BEST Project Rapid Review:
Modifications and implementation of mental health therapy interventions for adolescents and young adults with I/DD
Sarah Weldy, IL LEND Trainee-Occupational Therapy
Magdelene Thebaud, IL LEND Trainee- Social Work
Ellie Renz, IL LEND
Trainee- Self-Advocacy
Annanda Batista, IL LEND Trainee- Nursing
Background and Purpose
Additional mental health problems are substantially increased amongst people with neurodevelopmental disorders”
But: CBT is commonly used treatment for these mental health disorders such as depression anxiety, but sometimes it doesn’t translate well to the ND community.
King, Bryan H. Psychiatric comorbidities in neurodevelopmental disorders, Current Opinion in Neurology: April 2016 - Volume 29 - Issue 2 - p 113-117 doi: 10.1097/WCO.0000000000000299; beckinstitute.org; kcl.ac.uk
Research Question
Collaborations
Methods
Rapid Review
Lorem 3
Each article was analyzed individually and entered into a matrix. Additional articles were excluded. After full reading, 18 articles met the inclusion criteria.
These articles were summarized and analyzed for identification of themes, adaptations/modifications to curriculum, and implementation outcomes.
Lorem 1
The team identified subject headings and key terms for the rapid review. We entered the search terms into the following databases: EMBASE; PsychINFO; PubMed; and CINAHL. The initial search yielded 4,193 articles.
Lorem 2
The team de-duplicated the initial 4,193 articles. Following de-duplication, there were 3,146 articles.
Then articles were analyzed with the inclusion and exclusion criteria. 107 articles were selected.
Review and Analysis
Search
Inclusion/Exclusion
Keywords
KEYWORDS (I/DD Terms) | KEYWORDS (Age Terms) | KEYWORDS (Mental health conditions terms) | KEYWORDS (Interventions Terms) | |
developmental disability intellectual disability cerebral palsy spina bifida blind* visual impairment hearing deaf developmental delay muscular dystrophy cystic fibrosis | sickle cell anemia learning disability ASD autism ADHD attention deficit hyperactivity disorder attention deficit disorder autism spectrum disorder stutter* epilepsy seizure | young people young person youth adolescence adolescent adolescents young adult | Depression anxiety | CBT cognitive-behavioral therapy behavioral therapy behavioural therapy cognitive-behavioural therapy |
Inclusion and Exclusion Criteria
| Inclusion Criteria | Exclusion Criteria |
Population | Youth and young adults aged 13-25 with comorbid I/DD and depression and/or anxiety | < 13 years of age > 25 years of age |
Intervention Targets | Depression and/or anxiety | Non-mental health symptoms as primary intervention targets or outcomes |
Outcomes | Examined implementation outcomes | Did not examine implementation outcomes |
Study Design | Randomized control trials Quasi-experimental Pre-post trials >10 participants | Non-experimental design |
Treatment | Cognitive intervention Behavioral intervention Cognitive-behavioral intervention | Non cognitive, behavioral, or cognitive-behavioral interventions |
Results
Studies included: 18
Demographic of studies: 16 about ASD, 2 about ADHD
-Sample size varied 7-159 (pooled sample: N=594)
-mean age: 14.7
-sex/gender: 75% male
All articles covered CBT interventions
CBT adaptations:
-Facing your Fears (n=3)
-Behavioral Interventions for Anxiety in Children with Autism (BIACA) (n=4)
-Multimodal Anxiety and Social Skills Intervention (MASSI) (n=3)
-other CBT interventions (n=8)
-modularized intervention delivery
-visual supports
-language adaptation
-specific skills training
-parent involvement and incorporation of youth interests
14 studies showed positive outcomes
4 null findings
Conclusion