Nurturing the Positive Mental Health of Autistic Children, Adolescents and Adults alongside That of Their Family Care-Givers: A Review of Reviews

The rising prevalence of autism internationally has been accompanied by an increased appreciation of the poorer mental health experienced by people with this condition and also of their family care-givers. In particular, higher incidences of anxiety and depression are reported in high-income nations and these conditions are likely to be under-recognised and under-reported in lower-resourced regions or countries. Mainstream mental health services seem to be ill-equipped to respond adequately to the needs of autistic persons and their care-givers. This literature review of 29 recently published reviews covering nearly 1000 journal articles summarises the insights and strategies that have been shown to promote the mental health and emotional wellbeing of autistic persons. In particular, a focus on family-centred, community-based supports is recommended that aim to enhance social communication, extend social connections and promote an individual’s self-esteem, self-determination and social motivation. These low-cost interventions are especially pertinent in low-resourced settings, but they can be used internationally to prevent mental illness and assist in the treatment of anxiety and depression in autistic persons and their family carers. The priority is to focus on primary-care responses with cross-sectoral working rather than investing in high-cost psychiatric provision

Post-school Education and Training for Students with Intellectual Disabilities

AbstractLife-long learning is essential for persons with intellectual disabilities wishing to enter the labour market. This paper describes an integrated curriculum provided by a leading agency in Northern Ireland that provides ‘real work’ training to students aged 16 to 40 years. It has three, inter-linking components: 1) training courses leading to accredited vocational awards; 2) realistic work experience in social enterprises managed by the agency and 3) supported work in mainstream employment with on-the-job training from job coaches. The critical features of the model were validated through interviews with a range of stakeholders including trainees, family carers and disability specialists

Making numbers count: National datasets on intellectual disability.

Purpose – The purpose of this paper is to provide a commentary on “Adults with learning disabilities known to local authorities in Scotland: a national dataset” by Claire Stuart and colleagues. Design/methodology/approach – Drawing on experiences with the National Intellectual Disability Database in Ireland, the authors identify the key elements to be addressed such as the uses to which information from the database will be put; the definition of intellectual disability for inclusion of individuals; defining the information to be gathered; the systems for gathering information; checking and auditing the information that is collected, and the types of reports emerging from the analyses. Findings – A national database of persons with an intellectual disability is at least desirable – if not essential – to the delivery of equitable and effective service supports. The advent of computerised data management tools makes this a realistic option in most European countries although debates continue around the protection of personal data and the costs involved in establishing and maintaining dedicated databases. Originality/value – National data sets on intellectual disability can make a significant contribution to equitable and effective service planning. However, major challenges need to be overcome so that the information collected is reliable and valid. </jats:sec

Changes in Children’s Speech and Language Difficulties from Age Five to Nine: An Irish National, Longitudinal Study

In many countries, information on the prevalence of persistent speech and language disorders in early childhood is sparse due to the lack of nationally representative samples and longitudinal studies. Secondary analysis of data collected on over 7500 Irish children at ages 5 and 9 years, found that the prevalence of speech and language difficulties reported by the primary caregivers of Irish children decreased from one in six at age 5 to one in 12 at age 9. However, one in 20 children were reported to have difficulties at both ages. Regression analysis compared children with difficulties at both age 5 and age 9 to those who had been reported to have them at age 5 but no longer had such difficulties at age 9. Children with speech and language difficulties at both age 5 and age 9 were more likely to have two or more developmental impairments as well as current or past hearing impairments. Teachers and parents also reported a greater number of social-emotional difficulties. Family characteristics did not differ significantly across the two groupings. At best, up to one third of the children at ages 5 and 9 with speech and language difficulties had two or more contacts with a speech and language therapists in the preceding 12 month period. Increased support to these children, their parents and teachers would seem to be warranted