role of social work in developmental delay.edited

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Nairobi Institute of Technology - Westlands *

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MISC

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Nursing

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Nov 24, 2024

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docx

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1 Mental Health Crises in People with Intellectual and Developmental Disability Student’s name Institution affiliation Course Instructor Due date

2 Mental Health Crises in People with Intellectual and Developmental Disability Introduction Developmental delay is the term used to describe a setback in achieving linguistic, intellectual, social, or motor skills milestones. Permanent developmental delays, often known as developmental disabilities, can be symptoms of more serious diseases like cerebral palsy or developmental disorders, including autism, intellectual disability, and hearing loss. Developmental delays can be either temporary or permanent. This summarizes an article on the predictors of mental health crises among individuals with intellectual and developmental disabilities enrolled in the START program. Summary of the article This prospective study looked into the factors that predict mental health crises in people with intellectual and developmental disability. The Systemic, Therapeutic, Assessment, Resources, and Treatment program which is referred to as the START program, which provides crisis assistance for persons with an intellectual and developmental disability in the United States, provided the data that was used in this article (Kalb et al., 2021). One thousand one hundred eighty-eight individuals from four areas were enrolled in the research between 2018 and 2019. Urgent crisis contacts with the START program were the outcome that was measured. Using multivariate regression, baseline and clinical characteristics were examined. According to Kalb et al. (2021), 26% of individuals had at least one crisis contact, and 9% had three or more. During the first three months of START enrollment, there was an increase in the number of crisis contacts; this was followed by a dramatic fall, and very few connections remained after one year. 30% of the crisis interactions involved police, and around 45% occurred

3 beyond regular business hours. The strongest predictors of crisis contact were clinical variables, followed by a dearth of occupational support. 73% of those who received crisis intervention from START could stay in their primary setting (Kalb et al., 2021). The study emphasizes the need for crisis stabilization services specifically designed for people with intellectual and developmental disability and mental health issues, especially after hours. The findings give a critical new understanding of the occurrence and risk factors for mental health crisis contacts in this group, mainly how frequently emergency responders are involved. In particular, gaining a job was linked to better community stabilization (Kalb et al., 2021). These results can be utilized to create efficient support networks and mental health crisis intervention services for this disadvantaged population. What I like about the article The results highlight how crucial it is to create specialized mental health crisis intervention services and support for people with an intellectual and developmental disability and highlight the beneficial effects of gainful work on community stability. These results can serve as a reference for creating and enhancing mental health crisis services and support for people with intellectual and developmental disability (Kalb et al., 2021). In order to identify at-risk persons and take preventative actions, it might be helpful to understand the unique predictors of crises. For example, early intervention programs might be created to address the clinical characteristics found in the study and give people with an intellectual and developmental disability the help they need before crises worsen. Further highlighting the necessity for specific training for law enforcement personnel in managing circumstances involving people with an intellectual and developmental disability and mental health, problems is the considerable role played by police in

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4 crisis encounters. A thorough approach to crisis intervention may be built to better serve this population by working with many stakeholders, including healthcare practitioners, emergency responders, and support organizations. What I did like about the article There are a few areas where the article may have been enhanced, even though it offers insightful information about mental health crises among people with an intellectual and developmental disability. First, the study's scope was constrained to START program data, which might not accurately reflect the complexity and variety of the broader intellectual and developmental disability community. It would have been advantageous to incorporate data from several ss or programs to improve the generalizability of the conclusions. The article contributes to the factors contributing to people with intellectual and developmental disability using emergency psychiatric treatment at such high rates. It is essential to understand the particular variables causing this discrepancy to create focused treatments and support systems. The article does not detail possible preventative measures for crises involving people with an intellectual and developmental disability, such as early intervention programs, community-based services, or improved mental health training for carers and support staff. Examining these facets would have given a more complete picture of the problem. Elements in the article that a social worker can use in a healthcare setting Several aspects of the post might be helpful to a social worker in a healthcare context. This is because the article offers important insights. "Together, these findings provide crucial insights that can inform the development and enhancement of mental health crisis services and supports for individuals with intellectual and developmental disabilities," (Kalb et al., 2021). The

5 discovery that people with intellectual and developmental disabilities use emergency psychiatric care more frequently emphasizes the demand for proactive and focused treatments for this population. By highlighting the need for early identification of mental health needs among people with an intellectual and developmental disability and providing appropriate support and resources to address these needs before they become crises, this knowledge would guide the approach to crisis management and prevention. Another critical element of the study is the focus on the role of emergency responders, notably the police, in crisis circumstances for people with an intellectual and developmental disability. It emphasizes the need for law enforcement officials to receive training and instruction on how to deal tactfully and efficiently with people who have an intellectual and developmental disability during emergencies (Kalb et al., 2021). In light of this information, there is a need for collaboration between medical professionals, social workers, and law enforcement organizations to create specialized training programs that improve comprehension, communication, and de- escalation strategies when dealing with people with intellectual and developmental disability in emergencies. Social workers may contribute to a more thorough and inclusive approach to mental health crisis intervention for people with an intellectual and developmental disability in the healthcare context by implementing the recommendations from the article.

6 References Kalb, L. G., Beasley, J. B., Caoili, A., McLaren, J. L., & Barnhill, J. (2021). Predictors of mental health crises among individuals with intellectual and developmental disabilities enrolled in the START program. Psychiatric Services , 72 (3), 273- 280. https://doi.org/10.1176/appi.ps.202000301

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