The Royal Australian and New Zealand College of Psychiatrists’ (RANZCP) treatment guidelines set the zeitgeist for psychiatric practice in Australasia. This review conceptualises the current approach to treatment of individuals with an intellectual disability and co-occurring mental illness in RANZCP guidelines, and its potential impact.
Conclusions:
The enduring omission of people with an intellectual disability and co-occurring mental illness from RANZCP clinical guidelines is a missed opportunity in normalising care and optimising outcomes for people with an intellectual disability. There are substantial cultural, political and historical overlays contributing to the ongoing divide between health and disability. In developing psychiatric guidelines, authors should consider including people with co-occurring intellectual disability as a specific population, that requires distinctive consideration.
GalletlyCCastleDDarkF, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders. Aust N Z J Psychiatry2016; 50: 410–472.
3.
MalhiGSBassettDBoyceP, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Aust N Z J Psychiatry2015; 49: 1087–1206.
4.
HayPChinnDForbesD, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders. Aust N Z J Psychiatry2014; 48: 1–62
5.
CarterGPageALargeM, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guideline for the management of deliberate self-harm. Aust N Z J Psychiatry2016; 50: 939–1000.
6.
AndrewsGBellCBoyceP, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder. Aust N Z J Psychiatry2018; 52: 1109–1172.
7.
CooperSASmileyEMorrisonJ, et al. Mental ill-health in adults with intellectual disabilities: Prevalence and associated factors. Br J Psychiatry2007; 190: 27–35.
8.
BoardmanLBernalJHollinsS.Communicating with people with intellectual disabilities: a guide for general psychiatrists. Adv Psychiatr Treat2014; 20: 27–36.
9.
HowlettSFlorioTXuH, et al. Ambulatory mental health data demonstrates the high needs of people with an intellectual disability: results from the New South Wales intellectual disability and mental health data linkage project. Aust N Z J Psychiatry2015; 49: 137–144.
10.
TrollorJ.It’s time to address the mental health needs of people with intellectual disability. Australas Psychiatry2018; 26: 575–577.
11.
WolfensbergerW.Social role valorization: A proposed new term for the principle of normalization. Intellect Dev Disabil2011; 49: 435–440.
12.
PerrinBNirjeB.Setting the record straight: A critique of some frequent misconceptions of the normalization principle. Austr N Z J Dev Disabil1985; 11: 69–74.
Department of Developmental Disability Neuropsychiatry, University of New South Wales. Communique Recommendations from the National Roundtable on the Mental Health of People with Intellectual Disability, https://3dn.unsw.edu.au/sites/default/files/Communique_Full.pdf (2018, accessed 10 December 2018).
