| A five-year follow-up study of older long-stay clients with intellectual disability using the Disability Assessment Schedule. | |
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MedLine Citation:
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PMID: 9617696 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The emphasis on community care means closure of the long-stay institutions for people with intellectual disability. Studies have indicated that older people with intellectual disability in particular may not be adequately cared for because of poor monitoring of their changing needs and inadequate provision of services. The use of rating instruments to monitor changes, and to predict outcome or needs in this population may help to improve care by assisting with planning and projection of service requirements. In 1991, all residents of a long-stay hospital for people with intellectual disability were assessed using the Disability Assessment Schedule (DAS). Five years later, the 1991 scores of the older residents (aged > 50 years) were reviewed and compared under three outcome groups: in-patients, discharged and deceased. Furthermore, all older people resident in the hospital in 1996 were reassessed using the DAS. Out of the 144 older clients resident in 1991, five years later, 78 were still in-patients, 38 had been discharged into the community and 28 were deceased. In 1991, the decreased group had the greatest problems with continence and symbolic behaviour, while the discharged group had the greatest problems with self-help, vision, hearing, communication, social interaction, echolalia and repetitive speech. In comparison with 1991, the 1996 DAS scores of older residents showed that there were increasing problems with vision, hearing, communication, behaviour and symbolic activities. The present study suggested that the DAS is a useful instrument for monitoring change and predicting outcome in older people with intellectual disability. |
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Authors:
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O Ashaye; L Fernando; D Kohen; G Mathew; M Orrell |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of intellectual disability research : JIDR Volume: 42 ( Pt 2) ISSN: 0964-2633 ISO Abbreviation: J Intellect Disabil Res Publication Date: 1998 Apr |
Date Detail:
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Created Date: 1998-08-27 Completed Date: 1998-08-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9206090 Medline TA: J Intellect Disabil Res Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 131-6 Citation Subset: IM |
Affiliation:
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Mental Health Unit, Princess Alexandra Hospital, Harlow, Essex, England. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living
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psychology Aged Aged, 80 and over Female Follow-Up Studies Geriatric Assessment* Humans Long-Term Care* Male Mental Retardation / diagnosis, psychology, rehabilitation* Middle Aged Patient Discharge Social Adjustment Social Behavior Disorders / diagnosis, psychology, rehabilitation Treatment Outcome |
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