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2 results

  • 18 - The health inequities of people with intellectual and developmental disabilities: Strategies for change

  • from Part 4 - Public health issues and special populations
  • Edited by Pranee Liamputtong
  • Book:
    Public Health
    Published online:
    25 July 2022
    Print publication:
    10 August 2022, pp 331-347

  • Summary

    People with intellectual and developmental disabilities (IDD) vary in terms of the nature and severity of their disabilities, but for all, their disability is lifelong. They experience of health inequities in the form of higher rates of poor health when compared with the general population. Together with biological factors relating to impairment or genetic factors, adverse social determinants of health contribute to their high rates of comorbid and secondary conditions that account for their poor health. There is a human rights imperative to address their health inequities through broader social change to reduce their socio-economic disadvantages, and systemic changes to healthcare systems to ensure they are afforded the same access to quality care as others in the community. This chapter explores the nature of the health inequities of people with IDD and identifies factors contributing to their poor health. The chapter ends with a review of strategies that show promise in addressing existing health problems, preventing the onset of poor health and improving healthcare systems.

  • 13 - Tic disorders and Tourette's syndrome

  • Edited by Stan Kutcher, Dalhousie University, Nova Scotia
  • Book:
    Practical Child and Adolescent Psychopharmacology
    Published online:
    31 August 2009
    Print publication:
    18 April 2002, pp 382-409

  • Summary

    Tourette's syndrome (TS) is characterized as a disorder of the mind, and tic symptoms the result of psychologic mechanisms. TS begins in childhood and for most patients symptom severity peaks in latency and early adolescence and decreases in adulthood. The diagnosis of TS and other tic disorders is dependent on the presence of motor and vocal tics. Problems with mood and impulse control, obsessive-compulsive behaviors, anxiety, disruptive behavior, attention, and learning are common in clinically ascertained populations of TS subjects. Patient and parent education is perhaps the most important component of treatment. Patients treated with medications for comorbid conditions that co-occur with TS may experience increased tic severity temporally associated with medication use. For many TS patients, the treatment of OCD, ADHD, or other psychiatric disorders may be the most important first step, as these disorders are often more impairing than tics.