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Query: UMLS:C0025362 (mental retardation)
 15,878 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The projective Hand Test (Wagner, 1962/1983) was administered to 17 older adults with a dual diagnosis (mental retardation existing concurrently with some form of mental illness) residing in a Midwestern institution for the mentally retarded. Each of these individuals was matched with another resident in the same institution with a single diagnosis of mental retardation on the variables of age, sex, and level of mental retardation to determine differences between the groups on the Hand Test. The dual diagnosis group gave significantly more bizarre (BIZ) responses, whereas the single diagnosis group gave more descriptive (DES) responses. It was contended that these two variables accurately reflect the essential difference between dual and single diagnosed mentally retarded individuals.
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PMID:Hand test characteristics of dual diagnosed mentally retarded older adults. 822 37

The purpose of this paper is to present an overview of current trends in the field of dual diagnosis in the United States. Policy, programme, diagnostic and treatment issues are reviewed. The paper will examine the effects of the social policy of deinstitutionalization on people who have a dual diagnosis and will offer policy ideas for ameliorating some of the significant obstacles facing this population. Exemplary programme models are briefly discussed to illustrate the development of effective services. The challenges of assessing psychopathology in people with mental retardation are addressed. Several therapy and treatment modalities that have proven to be effective with people who have a dual diagnosis are also discussed. Lastly, this paper mentions a new community ideology driven by the values of consumers choice and satisfaction.
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PMID:Mental illness-mental retardation in the United States: policy and treatment challenges. 827 27

The relationship between aggression and depression was evaluated for 528 adults, adolescents and children, who were rated on either the adult or child versions of the Reiss instruments for dual diagnosis (Reiss 1988; Reiss & Valenti-Hein 1990). Criterion levels of depression were evident in about four times as many aggressive as nonaggressive subjects. Anger was significantly associated with both aggression and depression. Although anger may play a mediational role in the correlation between aggression and depression, in this study there was a significant correlation even after the effects of anger were held constant. The findings provide an initial step toward improving diagnostic specificity when evaluating aggressive behaviour in people with mental retardation.
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PMID:Joint occurrence of depression and aggression in children and adults with mental retardation. 833 20

Individuals with mental illness and mental retardation often fall between system and agency service cracks. This paper describes some of the barriers individuals and communities confront in developing new or expanding existing services to meet the needs of this population. It then describes how one community initiated multi-system collaboration in its delivery of crisis intervention services, community mental health center services and specialized short-term residential living. By increasing the multi-system services available to individuals with dual diagnosis at the community level, fewer individuals encountered placement failure and re-institutionalization.
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PMID:One community's response to the multi-system service needs of individuals with mental illness and developmental disabilities. 837 40

The Reiss Screen for Maladaptive Behavior was factor analyzed in two institutional samples and one community sample of persons with mental retardation. In Sample I a general factor was found. In Samples 2 and 3 a three-factor structure was found. These three factors were named Intra-personal Maladaptive Behavior, Psychotic Behavior, and Extra-personal Maladaptive Behavior. None of the factor solutions bore any close resemblance to a factor structure implied by the seven scales on the Reiss Screen. The implications for the future development of assessments of dual diagnosis are discussed.
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PMID:The factor structure of the Reiss Screen for Maladaptive Behaviors in institutional and community populations. 882 38

Attitudes of 340 staff members in 120 community living programs for people with mental retardation, mental illness, and dual diagnosis and a comparison sample of 152 community members were assessed using the Community Living Attitudes Scale, a measure of attitudes toward inclusion. Results showed that community agency supervisory and managerial staff held more favorable attitudes toward community living philosophy. Community support staff who worked with people who have mental retardation saw that population as less similar to other people than did the comparison sample and were less likely to endorse exclusion of persons with mental retardation than were those in the comparison sample. Retrospective analyses showed that training in inclusion philosophy was related to more inclusive, empowering attitudes among staff members.
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PMID:Attitudes of community-living staff members toward persons with mental retardation, mental illness, and dual diagnosis. 899 Aug 21

Although some genetic, mental retardation syndromes have well-described behavioral features, comparative studies have not yet assessed the relative uniqueness of these so-called phenotypes. Maladaptive behavior of 43 children with Prader-Willi syndrome was compared to age- and gender-matched children with Down syndrome and with nonspecific mental retardation. The Prader-Willi group showed more frequent and severe internalizing, externalizing, and total problem behaviors on the Child Behavior Checklist. Some problems were elevated in all groups, and 12 behaviors were significantly elevated in Prader-Willi subjects relative to both comparison groups. Seven behaviors predicted membership into the Prader-Willi group with 91% accuracy. Implications were discussed for research on behavioral phenotypes in general and for dual diagnosis in particular.
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PMID:Maladaptive behavior in children with Prader-Willi syndrome, Down syndrome, and nonspecific mental retardation. 939 32

We tested the factorial stability of the Reiss Screen for Maladaptive Behavior (Reiss, 1988a, The Reiss Screen for Maladaptive Behavior test manual). Reasonable fit was demonstrated in a geographically diverse sample of 448 individuals with mild, moderate, severe and profound mental retardation according to four measures of overall fit: RMSEA, ECVI, NNFI, and NFI. The results confirm Reiss' (1988a) factor solution of this widely used dual diagnosis (mental retardation and mental illness) screening instrument.
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PMID:The Reiss Screen for Maladaptive Behavior: confirmatory factor analysis. 940 Nov 38

This research was conducted to teach two adults with schizophrenia and mental retardation to respond to recorded audio prompts in order to eliminate the need for instructor assistance in completing routine prevocational tasks. Studying individuals with dual diagnosis is an important step in moving toward success in community living and vocational placement. A multiple probe design across tasks was conducted. Prior to the investigation, both individuals demonstrated low levels of independent task completion. Following the implementation of the audio prompts, both individuals' task completion performances dramatically increased. These findings suggest that audio prompts may serve as an efficient alternative to instructor promoting, which is often required by individuals with dual diagnosis in prevocational job settings.
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PMID:Recorded audio prompts. A strategy to increase independent prevocational task completion in individuals with dual diagnosis. 992 25

Whether the combined diagnosis of cerebral palsy with mental retardation or with mental retardation and epilepsy reflects more severe manifestations of the spectrum of cerebral palsy, or whether these conditions reflect overlapping outcomes related to different exposure, remains an open question. At two centers, in Rome and Conegliano, Italy, 51 children with combined cerebral palsy, mental retardation, and epilepsy, 31 children with both cerebral palsy and mental retardation, and 48 with cerebral palsy alone were identified and examined, and their mothers interviewed. The triple diagnosis group was significantly more likely than the other two groups to have a history of neonatal convulsions and a history of epilepsy in first-degree relatives, but less likely to have a mother's age at delivery greater than 33 years, a birthweight less than 1500 g, or gestational age less than 32 weeks. The dual diagnosis group was more likely than the other two groups to have maternal education of less than 8 years. These data suggest the possibility of different etiopathogenetic pathways for various presentations of cerebral palsy.
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PMID:Differing risk factors for cerebral palsy in the presence of mental retardation and epilepsy. 1019 Feb 64


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