from Part IV - Policy and service systems
Published online by Cambridge University Press: 15 December 2009
Introduction
Life in the community for individuals with intellectual disabilities (ID) implies new roles and responsibilities for professionals providing mental health care to this population. A diverse range of mental health service models have emerged both nationally and internationally to meet these needs. In some cases, emphasis is on the provision of generic mainstream services to individuals with ID, while in others specialist services have been developed, either working independently of or in tandem with generic teams. This variability implies that a variety of professional groups require specialist knowledge for assessing, treating and managing mental health problems in individuals with ID. Very little is written about the education of professionals providing mental health care for this group and there is a lack of recognition of the need for formalized training in mental health and ID from a national and international perspective. Many training programmes appear ad hoc, with the availability and content of most educational initiatives being largely determined by the specific interests of those individuals providing and undergoing training. This chapter reviews the training programmes of three groups of health care professionals (psychiatrists, psychologists and primary care physicians) available in five countries (UK, USA, Canada, Australia and Austria) in relation to mental health problems in individuals with ID. The role of specific institutions and key individuals in increasing the profile of mental health problems in this population is highlighted, factors hindering the development of professional training are identified and recent innovations in curricula are described.
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