CRC - YE00043
Frith Prescribing Guidelines for Adults with Learning Disability
|Publication Date:||20 March 2013|
This is the first attempt to produce prescribing guidelines for adults with learning disability especially in relation to the management of epilepsy, behaviour disorders and functional psychiatric illnesses. The diagnosis of psychiatric disorders in this population is fraught with difficulties due to lack of standardized diagnostic criteria, significant communication difficulties and co-morbidities such as epilepsy and physical health problems. Clinicians working in this speciality tend to depend on the evidence from mainstream psychiatry and the experience shared with other colleagues, due to a scarcity of reliable evidence of drug treatment. Though all people with learning disability share certain features of delayed development, they are a heterogeneous group, and therefore their clinical presentation and response to treatment may vary considerably. In many instances psychiatrists may have to rely on direct observation and information gathered from carers. This applies not only in arriving at a diagnostic formulation but also in monitoring the outcome of treatment including any adverse events.
These guidelines are a result of influences drawn from the existing evidence base and from the consensus opinion of a number of experienced clinicians. Without the input from these colleagues, this book would not serve its purpose.
Authors: Sabayaschi Bhaumik, David Branford