Using the learning disability screening questionnaire to help identify people with an intellectual disability in homeless services.
health inequality
homeless services
homelessness
intellectual disability
learning disability screening questionnaire
Journal
Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
29
04
2023
received:
24
01
2023
accepted:
31
07
2023
medline:
23
10
2023
pubmed:
28
8
2023
entrez:
28
8
2023
Statut:
ppublish
Résumé
We explored the accuracy of using the learning disability screening questionnaire (LDSQ) in services for people experiencing homelessness in the United Kingdom. We examined the concordance between the LDSQ outcomes and assessments of intellectual disability. Seventy adults experiencing homelessness completed the LDSQ. Staff completed the LDSQ and a measure of adaptive functioning for 38 of this group. Nine participants received an intellectual assessment. Sensitivity and specificity for the LDSQ when completed by staff was 83% and 96% respectively and 50% and 92% when completed by the individual. Seven people had intellectual and adaptive functioning in the intellectual disability range. The results suggest that the LDSQ would be an appropriate and beneficial screening tool to use within services for people experiencing homelessness. More accurate results would be likely if it were completed by staff.
Sections du résumé
BACKGROUND
BACKGROUND
We explored the accuracy of using the learning disability screening questionnaire (LDSQ) in services for people experiencing homelessness in the United Kingdom.
METHOD
METHODS
We examined the concordance between the LDSQ outcomes and assessments of intellectual disability. Seventy adults experiencing homelessness completed the LDSQ. Staff completed the LDSQ and a measure of adaptive functioning for 38 of this group. Nine participants received an intellectual assessment.
RESULTS
RESULTS
Sensitivity and specificity for the LDSQ when completed by staff was 83% and 96% respectively and 50% and 92% when completed by the individual. Seven people had intellectual and adaptive functioning in the intellectual disability range.
CONCLUSION
CONCLUSIONS
The results suggest that the LDSQ would be an appropriate and beneficial screening tool to use within services for people experiencing homelessness. More accurate results would be likely if it were completed by staff.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1319-1325Subventions
Organisme : National Institute for Health and Care Research
ID : NIHR200173
Informations de copyright
© 2023 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.
Références
Afacan, K., & Wilkerson, K. L. (2022). Reading outcomes of students with intellectual disability on statewide assessments. Journal of Intellectual Disabilities, 26(1), 195-210. https://doi.org/10.1177/1744629521991409
American Academy of Pediatrics Committee on children with disabilities. (2001). Developmental surveillance and screening of infants and young children. Pediatrics, 108, 192-196. https://doi.org/10.1542/peds.108.1.192
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed., p. 2013). American Psychiatric Association.
Bremner, A. J., Duke, P. J., Nelson, H. E., Pantelis, C., & Barnes, T. R. (1996). Cognitive function and duration of rooflessness in entrants to a hostel for homeless men. British Journal of Psychiatry, 169, 434-439. https://doi.org/10.1192/bjp.169.4.434
British Psychological Society [BPS]. (2020). Psychological assessment of adults with learning/intellectual disabilities undertaken remotely as a consequence of Covid-19. BPS.
Brown, M., & McCann, E. (2021). Homelessness and people with intellectual disabilities: A systematic review of the international research evidence. Journal of Applied Research in Intellectual Disabilities, 34(2), 390-401. https://doi.org/10.1111/jar.12815
Delahunty, L., O'Hare, A., Marryat, L., Stewart, T. M., McKenzie, K., Murray, G. C., & Kaza, N. (2022). Short report: Exploring the extent to which intellectual disability is undiagnosed within children attending developmental paediatric clinics. Research in Developmental Disabilities, 131, 104359. https://doi.org/10.1016/j.ridd.2022.104359
Durbin, A., Isaacs, B., Mauer-Vakil, D., Connelly, J., Steer, L., Roy, S., & Stergiopoulos, V. (2018). Intellectual disability and homelessness: A synthesis of the literature and discussion of how supportive housing can support wellness for people with intellectual disability. Current Developmental Disorders Reports, 5(3), 125-131. https://doi.org/10.1007/s40474-018-0141-6
Emerson, E., & Glover, G. (2012). The ‘transition cliff’ in the administrative prevalence of learning disabilities in England. Tizard Learning Disability Review, 17(3), 139-143.
Glascoe, F. P. (2005). Screening for developmental and behavioral problems. Mental Retardation and Developmental Disabilities Research Reviews, 11, 173-179. https://doi.org/10.1002/mrdd.20068
Hayes, S. (2000). Hayes ability screening index (HASI) manual. Department of Behavioural Sciences in Medicine, University of Sydney.
Kennedy, N., Kennedy, J., Kerr, M., Dredge, S., & Brophy, S. (2022). Health checks for adults with intellectual disability and association with survival rates: A linked electronic records matched cohort study in Wales, UK. BMJ Open, 12, e049441. https://doi.org/10.1136/bmjopen-2021-049441
Lougheed, D., & Farrell, S. (2013). The challenge of a “triple diagnosis”: Identifying and serving homeless Canadian adults with a dual diagnosis. Journal of Policy and Practice in Intellectual Disabilities, 10, 230-235. https://doi.org/10.1111/jppi.12041
McKenzie, K., Metcalfe, D., & Murray, A. L. (2023). Screening for intellectual disability in autistic people: A brief report. Research in Autism Spectrum Disorders, 100, 102076. https://doi.org/10.1016/j.rasd.2022.102076
McKenzie, K., Metcalfe, D., & Murray, G. C. (2018). A review of measures used in the screening, assessment and diagnosis of dementia in people with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 31(5), 725-742. https://doi.org/10.1111/jar.12441
McKenzie, K., Michie, A., Murray, A. L., & Hales, C. (2012). Screening for offenders with an intellectual disability: The validity of the learning disability screening questionnaire. Research in Developmental Disabilities, 33, 791-795. https://doi.org/10.1016/j.ridd.2011.12.006
McKenzie, K., & Murray, G. C. (2018). The learning disability screening questionnaire. Scoring manual. GCM Records LLP www.gcmrecords.co.uk
McKenzie, K., Murray, G. C., Murray, A. L., Delahunty, L., Hutton, L., Murray, K. R., & O'Hare, A. (2019). Child and adolescent intellectual disability screening questionnaire to identify children with intellectual disability. Developmental Medicine and Child Neurology, 61(4), 444-450. https://doi.org/10.1111/dmcn.13998
McKenzie, K., Murray, G. C., Wilson, H., & Delahunty, L. (2019a). Homelessness-‘It will crumble men’: The views of staff and service users about facilitating the identification and support of people with an intellectual disability in homeless services. Health and Social Care in the Community, 27(4), e514-e521. https://doi.org/10.1111/hsc.12750
McKenzie, K., Murray, G. C., Wilson, H., & Delahunty, L. (2019b). A tool to help identify learning disabilities in homeless people. Nursing Times, 115(8), 26-28.
McKenzie, K., & Paxton, D. (2006). Promoting access to services: The development of a new screening tool. Learning Disability Practice, 9(6), 17-21. https://doi.org/10.7748/ldp2006.07.9.6.17.c7451
McKenzie, K., Sharples, P., & Murray, A. L. (2015). Validating the learning disability screening questionnaire against the WAIS IV. Intellectual and Developmental Disabilities, 53(4), 301-307. https://doi.org/10.1352/1934-9556-53.4.301
Nishio, A., Yamamoto, M., Ueki, H., Watanabe, T., Matsuura, K., Tamura, O., Uehara, R., & Shioiri, T. (2015). Prevalence of mental illness, intellectual disability, and developmental disability among homeless people in Nagoya, Japan: A case series study. Psychiatry and Clinical Neurosciences, 69(9), 534-542. https://doi.org/10.1111/pcn.12265
Oakes, P. M., & Davies, R. C. (2008). Intellectual disability in homeless adults: A prevalence study. Journal of Intellectual Disabilities, 12, 325-334. https://doi.org/10.1177/1744629508100496
Paxton, D., McKenzie, K., & Murray, G. C. (2008). Putting screening tools to the test. Learning Disability Practice, 11(8), 14-18.
Pearsons Assessments. (n.d.). Telepractice and the WAIS-IV. https://www.pearsonassessments.com/content/school/global/clinical/us/en/professional-assessments/digital-solutions/telepractice/telepractice-and-the-wais-iv.html
Pearsons Clinical. (n.d.). Qualifications Policy. https://www.pearsonclinical.co.uk/ordering/how-to-order/qualifications/qualifications-policy.html
Public Health England. (2019). Homelessness: applying All Our Health. https://www.gov.uk/government/publications/homelessness-applying-all-our-health/homelessness-applying-all-our-health#:~:text=The%20legal%20definition%20of%20homelessness,London%20and%20the%20South%20East
Reynolds, M. R., Ingram, P. B., Seeley, J. S., & Newby, K. D. (2013). Investigating the structure and invariance of the Wechsler Adult Intelligence Scales, Fourth Edition in a sample of adults with intellectual disabilities. Research in Developmental Disabilities, 34(10), 3235-3245. https://doi.org/10.1016/j.ridd.2013.06.029
Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2016). Vineland adaptive behaviour scales (3rd ed.). Pearson.
The LeDeR Team. (2021). The learning disabilities mortality review (LeDeR) Programme annual report 2020. The University of Bristol.
Trevethan, R. (2017). Sensitivity, specificity, and predictive values: Foundations, pliabilities, and pitfalls in research and practice. Frontiers in Public Health, 5, 307. https://doi.org/10.3389/fpubh.2017.00307
Van Patten, R., Vella, L., Mahmood, Z., Clark, J. M. R., Maye, J. E., & Twamley, E. W. (2020). Accuracy of case managers in estimating intelligence quotients and functional status of people experiencing homelessness. American Journal of Orthopsychiatry, 90(5), 586-589. https://doi.org/10.1037/ort0000463
Van Straaten, B., Rodenburg, G., Van der Laan, J., Boersma, S. N., Wolf, J. R. L. M., & Van de Mheen, D. (2017). Self-reported care needs of Dutch homeless people with and without a suspected intellectual disability: A 1.5-year follow-up study. Health and Social Care in the Community, 25, 123-126. https://doi.org/10.1111/hsc.12287
Wechsler, D. (2008). Wechsler adult intelligence scale-Fourth edition:Technical and interactive manual. The Psychology Corporation.
Wechsler, D. (2010). Wechsler adult intelligence scale-fourth UK edition: Administrative and scoring manual. The Psychology Corporation.
Whitaker, S. (2012). The measurement of low IQ with the WAIS-IV: A critical review. Clinical Psychology Forum, 231, 45-48.