School of Social Work, Virginia Commonwealth University, P. O. Box 842027, Richmond, VA, 23284, USA.
Partnership for People with Disabilities, 700 E Franklin St, 1st Floor, Suite 140, Richmond, VA, 23219, USA.
Community Ment Health J. 2023 Aug;59(6):1119-1128. doi: 10.1007/s10597-023-01091-4. Epub 2023 Feb 5.
People with intellectual and developmental disabilities (IDD) have higher incidences of mental health conditions and behavioral support needs than people without IDD but may not receive needed care from community providers. We examined rates of co-occurring conditions in a representative sample of adults with IDD who use state funded services in Virginia. Using data from two datasets, we identified four categories of mental health and behavioral conditions. We used these categories to examine differences in individual- and system-level factors in people with and without co-occurring conditions. We found high rates of co-occurring conditions in our sample. We found important disability factors and system-level characteristics that were associated with having a diagnosed mental health condition or behavioral support needs. Differing patterns of diagnosis and treatment for co-occurring conditions suggests more work needs to be done to support people with IDD and co-occurring mental health conditions living in the community.
患有智力和发育障碍（IDD）的人比没有 IDD 的人更容易出现心理健康问题和行为支持需求，但他们可能无法从社区提供者那里获得所需的护理。我们检查了在弗吉尼亚州使用州立服务的代表性成年 IDD 人群中的共同发生疾病的发生率。我们使用来自两个数据集的数据，确定了四类心理健康和行为状况。我们使用这些类别来检查共同发生条件的人和没有共同发生条件的人在个体和系统水平因素方面的差异。我们发现我们的样本中存在很高的共同发生疾病的发生率。我们发现了与诊断的心理健康状况或行为支持需求相关的重要残疾因素和系统水平特征。共同发生疾病的诊断和治疗模式的差异表明，需要做更多的工作来支持患有 IDD 和共同发生心理健康疾病的人在社区中生活。
