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Factors influencing physical healthcare quality for people with intellectual disabilities : psychiatry multidisciplinary team perspective
Majid, Madiha Rennick-Egglestone, Stefan Harris, Bronwyn Roy, Ashok Crawford, Hayley
Majid, Madiha
Rennick-Egglestone, Stefan
Harris, Bronwyn
Roy, Ashok
Crawford, Hayley
Abstract
BACKGROUND: There is a need for better collaborative care between services to improve healthcare provision for people with intellectual disabilities. In the UK, the learning disability psychiatry multidisciplinary team (MDT) is a specialist team responsible for providing and coordinating care for people with intellectual disabilities. AIMS: To document learning disability MDT perspectives on factors influencing healthcare quality for people with intellectual disabilities. METHOD: Healthcare professionals who were members of a learning disability MDT within a National Health Service Trust in the West Midlands were purposively sampled for interview (n = 11). Participants included psychiatrists, nurses, occupational therapists and speech and language therapists. Data were analysed thematically using Braun and Clarke's six-stage approach. RESULTS: Factors influencing the quality of healthcare provision included: the learning disability MDT working to overcome systemic barriers; the consequences of specific failures within mainstream healthcare services, such as diagnostic overshadowing; inadequate use of information collated in health passports; and inadequate capacity assessments of people with intellectual disabilities. Improvements in healthcare provision for people with intellectual disabilities require better accessibility to healthcare and better training for healthcare professionals so they can understand the health needs of people with intellectual disabilities. CONCLUSIONS: A rapid review of practices around health passports for people with intellectual disabilities should be conducted. Healthcare professionals working in mainstream healthcare services need an increased awareness of the harms of diagnostic overshadowing and inadequate capacity assessments. Conclusions are based on findings from MDTs within one health board; future work may focus on understanding perspectives from different teams.
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Date
2025
Type
Article
Subject
Intellectual disability, Physical examination, Community health nursing, Psychiatric hospitals
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Citation
Majid, M., Rennick-Egglestone, S., Harris, B., Roy, A. & Crawford, H. (2025). Factors influencing physical healthcare quality for people with intellectual disabilities : psychiatry multidisciplinary team perspective. BJPsych Open, 11 (4), pp.e137.
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Cambridge University Press
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© The Author(s), 2025. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
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