Assignment: Research an article on Crisis or Disasters, summarize the article and create a care plan for a person in Crisis in the discussion post.
Article:Impact of Crisis Care on Psychiatric Admission in Adults with Intellectual Disability and Mental Illness and/or Challenging Behavior: A Systematic Review • 2024
Introduction: Crisis intervention aims to prevent hospital admissions by providing rapid assessment and intensive support in the community. Interest is growing in the potential of crisis care for people with intellectual disabilities who often have co-occurring psychiatric disorders and challenging behaviors. They are at high risk for admission to…
Author: Yik Long Tai • Borbala Vegh • Tamara Ondruskova • Leila Hamza • Afia Ali • Angela Hassiotis
Source: Journal of Mental Health Research in Intellectual Disabilities
https://doi.org/10.1080/19315864.2024.2310033
SOLUTION
Article Summary
Title: Impact of Crisis Care on Psychiatric Admission in Adults with Intellectual Disability and Mental Illness and/or Challenging Behavior: A Systematic Review
Authors: Yik Long Tai, Borbala Vegh, Tamara Ondruskova, Leila Hamza, Afia Ali, Angela Hassiotis
Published in: Journal of Mental Health Research in Intellectual Disabilities (2024)
DOI: https://doi.org/10.1080/19315864.2024.2310033
This systematic review examines the effectiveness of crisis care interventions in reducing psychiatric hospital admissions among adults with intellectual disabilities (ID) and co-occurring mental illness or challenging behaviors. The authors analyzed multiple studies to determine whether rapid, community-based support could help manage crises more effectively than inpatient care.
Key findings include:
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Crisis care teams are associated with reduced hospital admissions.
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Timely, individualized care in community settings can improve outcomes and prevent unnecessary institutionalization.
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Effective crisis care models often include multidisciplinary teams, individualized crisis plans, family involvement, and 24/7 support.
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There is a lack of standardized models and limited high-quality evidence, suggesting a need for more rigorous, long-term evaluations.
The review highlights the importance of adapting crisis services to meet the complex needs of individuals with ID and mental illness and calls for increased funding and training to implement such models on a wider scale.
Crisis Care Plan for an Individual with Intellectual Disability and Mental Illness
Client Profile:
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Name: John (pseudonym)
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Age: 28
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Diagnosis: Moderate intellectual disability, generalized anxiety disorder, and intermittent explosive disorder
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Current Crisis: Verbal and physical aggression following job termination; increased anxiety, sleep disruption, and refusal to attend day program
Immediate Goals:
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Ensure safety of John and others
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Stabilize emotional distress
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Prevent hospitalization
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Restore routine and functioning
Care Plan Components:
| Area | Intervention | Responsible Party |
|---|---|---|
| Assessment | Conduct rapid mental health assessment (within 24 hours) | Crisis intervention nurse/psychiatrist |
| Environment | Remove environmental triggers (e.g., avoid discussions about job loss) | Family/caregivers |
| Behavioral Strategies | Use positive behavior support plan and visual communication aids | Behavioral therapist |
| Medication | Review and adjust medications for anxiety/agitation | Psychiatrist |
| Crisis Line Access | Provide 24/7 access to crisis team | Local crisis response team |
| Routine Stabilization | Reintroduce structure: scheduled meals, calming activities, limited screen time | Family/support worker |
| Family Support | Offer psychoeducation and crisis coaching for caregivers | Social worker or family therapist |
| Long-Term Planning | Develop individualized crisis response plan (CRP) and reintegration strategy for future employment | Multidisciplinary team |
Evaluation Metrics:
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Reduction in aggressive incidents (daily log)
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Improved sleep and anxiety levels (self-report and caregiver input)
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Avoidance of ER or psychiatric admission
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Engagement in daily structured activities
Conclusion:
This article underscores the need for proactive and person-centered crisis care models, especially for vulnerable populations like adults with ID and psychiatric comorbidities. By implementing rapid response, family involvement, and tailored behavioral strategies, hospitalizations can be avoided, and long-term quality of life improved.
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