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Chapter 5 - Trauma in People with Intellectual Disability

Recognition and Intervention

Published online by Cambridge University Press:  07 November 2024

By
Elspeth Bradley  and
Marika Korossy
Edited by
David M. L. Branford ,
Satheesh K. Gangadharan ,
Mary Barrett  and
Regi T. Alexander
David M. L. Branford
Affiliation:
Independent Pharmacy Consultant
Satheesh K. Gangadharan
Affiliation:
Leicestershire Partnership NHS Trust
Mary Barrett
Affiliation:
Leicestershire Partnership NHS Trust
Regi T. Alexander
Affiliation:
Hertfordshire Partnership University NHS Foundation Trust
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Summary

Well documented in the lives of people with intellectual disability are greatly increased occurrences of adverse life events, exposure to abuse (emotional, physical, sexual), neglect, exploitation, victimisation, and hate crimes, in contrast to the general population. Shockingly, abuse has been reported in developmental service systems at even higher rates and in specialist treatment units such as Winterbourne View and Whorlton Hall. People with intellectual disability also experience trauma associated with physical restraint to manage behaviours that challenge services, negative consequences of psychotropic medication, greater exposure to painful medical procedures consequent to health issues, particularly in early and late stages of life and greater than typical discontinuities in care related to hospital admissions, respite, and staff turnover in group and institutional living. The evidence to support medication treatment in post-traumatic stress disorder is reviewed.

Keywords

traumapost-traumatic stress disorderadverse life eventsexposure to abuse (emotionalphysicalsexual)exploitationvictimizationhate crimechallenging behaviour
Type
Chapter
Information
The Frith Prescribing Guidelines for People with Intellectual Disability , pp. 61 - 73
Publisher: Cambridge University Press
Print publication year: 2024

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