This study looks at self assessment and management of the individuals mental health particularly depression Mental and Behavioural Disorders Depression
Conditions
Interventions
Added as of 24/09/2008:
The project is in three parts:
1. Delphi consultation:
The Delphi technique is used for developing consensus in areas where there is limited evidence. The consultation aims to
Sponsors
Estia Centre (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged over 18, either sex 2. Mild intellectual disabilities as defined by an intelligence quotient [IQ] of between 50 - 70 (as measured by the Wechsler Adult Intelligence Scale - Revised [WAIS-R] and/or Wechsler Adult Intelligence Scale version three [WAIS-III]; a short IQ or WAIS will be performed where there is doubt) 3. Affective disorders in the International Classification of Diseases version 10 (ICD-10) section F30 - F39 4. Able to provide written consent
Exclusion criteria
Exclusion criteria: 1. Service users suffering from head injury, post-development 2. Service users with an IQ of under 50 3. Service users with an IQ of over 70 4. Service users who lack capacity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Added as of 24/09/2008: 1. Increase in general mental health outcomes as defined within the HoNOS-LD, which has been specifically validated for use in intellectual disabilities populations and has 18 items graded for severity on a five-point scale. The HoNOS-LD is specifically aimed at people with intellectual disability regardless of degree of impairment and who have co-existing mental health needs. 2. Depressive symptoms as listed in the GDS-LD. This is a 20-item scale used to measure depressive symptoms in intellectual disability populations. Initial primary outcome measures: Increase in general mental health outcomes as defined within the HoNOS-LD, which has been specifically validated for use in intellectual disabilities populations. Roy et al (2002) reports that the HoNOS-LD is designed to monitor risk and vulnerability, and provides "a systematic summary of behaviours and functioning". It has 18 items graded for severity on a five-point scale. The HoNOS-LD is specifically aimed at people with intellectual disability regardless of degree of impairment and who have co-existing mental health needs. The BDI is a 21-item scale. The highest score on each of the questions is three, the highest possible total for the whole test is sixty-three. The lowest possible score for the whole test is zero. | — |
Secondary
| Measure | Time frame |
|---|---|
| Accuracy of service user self perception regarding risk and mental well being and its predictive validity will be examined via the self assessment and intervention logs. This data will be supplemented with an augmented Clinical Services Receipt Inventory to examine resource issues and quality of life questionnaires to examine what role support networks and standard of living might play in self intervention and management. The 'Quality of Life Scale' is a 40-item scale conducted by interview. The items are divided into four subscales: 1. Competence/productivity 2. Self-determination/independence 3. Satisfaction 4. Social belonging/integration in the community | — |
Countries
United Kingdom
Outcome results
None listed