ABSTRACT

Introduction: People with intellectual disability (ID) face barriers to accessing mental healthcare. Individuals who have had significant experience in intellectual disability mental health (IDMH) can provide insights into strategies to overcome these barriers.

Methods: This historical investigation applied an interpretive descriptive approach using semi-structured interviews with fourteen IDMH experts. Thematic analysis was undertaken to explore the delivery of mental health services to people with ID since the 1960s. These themes were then analyzed to identify key lessons about delivering quality mental healthcare.

Results: Key lessons suggest the need for: specialized IDMH services, clear policy and governance, including people with ID in the design and delivery of services, holistic and collaborative services, an equipped workforce, quality assessment and treatment, and ongoing research.

Conclusions: A historical review of mental health services for people with the ID provided valuable insights into strategies that could be implemented to enhance mental healthcare for this important group.

摘要

简介：智障人士在获得精神保健方面面临障碍。在智力残疾者心理健康（IDMH）方面具有丰富经验的个人可以提供有关克服这些障碍的策略的见解。

方法：本次历史调查采用了解释性描述方法，对14名IDMH专家进行了半结构化访谈。自1960年代以来，进行了主题分析，以探索向身患ID的人们提供心理健康服务的方法。然后对这些主题进行分析，以确定有关提供优质心理保健的关键课程。

结果：关键课程表明需要：IDMH的专业服务，清晰的政策和治理，包括在服务的设计和交付，整体和协作服务，配备完善的员工队伍，质量评估和治疗以及正在进行的研究中具有ID的人员。

结论：对身患ID者的心理健康服务的历史回顾提供了宝贵的见解，可用于实施策略以增强这一重要人群的心理保健。