic cohort study we screened for intellectual disabilities in patients admitted to psychiatric wards, and investigated the use of coercive measures with these patients.<h4>Methods</h4>We used the Screener for Intelligence and Learning disabilities (SCIL) to screen patients admitted to two acute psychiatric wards, and assessed patient characteristics and coercive measures during their stay and over the last 5 years.<h4>Results</h4>Results on the SCIL suggested that 43.8% of the sample had Mild Intellectual Disability or Borderline Intellectual Functioning (MID/BIF). During their current stay and earlier stays in the previous 5 years, these patients had an increased risk of involuntary admission (OR 2.71; SD 1.28-5.70) and coercive measures (OR 3.95, SD 1.47-10.54).<h4>Conclusions</h4>This study suggests that functioning on the level of MID/BIF is very prevalent in admitted psychiatric patients and requires specific attention from mental health care staff.
format Article
id doaj-art-9e26b5a69bb646d095f221420a9ee71a
institution DOAJ
issn 1932-6203
language English
publishDate 2017-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-9e26b5a69bb646d095f221420a9ee71a2025-08-20T03:04:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e016884710.1371/journal.pone.0168847A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.Jeanet Grietje NieuwenhuisEric Onno NoorthoornHenk Llewellyn Inge NijmanPaul NaardingCornelis Lambert Mulder<h4>Background</h4>Failure to detect psychiatric patients' intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures.<h4>Aims</h4>In this prospective dynamic cohort study we screened for intellectual disabilities in patients admitted to psychiatric wards, and investigated the use of coercive measures with these patients.<h4>Methods</h4>We used the Screener for Intelligence and Learning disabilities (SCIL) to screen patients admitted to two acute psychiatric wards, and assessed patient characteristics and coercive measures during their stay and over the last 5 years.<h4>Results</h4>Results on the SCIL suggested that 43.8% of the sample had Mild Intellectual Disability or Borderline Intellectual Functioning (MID/BIF). During their current stay and earlier stays in the previous 5 years, these patients had an increased risk of involuntary admission (OR 2.71; SD 1.28-5.70) and coercive measures (OR 3.95, SD 1.47-10.54).<h4>Conclusions</h4>This study suggests that functioning on the level of MID/BIF is very prevalent in admitted psychiatric patients and requires specific attention from mental health care staff.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0168847&type=printable
spellingShingle Jeanet Grietje Nieuwenhuis
Eric Onno Noorthoorn
Henk Llewellyn Inge Nijman
Paul Naarding
Cornelis Lambert Mulder
A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
PLoS ONE
title A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
title_full A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
title_fullStr A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
title_full_unstemmed A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
title_short A Blind Spot? Screening for Mild Intellectual Disability and Borderline Intellectual Functioning in Admitted Psychiatric Patients: Prevalence and Associations with Coercive Measures.
title_sort blind spot screening for mild intellectual disability and borderline intellectual functioning in admitted psychiatric patients prevalence and associations with coercive measures
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0168847&type=printable
work_keys_str_mv AT jeanetgrietjenieuwenhuis ablindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT ericonnonoorthoorn ablindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT henkllewellyningenijman ablindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT paulnaarding ablindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT cornelislambertmulder ablindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT jeanetgrietjenieuwenhuis blindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT ericonnonoorthoorn blindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT henkllewellyningenijman blindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT paulnaarding blindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures
AT cornelislambertmulder blindspotscreeningformildintellectualdisabilityandborderlineintellectualfunctioninginadmittedpsychiatricpatientsprevalenceandassociationswithcoercivemeasures