Stawski Mike, Merrick Joav
Outpatient Unit for Neurodevelopmental Psychiatry, Department of Psychological Medicine, Schneider Children's Medical Center in Israel, Petach Tikva, Israel.
Isr J Psychiatry Relat Sci. 2006;43(4):237-40.
Intellectual disability (ID) (often also referred to as "mental retardation," "development disability," "mental handicap," "learning disability" or as "generalized learning difficulties") is common in all countries. Many people with ID suffer from psychiatric/behavioral/emotional disturbances (known as "dual diagnosis"). Specialist psychiatric services are needed to address these problems effectively, but are not currently available in most countries, including Israel. This article sets out to describe the problems, current services in Israel, approaches in other countries and proposed solutions for Israel. We believe it important to enforce laws against discrimination based on disability, to raise the general awareness, knowledge and skills among generic mental health professionals on the topic of intellectual disability by inclusion in university, postgraduate and in-service training curricula, to work towards a form of subspecialty within psychiatry along the lines of the model in the United Kingdom and to establish specialized psychiatric services, possibly functioning as back-up to the generic psychiatric services.
智力残疾(ID)(通常也被称为“智力迟钝”、“发育障碍”、“精神障碍”、“学习障碍”或“广泛性学习困难”)在所有国家都很常见。许多智力残疾患者患有精神/行为/情绪障碍(即“双重诊断”)。需要专业的精神科服务来有效解决这些问题,但目前在包括以色列在内的大多数国家都没有。本文旨在描述这些问题、以色列目前的服务、其他国家的做法以及针对以色列提出的解决方案。我们认为,必须执行禁止基于残疾进行歧视的法律,通过将其纳入大学、研究生和在职培训课程,提高普通精神卫生专业人员对智力残疾主题的总体认识、知识和技能,朝着效仿英国模式在精神病学领域建立一种亚专业的方向努力,并建立专门的精神科服务,可能作为普通精神科服务的后备力量。