The Frith Prescribing Guidelines for People With Intellectual Disability

The guidelines have been conceived and developed by clinicians working in intellectual disability services. They are based on both the latest evidence and expert opinion to provide a consensus approach to prescribing as part of a holistic package of care, and include numerous case examples and scenarios. New to this third edition is improved coverage of children and the role of primary care teams.

The Frith Prescribing Guidelines for People with Intellectual Disability remains a practical guide for busy clinicians and a valuable reference for all primary and secondary health care professionals caring for people with intellectual disability.

Sabyasachi Bhaumik, Honorary Chair, University of Leicester, and Consultant Psychiatrist, Leicestershire Partnership NHS Trust, Leicester, UK

David Branford, Pharmacist Expert in the fields of intellectual disabilities and mental health

Mary Barrett, Consultant Psychiatrist for Adults with Learning Disabilities and Named Doctor for Safeguarding Adults, Leicestershire Partnership NHS Trust, Leicester, UK, and East Midlands Training Programme Director for Psychiatry of Intellectual Disability

Satheesh Kumar Gangadharan, Medical Director and Consultant Psychiatrist, Leicestershire Partnership NHS Trust, Leicester, UK

List of contributors vii

Foreword xi

Preface xiii

Acknowledgements xv

1 Intellectual Disability 1
David Branford and Sabyasachi Bhaumik

2 Prescribing Practice 11
David Branford and Sabyasachi Bhaumik

3 Physical and Health Monitoring 21
David Branford and Sabyasachi Bhaumik

4 Epilepsy 31
Reza Kiani

5 Dementia in People with Intellectual Disability 63
Satheesh Kumar Gangadharan and Amala Jesu

6 Eating and Drinking Difficulties 77
Jenny Worsfold, Nicky Calow and David Branford

7 Sleep Disorders 95
Reza Kiani

8 Women’s Health Issues 107
Nyunt Nyunt Tin and Julia Middleton

9 Sexual Offending 117
John Devapriam, Pancho Ghatak, Sabyasachi Bhaumik, David Branford, Mary Barrett and Sayeed Khan

10 Autism Spectrum Disorders 125
Mary Barrett and Elspeth Bradley

11 Attention Deficit Hyperactivity Disorder 135
Karen Bretherton

12 Aggressive Behaviour 147
David Branford and Sabyasachi Bhaumik

13 Self�]Injurious Behaviour 153
Asit Biswas and Sabyasachi Bhaumik

14 Anxiety Disorders 161
Avinash Hiremath, Sabyasachi Bhaumik and Khalid Nawab

15 Depression 169
Avinash Hiremath, Shweta Gangavati and Mary Barrett

16 Bipolar Affective Disorder 179
Desari Mohan Michael, David Branford and Mary Barrett

17 Schizophrenia 193
Avinash Hiremath, Amala Jesu and Saduf Riaz

18 Alcohol Use Disorders 203
Helen Miller

19 Personality Disorders 215
Regi Alexander and Sabyasachi Bhaumik

20 Discussion Case Studies with Suggested Answers 225

Appendix: Summary of Syndromes Mentioned in the Guidelines 241

Index 000

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