The challenges of mental health of staff working with people with intellectual disabilities during COVID-19--A systematic review.

BACKGROUND: The COVID-19 pandemic has posed a great risk to the mental health of health workers (HWs). There are likely to be particular concerns for staff working with adults with an intellectual disability, where infection control may be more challenging. METHOD: We conducted a systematic review of original research examining the mental health of HWs working with people with intellectual disability, published between March 2020 and July 2021. RESULTS: Five original research studies were included. A high proportion of HWs working with people with intellectual disability reported having had poor mental health including stress, anxiety, and depression. This manifested in similar patterns as for other HWs and also some specific patterns seen as the need to manage increased rates of mental health issues of the people they support. Sources of support and resilience were also identified. CONCLUSION: The support system should target risk factors, answer unmet needs, and build resilience. More research is also required on the ongoing and long-term effects.

Staff mental health while providing care to people with intellectual disability during the COVID-19 pandemic.

Background: The COVID-19 pandemic has placed enormous strain on health systems around the world, undermining the mental health and wellbeing of healthcare workers. Supporting people with intellectual disabilities may be particularly challenging for workers, as some people with intellectual disabilities may have a limited understanding of the pandemic, and find it challenging to adhere to the restrictions imposed by public health guidelines such as social distancing, lockdowns and change in usual routine and activities. In addition, many people with intellectual disabilities have increased vulnerability to more negative effects of COVID-19, with significantly higher mortality rates. Although there is emerging research on the mental health of healthcare staff during this time, there has been little specific work on the mental health of staff working with people with intellectual disability, particularly a lack of qualitative research. Methods: The current study employed semi-structured interviews with 13 healthcare workers (12 women and 1 man) who were working with people with intellectual disability during the COVID-19 pandemic. The interview data were analysed using thematic content analysis. Findings: The participants spoke in depth about the challenges of the working environment, the impact of providing care during the pandemic on staff mental health, supporting staff mental health and wellbeing and learning for the future. Conclusions: Systematic efforts are required to protect the mental health of this staff cohort, as well as encouraging resilience and successful coping among staff themselves.

Spoken sentence processing in young and older adults modulated by task demands: evidence from self-paced listening.

Young and older adult listeners paced themselves through recorded sentences, under instructions to recall the sentence verbatim or to respond to comprehension probes. Sentences varied in syntactic complexity and speech rate. Young and older adults paused longer after major syntactic boundaries, an effect that was constant across speech rates but became more pronounced with increasing syntactic complexity. These effects were moderated by listeners' expectations of what they were to do with the linguistic input and by their recent experience with particular tasks. Older adults tended to pause longer in the recall condition, especially when it preceded the comprehension condition. Young adults paused differentially longer at major syntactic boundaries in the comprehension condition, but only when the comprehension condition preceded the recall condition. These findings are discussed in the context of two competing theories of syntactic processing.

The salience of linguistic clauses in young and older adults' running memory for speech.

An experiment is reported in which young and older adults were asked to recall as many words as possible that preceded the sudden interruption of a spoken passage. Both young and older adults' recall predominantly began at a major clause boundaries, with most responses reflecting recall of one or two full clauses. When placed under a heavier processing load induced by artificially accelerating the speech rate, an age dissociation appeared in the form of older adults producing a greater proportion of responses that were less than a full clause in length. With this qualification, however, recall of connected speech by the older adults remained largely organized by the clausal structure of what had been heard. This pattern reflects an organizing feature in language processing and memory that remains well-preserved in normal aging.

Children's use of semantic cues in degraded listening environments.

Children 5 and 9 years of age and adults were required to identify the final words of low- and high-context sentences in background noise. Age-related differences in the audibility of speech signals were minimized by selecting signal-to-noise ratios (SNRs) that yielded 78% correct performance for low-context sentences. As expected, children required more favorable SNRs than adults to achieve comparable levels of performance. A more difficult listening condition was generated by adding 2 dB of noise. In general, 5-year-olds performed more poorly than did 9-year-olds and adults. Listeners of all ages, however, showed comparable gains from context in both levels of noise, indicating that noise does not impede children's use of contextual cues.