Research has shown that children and young people with intellectual disabilities are at a greater risk of developing a psychiatric disorder than their non-disabled peers. However, no information exists regarding teachers' knowledge of the signs and symptoms of these conditions. Using a postal questionnaire, 36 teachers working within schools for children and young people with severe intellectual disabilities in one part of the UK were asked about their knowledge of depression. Results indicated that the teachers reported few signs and symptoms. Furthermore, the teachers also highlighted a lack of confidence in working with this doubly disadvantaged population. This study shows that teachers have a vital role to play in the early recognition of psychiatric signs and symptoms in young people with intellectual disabilities. Teachers must also receive the appropriate education and training in an attempt to prompt early referral to specialists for a detailed and comprehensive psychiatric assessment rather than continuing to manage such young people's challenging behaviours.
Adelman,H.S. & Taylor, L. (1999) `Mental Health in Schools and System Restructuring' , Clinical Psychology Review19 (2): 137—64.
2.
Bernard, S. (1999) `Mental Health Services for Children and Adolescents with Learning Disabilities', Tizard Learning Disability Review4 (2): 43—5.
3.
Borthwick-Duffy, S.A. (1994) `Prevalence of Destructive Behaviours: A Study of Aggressive, Self-Injury and Property Destruction', in T. Thompson & D. B. Gray (eds) Destructive Behaviour in Developmental Disabilities . Thousand Oaks, CA: Sage.
4.
Bouras, N. (1999) Psychiatric and Behavioural Disorders in Development Disabilities and Mental Retardation. Cambridge: Cambridge University Press.
5.
Cormack, K.F.M., Brown, A.C. & Hastings, R.P. (2000) `Behavioural and Emotional Difficulties in Students Attending Schools for Children and Adolescents with Severe Intellectual Disability', Journal of Intellectual Disability Research44: 124—9.
6.
Department Of Health (1995) The Health of the Nation: A Strategy for People with Learning Disabilities . London: HMSO.
7.
Dykens, E.M. (2000) `Psychopathology in Children with Intellectual Disability', Journal of Child Psychology & Psychiatry & Allied Disciplines41: 407—17.
8.
Edelstein, T.M. & Glenwick, D.S. (2001) `Direct-Care Workers' Attributions of Psychopathology in Adults with Mental Retardation', Mental Retardation39 (5): 368—78.
9.
Einfeld, S.L. & Tonge, B.J. (1993) Manual for the Developmental Behaviour Checklist. Melbourne, Centre for Developmental Psychiatry, Monash University, Sydney.
10.
Einfeld, S.L. & Tonge, B.J. (1996) `Population Prevalence of Behavioural and Emotional Disturbance in Children and Adolescents with Mental Retardation. II: Epidemiological Findings', Journal of Intellectual Disability Research40 (2): 99—109.
11.
Emerson, E. (2003) `Prevalence of Psychiatric Disorders in Children and Adolescents with and without Intellectual Disability', Journal of Intellectual Disability Research47 (1): 51—67.
12.
Emerson, E.Moss, S. & Kiernan, C. (1999) `The Relationship between Challenging Behaviours and Psychiatric Disorders in People with Severe Developmental Disabilities ', in N. Bouras (ed.) Psychiatric and Behavioural Disorders in Development Disabilities and Mental Retardation , pp. 38—48. Cambridge: Cambridge University Press.
13.
Foundation For People With Learning Disabilities (2002) Count Us In:The Report of the Committee of Inquiry into Meeting the Mental Health Needs of Young People with Learning Disabilities . London: Mental Health Foundation .
14.
Foundationforpeoplewithlearningdisabilities( 2005) Making Us Count: Identifying and Improving Mental Health Support for Young People with Learning Disabilities. London : Foundation for People with Learning Disabilities .
15.
Greig, R. & Peck, E. (1998) `Is There a Future for the Community Learning Disability Team?', Tizzard Learning Disability Review3 (1): 35—41.
16.
Hoare, P., Harris, M.K., Jackson, P. & Kerley, S. (1998) `A Community Survey of Children with Severe Intellectual Disabilities and Their Families: Psychological Adjustment, Carer Distress and the Effect of Respite Care', Journal of Intellectual Disability Research42: 218—27.
17.
Holt, G., Gratsa, A., Bouras, N., Joyce, T., Spiller, M.J. & Hardy S. (2004) Guide to Mental Health for Families and Carers of People with Intellectual Disabilities. London: Jessica Kingsley.
18.
Iassid (2001) Mental Health and Intellectual Disabilities: Addressing the Mental Health Needs of People with Intellectual Disabilities. Report by the Mental Health Special Interest Research Group, International Association for the Scientific Study of Intellectual Disabilities, to theWorld Health Organization.
19.
Linna, S.L., Piha, J., Kumpulainen, K., Tamminen, T. & Almquist, F. (1999) `Psychiatric Symptoms in Children with Intellectual Disability', European Child and Adolescent Psychiatry8: 77—82.
20.
Marston, G., Perry, D. & Roy, A. (1997) `Depressive Symptoms in People with Learning Disability' , Journal of Intellectual Disability Research41 (6): 476—80.
21.
Mcconkey, R. (2002) `Reciprocal Working by Education, Health and Social Services: Lessons for a Less-Travelled Road', British Journal of Special Education29 (1): 3—8.
22.
Meins, W. (1995) `Symptoms of Major Depression in Mentally Retarded Adults', Journal of Intellectual Disability Research39 (1): 41—5.
23.
Molteno, G., Molteno, C.D., Finchilescu, G. & Dawes, A.R.L. (2001) `Behavioural Emotional Problems in Children with Intellectual Disability Attending Special Schools in Cape Town, South Africa ', Journal of Intellectual Disability Research45: 515—20.
24.
Moss, S., Emerson, E., Kiernan, C., Turner, S., Hatton, C. & Alborz, A. (2000) `Psychiatric Symptoms in Adults with Learning Disability and Challenging Behaviour', British Journal of Psychiatry177.
25.
Munden, A.C. & Perry, D.W. (2002) `Symptoms of Depression in People with Learning Disabilities', Journal of Intellectual Disabilities6 (1): 13—22.
26.
Priest, H. & Gibbs, M. (2004) Mental Health Care for People with Learning Disabilities . London: Churchill Livingstone .
27.
Reeve, C.E. & Carr, E.G. (2000) `Prevention of Severe Behaviour Problems in Children with Developmental Disorders', Journal of PositiveBehaviour Interventions2: 114—60.
28.
Rones, M. & Hoagwood, K. (2000) `School Based Mental Health Services: A Research Review', ClinicalChild and Family Psychology Review3 (4): 223—41.
29.
Royal College Of Psychiatrists (2001) DC-LD: Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation. London: Gaskell.
30.
Stromme, P. & Diseth, T.H. (2000) `Prevalence of Psychiatric Diagnoses in Children with Mental Retardation: Data from a Population Study', Developmental Medicine and Child Neurology42: 266—70.
31.
Sturmey, P. (ed.) (2005) Mood Disorders in People with Mental Retardation. New York: NADD.
