Special Projects Team, Abertawe Bro Morgannwg Univerity Health Board, Cardiff, UK.
J Appl Res Intellect Disabil. 2013 Nov;26(6):501-14. doi: 10.1111/jar.12050. Epub 2013 May 27.
Intervention for behavioural and psychiatric disorders in people with intellectual disabilities often only takes place once these conditions are well established and more resistant to change. As an alternative, this paper promotes a public health prevention model and maps out opportunities for intervention at primary, secondary and tertiary levels. The resulting model is partly derived from generic research into these issues and partly on specific evidence on interventions for people with intellectual disabilities; it also contains more theoretical considerations. The additional research that is necessary to demonstrate the efficacy of the interventions identified is also considered. Central to this proposal is a greater integration of issues for people with intellectual disabilities within much broader policy and research agendas.
干预智障人士的行为和精神障碍通常只在这些情况得到很好的确定并且更难改变时才会进行。作为替代方法,本文提出了一种公共卫生预防模式,并规划了在初级、中级和三级干预的机会。由此产生的模型部分源自对这些问题的一般研究,部分源自针对智障人士干预的具体证据;它还包含了更多的理论考虑。还考虑了确定干预措施的有效性所需的额外研究。这一提议的核心是在更广泛的政策和研究议程中更深入地整合智障人士的问题。