Abstract

Communication is the foundation of every relationship. How individuals perceive their connection with their mental healthcare provider significantly influences the success of their treatment relationship. Interviewing patients with Intellectual disability (ID) can be a challenge due to patient factors such as limited communication abilities and difficulty sustaining attention and concentration. Physician related factors that may pose a challenge include limited experience treating patients with ID resulting in a lack of confidence as well as managed care restrictions such as limited time. Recognizing these factors and gaining experience in treating these individuals are the best ways to overcome these challenges. When evaluating an individual with ID, it is essential to gather collateral information. If the patient gives consent, it is helpful to have someone such as a caregiver, family member, or other invested party present for the interview, as they are able to provide valuable, objective information. It is important to speak directly to the patient during the interview, even if they are nonverbal or if you are obtaining information from a third party during the interview.

Highlights

  • When conducting a patient interview, it is crucial to understand the individuals’ level of Intellectual disability (ID) as well as their expressive language skills in order to communicate effectively

  • It is important to note that most individuals with ID have better receptive than they do expressive language skills

  • Though they may have limited verbal skills, they typically still understand what is being said during the interview

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Summary

Levels of Intellectual Disability and Categories of Communicative Skills

When conducting a patient interview, it is crucial to understand the individuals’ level of ID as well as their expressive language skills in order to communicate effectively. Review of intelligence testing and adaptive skill deficits is critical to achieve an understanding of dependency needs and how the patient navigates the community. It is important to note that most individuals with ID have better receptive than they do expressive language skills. Though they may have limited verbal skills, they typically still understand what is being said during the interview

Category of Communicative skills Description
Cognitive disintegration
Psychosocial masking
Building Rapport
Clinical Pearls for Interviewing Individuals with Intellectual Disability
Post traumatic stress disorder
Fear Disgust Anger
Cultural Humility in Interviewing Persons with ID
Summary
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