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The Psychiatric Symptoms, Diagnoses and Care Needs of 100 Mentally Handicapped Patients

  • Brian R. Ballinger (a1), C. Barbara Ballinger (a2), Andrew H. Reid (a1) and Elizabeth McQueen (a3)


One hundred randomly selected residents of a mental handicap hospital originating from Dundee were interviewed using a standardised assessment based on the modified Standardised Clinical Interview Schedule. Information on certain behavioural items and self-care skills was obtained from nursing staff and case records. An ICD–9 diagnosis could be made for 80 individuals, including diagnoses usually reserved for children. Thirty subjects were regarded as needing long-term psychiatric mental handicap hospital care. All but one of the remaining 70 subjects required a staffed residential placement and all but 15 some form of out-patient or short-term in-patient provision from specialist health services. The findings indicate a need for approximately 30 psychiatric mental handicap beds per 100 000 population.


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Ballinger, B. R. Armstrong, J. Presly, A. S. et al (1975) Use of a standardised psychiatric interview in mentally handicapped patients. British Journal of Psychiatry, 127, 540544.
Ballinger, B. R. & Reid, A. H. (1977) Psychiatric disorder in an adult training centre and in a hospital for the mentally handicapped. Psychological Medicine, 7, 525528.
Day, K. (1986) Developing services for the mentally handicapped: some practical considerations. In The Provision of Mental Health Services in Britain: The Way Ahead (eds Wilkinson, G. & Freeman, H.). London: Gaskell.
Glue, P. Webb, O. J. & Surgenor, L. (1988) Psychopathology in adult mentally handicapped hospital patients. Australian and New Zealand Journal of Psychiatry, 22, 312315.
Gostason, R. (1985) Psychiatric illness among the mentally retarded. A Swedish population study. Acta Psychiatrica Scandinavica (suppl. 318).
Lund, J. (1985) The prevalence of psychiatric morbidity in mentally retarded adults. Acta Psychiatrica Scandinavica, 72, 563570.
Reid, A. H. (1982) The Psychiatry of Mental Handicap, pp. 1014. Oxford: Blackwell Scientific Publications.
Reid, A. H. Ballinger, B. R. & Heather, B. B. (1978) Behavioural syndromes identified by cluster analysis in a sample of 100 severely and profoundly retarded adults. Psychological Medicine, 8, 399412.
Reid, A. H. & Ballinger, B. R. (1987) Personality disorder in mental handicap. Psychological Medicine, 17, 983987.
Russell, J. F. O. (1988) Psychiatric disorders in adults with mental handicap. Current Opinion in Psychiatry, 1, 572577.
Scottish Health Services Planning Council (1988) Scottish Health Authorities Review of Priorities for the Eighties and Nineties. Edinburgh: HMSO.
World Health Organization (1978) Mental Disorders. Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.
Zigler, E. & Burack, J. A. (1989) Personality development and the dually diagnosed person. Research in Developmental Disabilities, 10, 225240.


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The Psychiatric Symptoms, Diagnoses and Care Needs of 100 Mentally Handicapped Patients

  • Brian R. Ballinger (a1), C. Barbara Ballinger (a2), Andrew H. Reid (a1) and Elizabeth McQueen (a3)
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