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Reliability and validity of the Mini PAS-ADD for assessing psychiatric disorder in adults with intellectual disability

Prosser, H, Moss, S, Costello, H, Simpson, N, Patel, P and Rowe, S 1998, 'Reliability and validity of the Mini PAS-ADD for assessing psychiatric disorder in adults with intellectual disability' , Journal of Intellectual and Disability Research, 42 (4) , pp. 264-272.

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    Abstract

    The Mini PAS-ADD is an assessment schedule for psychiatric disorders in people with an intellectual disability. It is designed to provide a link between the mental health expertise of psychiatrists and psychologists, and the detailed knowledge of individual service users possessed by support staff. In broad terms, the aim of the Mini PAS-ADD is to enable non-psychiatrists accurately to recognize clinically significant psychiatric disorders in the people who they care for, so that they can make informed referral decisions. The instrument comprises 86 psychiatric symptoms and generates a series of subscores on: depression, anxiety and phobias, mania, obsessive-compulsive disorder, psychosis, unspecified disorder (including dementia), and pervasive developmental disorder (autism). The present paper reports the results of a study investigating internal consistency, inter-rater agreement and validity in relation to clinical opinion, using a sample of 68 people with intellectual disability who were in contact with psychiatric services. In terms of the instrument fulfilling its main intended function, i.e. accurate case recognition, the crucial question was whether the support workers, with their lesser knowledge of psychopathology, were also able to correctly identify cases identified by expert clinicians. The validity results in this respect (81% agreement on case recognition) were sufficiently good that it is to be anticipated that the Mini PAS-ADD should have a significant impact on the identification of psychiatric disorders in the community of people with intellectual disability.

    Item Type: Article
    Uncontrolled Keywords: Mini PAS-ADD, reliability, validity, psychiatric disorders, assessment
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Justice Research
    Journal or Publication Title: Journal of Intellectual and Disability Research
    Publisher: Wiley-Blackwell
    Refereed: Yes
    ISSN: Journal of Intellectual and Disability Research
    Depositing User: H Prosser
    Date Deposited: 26 Sep 2011 10:40
    Last Modified: 20 Aug 2013 18:10
    URI: http://usir.salford.ac.uk/id/eprint/17693

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