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Intellectual disability nursing
Crisis care may benefit adults with intellectual disability and/or challenging behaviour
  1. Pierre Chue1,
  2. Moriah Tate2
  1. 1Psychiatry, University of Alberta, Edmonton, Alberta, Canada
  2. 2Nursing, Athabasca University, Edmonton, Athabasca, Canada
  1. Correspondence to Professor Pierre Chue, Department of Psychiatry, 8440-112 St, University of Alberta, Edmonton, Alberta, Canada; pchue{at}ualberta.ca

https://doi.org/10.1136/ebnurs-2024-104065

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    Commentary on: Impact of Crisis Care on Psychiatric Admission in Adults with Intellectual Disability and Mental Illness and/or Challenging Behavior: A Systematic Review—Tai et al.

    Implications for practice and research

    • Crisis care should be integrated into community care for this vulnerable and difficult-to-treat population to improve community tenure and reduce healthcare costs.

    • Crisis care versus intensive community care needs to be defined, and standardised models compared, to optimise outcomes in different healthcare jurisdictions.

    Context

    There is a high prevalence of psychiatric disorders among individuals with intellectual disability. In keeping with deinstitutionalisation, this population has also been moved from hospital to community but not necessarily accompanied by the specialised resources required. Consequently, there are high admission rates, however, this has been associated with traumatic experience (for patients and caregivers), potential neglect and abuse. Community crisis care has been studied for other patient groups but not systematically for adults with intellectual disability with mental …

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    Footnotes

    • Competing interests PC and MT have no conflicts or disclosures to report

    • Provenance and peer review Commissioned; internally peer reviewed.