Paradise Ballroom ABC
Speaker(s):
Description
Some of the most chronic and treatment-resistant syndromes of mental health impairment arise when developmental disability and psychiatric disability occur together, so-called “dual diagnosis”. Interventions that are commonly implemented in the developmental disabilities service sector (e.g., functional communication training and positive behavioral support planning) are capable of mitigating severe behavioral impairment, yet rarely invoked when dual diagnosis patients are seen in the psychiatric service sector. Conversely, state-of-the-art interventions for traumatic stress, pharmacotherapy, and psychotherapy have proven capable of improving behavioral impairments in IDD but are typically restricted to the psychiatric service sector, where there exist significant barriers to access for patients with IDD, including limitations imposed by diagnostic eligibility and practitioner experience. Bridging these gaps in knowledge and clinical capacity across the respective IDD and PS service sectors should be of very high priority in strategizing the care and support of IDD patients with serious co-occurring psychiatric conditions, and will be an important step in fulfilling federal mental health parity legislation.
Objectives
- To describe common pathways to unnecessary complications in adaptation among individuals with developmental disability
- To describe advances in treatment for joint behavioral and developmental disability
- To clarify endpoints of mental health parity, i.e. the extent to which medically-necessary behavioral health services are being delivered on a par with medical services within health systems.
Constantino – Dual Diagnosis and MH Parity Constantino 2023v2.0