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Psychologists’ adherence and carer experiences with best practice in intellectual disabilities and co-morbid mental ill health

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thesis
posted on 29.03.2022, 03:15 by Joyce Man
This thesis explored Australian psychologists’ perceptions of best practice when working with individuals with an intellectual disability and co-morbid mental health disorders and its alignment with carer experiences. The first study explored assessment practices, perceptions of workplace resources, training needs and barriers to evidence based practice of Australian psychologists working in intellectual disabilities via an online survey. Study two involved focus groups with psychologists working in intellectual disabilities and investigated their perceptions of best practice, adherence to practice guidelines and impact of organisational factors. The final mixed method study used online surveys and face to face/phone interviews to explore experiences of carers with an offspring with dual disabilities with mental health and disability services. This study also assessed carer mental health literacy and barriers to help seeking. Overall, findings indicate that psychologists are generally aware of best practice principles and reported clinical practices that are aligned with current international and national practice guidelines. Psychologists showed limited confidence in mental health diagnosis with individuals with an intellectual disability and expressed a need for further training in dual disabilities. Organisational and systemic factors were found to create barriers to evidence based practice implementation and practice based evidence was noted to compensate for the limited evidence based available to guide clinical practice. Carers reported varying experiences of helpfulness and satisfaction with mainstream mental health and disability services. Carers also generally showed high mental health literacy and reported few attitudinal barriers to help seeking. Carers also noted more negative than positive experiences with services received for their offspring with dual disabilities. Findings suggest there is much improvement to be made in a range of areas to improve the experience of carers with services to address mental health concerns. Findings from this thesis have implications for clinician training, organisational operations, service models of care, practice guideline implementation and practice based evidence.

History

Table of Contents

Chapter 1. Introduction -- Chapter 2. Clinical competencies and training needs of psychologists working with adults with intellectual disabilities and co-morbid mental health concerns -- Chapter 3. Clinical practices and barriers to evidence based practice of psychologists working with adults with intellectual disability and co-morbid mental ill health -- Chapter 4. Best practice principles when working with individuals with intellectual disability and co-morbid mental health concerns -- Chapter 5. Best practice adherence and workplace facilitators and hindrances for psychologists working with Individuals with Intellectual disabilities and co-morbid mental health concerns -- Chapter 6. Mental health literacy, help seeking barriers and service satisfaction of carers of individuals with dual disabilities -- Chapter 7. Carer experiences of services for adults with intellectual disabilities and co-morbid mental ill health or challenging behaviour -- Thesis discussion -- Appendices.

Notes

Includes bibliographical references Thesis by publication.

Awarding Institution

Macquarie University

Degree Type

Thesis PhD

Degree

PhD, Macquarie University, Faculty of Human Sciences, Department of Psychology

Department, Centre or School

Department of Psychology

Year of Award

2017

Principal Supervisor

Maria Kangas

Additional Supervisor 1

Julian Trollor

Rights

Copyright Joyce Man 2017. Copyright disclaimer: http://mq.edu.au/library/copyright

Language

English

Extent

1 online resource (x, 303 pages)

Former Identifiers

mq:70850 http://hdl.handle.net/1959.14/1268348