Screening for mental health problems in adults with learning disabilities using the Mini PAS-ADD Interview

Maurice Devine, Laurence Taggart, Paula McLornian

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Prevalence rates vary considerably regarding the mental health of people with learning disabilities. This variation is a consequence of the assessment methods used to identify such clinical conditions and also different populations studied. The aim of this study was to screen for mental health problems in adults with mild-to-moderate learning disabilities. This study took place in one region of the UK providing community-based services to 96 adults with mild-to-moderate learning disabilities. Using the Mini PAS-ADD Interview schedule, a number of specifically trained interviewers, interviewed staff who supported these adults with learning disabilities in their particular work/day care setting to determine whether or not participants had a potential mental health problem. This study found a 33.3% prevalence rate of mental health problems in this community sample. This sample was found to score higher on the sub-scales of depression and psychosis compared with other prevalence studies. The Mini PAS-ADD Interview was found have an overall sensitivity of 1 (100%); its specificity was 77%. The results of this study fall between previous community prevalence studies that range from 14% to 50%. The practical issues of the screening process are discussed. Methodological limitations are also highlighted in accurately predicting prevalence rates of mental health problems in the learning disability population by clinical staff.
LanguageEnglish
Pages252-258
JournalBritish Journal of Learning Disabilities
Volume38
DOIs
Publication statusPublished - Dec 2010

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Learning Disorders
Mental Health
Interviews
Cross-Sectional Studies
Social Welfare
Disabled Persons
Psychotic Disorders
Population
Appointments and Schedules
Depression

Cite this

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abstract = "Prevalence rates vary considerably regarding the mental health of people with learning disabilities. This variation is a consequence of the assessment methods used to identify such clinical conditions and also different populations studied. The aim of this study was to screen for mental health problems in adults with mild-to-moderate learning disabilities. This study took place in one region of the UK providing community-based services to 96 adults with mild-to-moderate learning disabilities. Using the Mini PAS-ADD Interview schedule, a number of specifically trained interviewers, interviewed staff who supported these adults with learning disabilities in their particular work/day care setting to determine whether or not participants had a potential mental health problem. This study found a 33.3{\%} prevalence rate of mental health problems in this community sample. This sample was found to score higher on the sub-scales of depression and psychosis compared with other prevalence studies. The Mini PAS-ADD Interview was found have an overall sensitivity of 1 (100{\%}); its specificity was 77{\%}. The results of this study fall between previous community prevalence studies that range from 14{\%} to 50{\%}. The practical issues of the screening process are discussed. Methodological limitations are also highlighted in accurately predicting prevalence rates of mental health problems in the learning disability population by clinical staff.",
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Screening for mental health problems in adults with learning disabilities using the Mini PAS-ADD Interview. / Devine, Maurice; Taggart, Laurence; McLornian, Paula.

In: British Journal of Learning Disabilities, Vol. 38, 12.2010, p. 252-258.

Research output: Contribution to journalArticle

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