Abstract
In this chapter, we review the psychological needs and service provisions for older adults with an intellectual disability (ID). The reader will be directed toward research that identifies an increasing longevity, concomitant increases in aging-related morbidities, and psychosocial factors. Specific aging-related conditions will be discussed, along with their impact on functional status and mental health, including a discussion of the complexity of differential diagnosis and the usefulness of comprehensive assessment.
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REFERENCES
Acquilano, J. P. (2002, March). A comprehensive geriatric assessment clinic for the intellectually disabled. Paper presented at the 12th Annual Roundtable of the International Association for the Scientific Study of Intellectual Disabilities, Koriyama, Fukishima, Japan.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Ansello, E. F., & Janicki, M. P. (2000). The aging of nations. In M. P. Janicki & E. F. Ansello (Eds.), Community supports for aging adults in lifelong disabilities (pp. 3–18). Baltimore: Brookes.
Aylward, E. H., Burt, D. B., Thorpe, L. U., Lai, F., & Dalton, A. (1997). Diagnosis of dementia in individuals with intellectual disability. Journal of Intellectual Disability Research, 41, 152–164.
Beck, A. T., & Steer, R. A. (1993). Beck Depression Inventory—Manual. San Antonio, TX: Psychological Corp.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.
Bigby, C. (2002). Ageing people with a lifelong disability: Challenges for the aged care and disability sectors. Journal of Intellectual and Developmental Disability, 27(4), 231–241.
Burt, D. B. (1999). Dementia and depression. In M. P. Janicki & A. J. Dalton (Eds.), Dementia, aging and intellectual disabilities: A handbook (pp. 198–216). Philadelphia: Brunner/Mazel.
Burt, D. B., Loveland, K. A., & Lewis, K. (1992). Depression and the onset of dementia in adults with mental retardation. American Journal on Mental Retardation, 96, 502–511.
Burt, D. B., Loveland, K. A., Primeaux-Hart, S., Chen, Y., Phillips, N. B., Cleveland, L. A., et al. (1998). Dementia in adults with Down syndrome: Diagnostic challenges. American Journal on Mental Retardation, 103(2), 130–145.
Buschke, H., & Fuld, P. A. (1974). Evaluating storage, retention, and retrieval in disordered memory and learning. Neurology, 24, 1019–1025.
Cain, N. N., Davidson, P. W., Burhan, A. M., Andolsek, M. E., Baxter, J. T., Sullivan, L., et al. (2003). Identifying bipolar disorders in individuals with intellectual disability. Journal of Intellectual Disability Research, 47(1), 31–38.
Carlsen, W. R., Galluzzi, K. E., Foreman, L. F., & Cavalieri, T. A. (1994). Comprehensive geriatric assessment: Applications for community-residing, elderly people with mental retardation/developmental disabilities. Mental Retardation, 32(5), 334–340.
Chicoine, B., McGuire, D., Hebein, S., & Gilly, D. (1994). Development of a clinic for adults with Down syndrome. Mental Retardation, 32(2), 100–106.
Clarke, D. J., & Gomez, G. A. (1999). Utility of modified DCR-10 criteria in the diagnosis of depression associated with intellectual disability. Journal of Intellectual Disability Research, 43(5), 413–420.
Dalton, A. J. (1996). Dyspraxia scale for adults with Down syndrome. Staten Island, NY: Research Innovations.
Dalton, A. J., Fedor, B. L., & Patti, P. J. (1999). Multi-Dimensional Observation Scale for Elderly Subjects: Adapted for persons with Down syndrome, 1999 Revision. Staten Island, NY: Institute for Basic Research in Developmental Disabilities.
Dalton, A. J., Fedor, B. L., Patti, P. J., Tsiouris, J. A., & Mehta, P. D. (2002). The Multidimensional Observation Scale for Elderly Subjects (MOSES): Studies in adults with intellectual disability. Journal of Intellectual and Developmental Disability, 27(4), 310–324.
Dalton, A. J., & McMurray, K. (1995). Dalton/McMurray Visual Memory Test. Copyright 1984–1995 by A. J. Dalton and Bytecraft Inc., Waterloo, Ont., Canada.
Deb, S., & Braganza, J. (1999). Comparison of rating scales for the diagnosis of dementia in adults with Down’s syndrome. Journal of Intellectual Disability Research, 43(5), 400–407.
Devenny, D. A., Zimmerli, E. J., Kittler, P., & Krinsky-Mchale, S. J. (2002). Cued recall in early-stage dementia in adults with Down’s syndrome. Journal of Intellectual Disability Research, 46, 472–483.
Doka, K. J., & Lavin, C. (2003). The paradox of ageing with developmental disabilities: Increasing needs, declining resources. Ageing International, 28(2), 135–154.
Evenhuis, H. M. (1995a). Medical aspects of ageing in a population with intellectual disability: I. Visual impairment. Journal of Intellectual Disability Research, 39, 19–25.
Evenhuis, H. M. (1995b). Medical aspects of ageing in a population with intellectual disability: II. Hearing impairment. Journal of Intellectual Disability Research, 39, 27–33.
Evenhuis, H. M. (1996). Further evaluation of the dementia questionnaire for persons with mental retardation (DMR). Journal of Intellectual Disability Research, 40, 369–373.
Evenhuis, H. M. (1997). Medical aspects of ageing in a population with intellectual disabilities: III. Mobility, internal conditions and cancer. Journal of Intellectual Disability Research, 41, 8–18.
Evenhuis, H. M., Kengen, M. M. F., & Eurlings, H. A. L. (1990). Dementia questionnaire for mentally retarded persons. Swammerdam, The Netherlands: Hooche Burch Institute for Mentally Retarded People.
Finlay, W. M., & Lyons, E. (2001). Methodological issues in interviewing and using self-report questionnaires with people with mental retardation. Psychological Assessment, 13, 319–335.
Fischer, L. R., Wei, F., Solberg, L. I., Rush, W. A., & Heinrich, R. L. (2003). Treatment of elderly and other adult patients for depression in primary care. Journal of the American Geriatric Society, 51(11), 1554–1562.
Folstain, M. F., Folstain, S. E., & McHugh, P. R. (1975). “Mini-Mental State”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
Gedye, A. (1995). Dementia scale for Down syndrome (Manual). Vancouver, Canada: Gedye Research and Consulting.
Gibson, D., Groeneweg, G., Jerry, P., & Harris, A. (1988). Age and pattern of intellectual decline among Down syndrome and other mentally retarded adults. International Journal of Rehabilitation Research, 11(1), 47–55.
Glenn, E., Bihm, E.M., & Lammers,W. J. (2003). Depression, anxiety, and relevant cognitions in persons with mental retardation. Journal of Autism and Developmental Disorders, 33(1), 69–76.
Harris, P., & Rose, J. (2002). Measuring staff support in services for people with intellectual disability: The staff support and satisfaction questionnaire, version 2. Journal of Intellectual Disability Research, 46(2), 151–157.
Hathaway, S. R., & McKinley, J. C. (1967). Minnesota Multiphasic Personality Inventory: Manual for administration and scoring. New York: Psychological Corp.
Henderson, C. M., & Davidson, P. W. (2000). Comprehensive adult and geriatric assessment. In M. P. Janicki & E. F. Ansello (Eds.), Community supports for aging adults with lifelong disabilities (pp. 373–386). Baltimore: Brookes.
Hutchings, B. L., Olsen, R. V., & Ehrenkrantz, E. D. (2000). Modifying home environments. In M. P. Janicki & E. F. Ansello (Eds.), Community supports for aging adults with lifelong disabilities (pp. 243–256). Baltimore: Brookes.
Janicki, M. P., Davidson, P. W., Henderson, C. M., McCallion, P., Taets, J. D., Force, L. T., et al. (2002). Health characteristics and health services utilization in older adults with intellectual disability living in community residences. Journal of Intellectual Disability Research, 46, 287–298.
Janicki, M. P., Heller, T., Seltzer, G., & Hogg, J. (1996). Practice guidelines for the clinical assessment and care management of Alzheimer’s disease and other dementias among adults with intellectual disability. Journal of Intellectual Disability Research, 40, 374–382.
Kauffman, J. (1994). Mourning and mental retardation. Death Studies, 18, 257–271.
Kazdin, A. E., Matson, J. L., & Senatore, V. (1983). Assessment of depression in mentally retarded adults. American Journal of Psychiatry, 140, 1040–1043.
Krinsky-McHale, S. J., Devenny, D. A., & Silverman, W. P. (2002). Changes in explicit memory associated with early dementia in adults with Down’s syndrome. Journal of Intellectual Disability Research, 46(3), 198–208.
Matson, J. L. (1982). The treatment of behavioral characteristics of depression in the mentally retarded. Behavior Therapy, 13, 209–218.
McCarron, M., Gill, M., Lawlor, B., & Beagly, C. (2002). A pilot study of the reliability and validity of Caregiver Activity Survey-Intellectual Disability (CAS-ID). Journal of Intellectual Disability Research, 46(8), 605–612.
Nezu, C. M., Nezu, A. M., Rothenberg, J. L., DelliCarpini, L., & Groag, I. (1995). Depression in adults with mild mental retardation: Are cognitive variables involved? Cognitive Therapy and Research, 19(2), 227–239.
Patti, P. J. (1999). Memory for Objects Test. Unpublished data, Staten Island, New York.
Pawlarcyzk, D., & Beckwith, B. E. (1987). Depressive symptoms displayed by persons with mental retardation: A review. Mental Retardation, 25, 325–330.
Powell, R. (2003). Psychometric properties of the Beck Depression Inventory and the Zung Self-Rating Depression Scale in adults with mental retardation. Mental Retardation, 41, 88–95.
Prasher, V. P., & Chung, M. C. (1996). Causes of age-related decline in adaptive behavior of adults with Down syndrome: Differential diagnosis of dementia. American Journal on Mental Retardation, 101(2), 175–183.
Prasher, V. P., & Hall, W. (1996). Short-term prognosis of depression in adults with Down syndrome: Association with thyroid states and effects on adaptive behavior. Journal of Intellectual Disability Research, 40, 32–38.
Prout, H. T., & Schaefer, B. M. (1985). Self-reports of depression by community-based mildly mentally retarded adults. American Journal of Mental Deficiency, 90(2), 220–222.
The Psychological Corporation (2002). Wechsler memory scale-third edition, technical manual San Antonio TX: Harcourt Brace & Company: Anthos.
Reynolds, W. M. (1989). Reynolds Child Depression Scale: Professional manual. Odessa, FL: Psychological Assessment Resources.
Roeden, J. M., & Zitman, F. G. (1995). Ageing in adults with Down’s syndrome in institutionally based and community-based residences. Journal of Intellectual Disability Research, 39, 399–407.
Sterns, H. L., Kennedy, E. A., Sed, C. H., & Heller, T. (2000). Later-life planning and retirement. In M. P. Janicki & E. F. Ansello (Eds.), Community supports for aging adults with lifelong disabilities (pp. 179–191). Baltimore: Brookes.
Stoddart, K. P., Burke, L., & Temple, V. (2002). Outcome evaluation for bereavement groups for adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 28–35.
Sung, H., Hawkins, B. A., Eklund, S., Kim, K., Foose, A., May, M., et al. (1997). Depression and dementia in aging adults with Down syndrome: A case study approach. Mental Retardation, 35(1), 27–38.
Thorpe, L., Davidson, P., & Janicki, M. (2001). Healthy ageing-adults with intellectual disabilities: biobehavioural issues. Journal of Applied Research in Intellectual Disabilities, 14, 218–228.
Thorpe, L. U. (1999). Psychiatric disorders. In M. P. Janicki & A. J. Dalton (Eds.), Dementia, aging, and intellectual disabilities: A handbook (pp. 217–231). Philadelphia: Brunner/Mazel.
Tsiouris, J. A., & Patti, P. J. (1997). Drug treatment of depression associated with dementia or presented as ’pseudodementia’ in older adults with Down syndrome. Journal of Applied Research in Intellectual Disabilities, 10, 312–322.
van Schrojenstein Lantman-deValk, H. M. J., van den Akker, M., Maskaant, M. A., Haveman, M. J., Urlings, H. F. J., Kessels, A. G. H., et al. (1997). Prevalence and incidence of health problems in people with intellectual disability. Journal of Intellectual Disability Research, 41(Pt. 1), 42–51.
Yang, Q., Rasmussen, S. A., & Friedman, J. M. (2002). Mortality associated with Down’s syndrome in the USA from 1983–1997: A population-based study. Lancet, 359, 1019–1025.
Zung, W. W. K. (1965). A Self-Rating Depression Scale. Archives of General Psychiatry, 12, 63–70.
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Acquilano, J.P., Davidson, P.W., Janicki, M.P. (2007). Psychological Services for Older Adults with Intellectual Disabilities. In: Jacobson, J.W., Mulick, J.A., Rojahn, J. (eds) Handbook of Intellectual and Developmental Disabilities. Issues on Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/0-387-32931-5_10
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DOI: https://doi.org/10.1007/0-387-32931-5_10
Publisher Name: Springer, Boston, MA
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