Service use and access in young children with an intellectual disability or global developmental delay: Associations with challenging behaviour

TY - JOUR

T1 - Service use and access in young children with an intellectual disability or global developmental delay

T2 - Associations with challenging behaviour

AU - Adams, Dawn

AU - Handley, Louise

AU - Simkiss, Doug

AU - Walls, Emily

AU - Jones, Alison

AU - Knapp, Martin

AU - Romeo, Renee

AU - Oliver, Chris

PY - 2018

Y1 - 2018

N2 - Background Challenging behaviours are frequently shown by children with an intellectual disability. This study documents service use within this population and explores its relationship with challenging behaviours and child and parent characteristics. Method Forty-nine mothers of young children with an intellectual disability or global developmental delay completed questionnaires focusing on child behaviour, parental mental health, and service use. Results Maternal mental health was not associated with services accessed. Cost of services accessed differed by topography of challenging behaviour for destruction of the environment or aggression. No differences were noted for self-injurious behaviour. Conclusion In this small study, topography of challenging behaviour impacts on the frequency and/or duration (and therefore cost) of community-based health care accessed. Behaviours that have external impact, such as aggression and destruction of the environment, are associated with a higher cost of services used, a pattern not noted for behaviours that had less external impact (e.g., self-injurious behaviour).

AB - Background Challenging behaviours are frequently shown by children with an intellectual disability. This study documents service use within this population and explores its relationship with challenging behaviours and child and parent characteristics. Method Forty-nine mothers of young children with an intellectual disability or global developmental delay completed questionnaires focusing on child behaviour, parental mental health, and service use. Results Maternal mental health was not associated with services accessed. Cost of services accessed differed by topography of challenging behaviour for destruction of the environment or aggression. No differences were noted for self-injurious behaviour. Conclusion In this small study, topography of challenging behaviour impacts on the frequency and/or duration (and therefore cost) of community-based health care accessed. Behaviours that have external impact, such as aggression and destruction of the environment, are associated with a higher cost of services used, a pattern not noted for behaviours that had less external impact (e.g., self-injurious behaviour).

KW - behaviour problems

KW - challenging behaviour

KW - intellectual disability

KW - service use

UR - http://www.scopus.com/inward/record.url?scp=84990244026&partnerID=8YFLogxK

U2 - 10.3109/13668250.2016.1238448

DO - 10.3109/13668250.2016.1238448

M3 - Article

AN - SCOPUS:84990244026

SN - 1366-8250

SP - 1

EP - 10

JO - Journal of Intellectual & Developmental Disability

JF - Journal of Intellectual & Developmental Disability

ER -