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Guidance for the Treatment and Management of COVID-19 Among People with Intellectual Disabilities.
Alexander, Regi; Ravi, Ambiga; Barclay, Helene; Sawhney, Indermeet; Chester, Verity; Malcolm, Vicki; Brolly, Kate; Mukherji, Kamalika; Zia, Asif; Tharian, Reena; Howell, Andreana; Lane, Tadhgh; Cooper, Vivien; Langdon, Peter E.
  • Alexander R; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust Norwich UK.
  • Ravi A; University of Hertfordshire Hatfield United Kingdom.
  • Barclay H; Bowlers Green, Hertfordshire Partnership University NHS Foundation Trust Hatfield UK.
  • Sawhney I; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust Norwich UK.
  • Chester V; Lexden Hospital, Hertfordshire Partnership University NHS Foundation Trust Colchester UK.
  • Malcolm V; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust Norwich UK.
  • Brolly K; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust Norwich UK.
  • Mukherji K; Little Plumstead Hospital, Hertfordshire Partnership University NHS Foundation Trust Norwich UK.
  • Zia A; Hertfordshire Partnership University NHS Foundation Trust Hatfield UK.
  • Tharian R; Hertfordshire Partnership University NHS Foundation Trust Hatfield UK.
  • Howell A; Hellesdon Hospital, Norfolk and Suffolk NHS Foundation Trust Norwich UK.
  • Lane T; ReseArch in DevelopmentAl NeuropsychiaTry (RADiANT) Norwich UK.
  • Cooper V; ReseArch in DevelopmentAl NeuropsychiaTry (RADiANT) Norwich UK.
  • Langdon PE; Challenging Behaviour Foundation Chatham UK.
J Policy Pract Intellect Disabil ; 17(3): 256-269, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-1949684
Semantic information from SemMedBD (by NLM)
1. Intellectual Disability PROCESS_OF Persons
Subject
Intellectual Disability
Predicate
PROCESS_OF
Object
Persons
2. COVID-19 PROCESS_OF Persons
Subject
COVID-19
Predicate
PROCESS_OF
Object
Persons
3. Crisis PROCESS_OF World
Subject
Crisis
Predicate
PROCESS_OF
Object
World
4. Symptom mild PROCESS_OF Persons
Subject
Symptom mild
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PROCESS_OF
Object
Persons
5. Intellectual Disability COEXISTS_WITH COVID-19
Subject
Intellectual Disability
Predicate
COEXISTS_WITH
Object
COVID-19
6. 2019 novel coronavirus PROCESS_OF Family
Subject
2019 novel coronavirus
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PROCESS_OF
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Family
7. 2019 novel coronavirus PROCESS_OF Caregiver
Subject
2019 novel coronavirus
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PROCESS_OF
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8. COVID-19 CAUSES Disease
Subject
COVID-19
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CAUSES
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9. Problem COEXISTS_WITH COVID-19
Subject
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COEXISTS_WITH
Object
COVID-19
10. Intellectual Disability PROCESS_OF Persons
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PROCESS_OF
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11. COVID-19 PROCESS_OF Persons
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PROCESS_OF
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12. Crisis PROCESS_OF World
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World
13. Symptom mild PROCESS_OF Persons
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14. Intellectual Disability COEXISTS_WITH COVID-19
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Intellectual Disability
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COEXISTS_WITH
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COVID-19
15. 2019 novel coronavirus PROCESS_OF Family
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2019 novel coronavirus
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PROCESS_OF
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Family
16. 2019 novel coronavirus PROCESS_OF Caregiver
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PROCESS_OF
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Caregiver
17. COVID-19 CAUSES Disease
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COVID-19
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CAUSES
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Disease
18. Problem COEXISTS_WITH COVID-19
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COEXISTS_WITH
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COVID-19
ABSTRACT
The current COVID-19 pandemic is a pressing world crisis and people with intellectual disabilities (IDs) are vulnerable due to disparity in healthcare provision and physical and mental health multimorbidity. While most people will develop mild symptoms upon contracting severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), some will develop serious complications. The aim of this study is to present guidelines for the care and treatment of people with IDs during the COVID-19 pandemic for both community teams providing care to people with IDs and inpatient psychiatric settings. The guidelines cover specific issues associated with hospital passports, individual COVID-19 care plans, the important role of families and carers, capacity to make decisions, issues associated with social distancing, ceiling of care/treatment escalation plans, mental health and challenging behavior, and caring for someone suspected of contracting or who has contracted SARS-CoV-2 within community or inpatient psychiatric settings. We have proposed that the included conditions recommended by Public Health England to categorize someone as high risk of severe illness due to COVID-19 should also include mental health and challenging behavior. There are specific issues associated with providing care to people with IDs and appropriate action must be taken by care providers to ensure that disparity of healthcare is addressed during the COVID-19 pandemic. We recognize that our guidance is focused upon healthcare delivery in England and invite others to augment our guidance for use in other jurisdictions.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Policy Pract Intellect Disabil Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Policy Pract Intellect Disabil Year: 2020 Document Type: Article