Psychological Well-Being of Children and Adults with Severe and Profound Intellectual and Developmental Disabilities

Abstract

Evidence is emerging that both children and adults with severe and profound intellectual and developmental disabilities (SPIDD) have a higher level of both physical and mental health needs than the general population. The prevalence of mental health difficulties in this group is difficult to identify, however, due to communication impairments and lack of ability to express emotions in an obvious way. This also makes recognition and assessment of these difficulties challenging. Behaviours that can be challenging are commonly observed in this group as distress and mental health issues are often expressed via behaviour. Difficult behaviour may also be a person’s attempt to get needs met when they experience lower levels of wellbeing. Caring for an individual with SPIDD can also have a significant emotional impact on the carer. The evidence base for interventions to promote wellbeing in people with SPIDD and those supporting them is in its early stages and further research is needed and expected.