People with an intellectual disability (ID) are more at risk of experiencing adverse childhood events. Moreover, prolonged exposure to ACEs results in enduring changes and impairments in neurological, physiological and psycho-social systems and functioning. In response, van der Kolk et al. (2009) have put forward the concept of developmental trauma disorder (DTD) to reflect the “constellation of enduring symptoms” and complex care needs of this population. The purpose of this paper is to ascertain the level of exposure to adverse childhood events and the prevalence of DTD in an inpatient forensic ID population.,A retrospective file review and consensus approach to diagnosis were used in a sample of adults with an ID detained in a secure forensic service.,Results revealed that 89 admissions (N=123) had been exposed to at least one significant ACE, with 81 being exposed to prolonged ACEs. A total of 58 admissions (47 per cent) met criteria for PTSD and 80 (65 per cent) met the criteria for DTD. Significant gender differences were noted in MHA status, primary psychiatric diagnoses, exposure to ACEs and DTD.,The discussion explores the implications for working with forensic ID populations who report high incidents of childhood trauma and the utility, strengths and weaknesses of the proposed DTD, its relationship to ID diagnoses is explored.,The study outlines the prevalence of DTD and PTSD in ID forensic populations and suggests additional key assessment and treatment needs for this population.

中文翻译：

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法医智障人群的发展性创伤

智障人士更有可能遭受不利的儿童期事件。此外，长时间暴露于ACE会导致神经，生理和心理社会系统和功能的持久变化和损害。作为回应，van der Kolk等人。（2009）提出了发展性创伤障碍（DTD）的概念，以反映该人群的“持久症状群”和复杂的护理需求。本文的目的是确定住院法医ID人群中儿童不良事件的暴露水平和DTD的患病率。回顾性文件回顾和共识性诊断方法用于在ID被拘留的ID的成年人样本中结果表明，至少有一个重要的ACE暴露了89名患者（N = 123），其中有81位暴露于长时间的ACE。共有58名（47％）入院符合PTSD标准，80名（65％）符合DTD标准。在MHA状态，主要精神病学诊断，接触ACEs和DTD方面注意到了明显的性别差异。该讨论探讨了与法医ID人群合作的意义，法医ID人群报告了儿童期创伤的高发事件以及拟议DTD的用途，优点和缺点，该研究概述了ID法医人群中DTD和PTSD的患病率，并提出了对该人群的其他关键评估和治疗需求。