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The role of the environmental factors on the development of adaptive skills in intellectual disabilities subjects

Published online by Cambridge University Press:  11 October 2011

Goffredo Scuccimarra ,
Roberto Velotti ,
Flaviano Canfora ,
Agata Facciuto  and
Simona Mellucci
Goffredo Scuccimarra*
Affiliation:
Istituto “Antoniano”, Centro Studi Ricerca e Formazione di Rilevante Interesse Regionale, Ercolano (Napoli)
Roberto Velotti
Affiliation:
Istituto “Antoniano”, Centro Studi Ricerca e Formazione di Rilevante Interesse Regionale, Ercolano (Napoli)
Flaviano Canfora
Affiliation:
Istituto “Antoniano”, Centro Studi Ricerca e Formazione di Rilevante Interesse Regionale, Ercolano (Napoli)
Agata Facciuto
Affiliation:
Istituto “Antoniano”, Centro Studi Ricerca e Formazione di Rilevante Interesse Regionale, Ercolano (Napoli)
Simona Mellucci
Affiliation:
Istituto “Antoniano”, Centro Studi Ricerca e Formazione di Rilevante Interesse Regionale, Ercolano (Napoli)
*
Address for correspondence: Dr. G. Scuccimarra, Direttore Sanitario Istituto “Antoniano”, Via Madonnelle 15, Ercolano (NA). Fax: +39-081-7753054 E-mail: goffredo.scuccimarra@unina2.it
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Summary

Aims — The aims of the study was to evaluate if environmental factors can influence the effectiveness of therapeutic intervention of subjects with intellectual disabilities. Methods — 46 adolescents and adults with mental retardation, in semi-residential rehabilitative treatment, have been assessed over a 2-years period. The evolution of adaptive functioning over time has been assessed through the AAMD-ABS. The development of the adaptive skills at follow-up has been correlated with socio-economic and cultural factors. Results — Linear regression showed that age of both parents, mother's health status, lack of one parent, SES, and housing conditions, represent significant covariates to predicting evolution of the adaptive functioning; these factors independently influence effectiveness of the therapy from the kind of treatment. Conclusion — The results demonstrate that effectiveness of the therapy can be conditioned from ability to fulfil the needs of the families, through social and supporting programs.

Declaration of Interest: none.

Keywords

mental retardationadaptive functioningenvironmental factorstherapeutic intervention
Type
Original Papers
Information
Epidemiology and Psychiatric Sciences , Volume 14 , Issue 2 , June 2005 , pp. 108 - 115
Copyright
Copyright © Cambridge University Press 2005

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References

BIBLIOGRAFIA

Anderson, R.L. & Lewis, D.A. (2000). Quality of life of persons with severe mental illness living in an intermediate care facility. Journal of Clinical Psychology 56, 575–581.3.0.CO;2-S>CrossRefGoogle Scholar
Blacher, J. (1990). Assessing placement tendency in families with children who have severe handicaps. Research in Developmental Disabilities 2, 415–33.Google Scholar
Black, M., Cohn, J., Smull, M. & Crites, L. (1985). Individual and family factors associated with risk of institutionalization of mentally retarded adults. American Journal of Mental Deficiency 90, 271–276.Google ScholarPubMed
Bromley, B.E. & Blacher, J. (1991). Parental reasons for out-of-home placement of children with severe handicaps. Mental Retardation 29, 275–280.Google ScholarPubMed
Cole, D.A. (1986). Out-of-home child placement and family adaptation: a theoretical framework. American Journal of Mental Deficiency 91, 226–236.Google ScholarPubMed
Essex, E.L., Seltzer, M.M. & Krauss, M.W. (1997) Residential transitions of adults with mental retardation: predictors of waiting list use and placement. American Journal on Mental Retardation 101, 613–629.Google ScholarPubMed
Eyman, R.K., Demaine, G.C. & Lei, T. (1979). Relationship between community environments and residence changes in adaptive behavior: a path model. American Journal of Mental Deficiency 83, 380–8.Google ScholarPubMed
Felce, D. & Emerson, E. (2001). Living with support in a home in the community: predictors of behavioural development and household and community activity. Mental Retardation and Developmental Disabilities Research Reviews 2, 75–83.CrossRefGoogle Scholar
Felce, D., de Kock, U., Thomas, M. & Saxby, H. (1986). Change in adaptive behaviour of severely and profoundly mentally handicapped adults in different residential settings. British Journal of Psychology 77, 489–501.CrossRefGoogle ScholarPubMed
Freedman, R.I., Krauss, M.W. & Seltzer, M.M. (1997). Aging parents' residential plans for adult children with mental retardation. Mental Retardation 35, 114–123.2.0.CO;2>CrossRefGoogle ScholarPubMed
Gaugler, J.E., Edwards, A.B., Femia, E.E., Zarit, S.H., Stephens, M.A., Townsend, A. & Greene, R. (2000). Predictors of institutionalization of cognitively impaired elders: family help and the timing of pla-cement. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 55, 247–255.CrossRefGoogle Scholar
German, M.L. & Maisto, A.A. (1982). The relationship of perceived family support system to the institutional placement of mentally retarded children. Education and Training of Mentally Retarded 17, 217–223.Google Scholar
Heller, T. & Factor, A. (1993). Agin family caregivers: support resources and changes in burden and placement desire. American Journal on Mental Retardation 98, 417–426.Google Scholar
Heller, T., Miller, A.B. & Factor, A. (1998). Environmental characteristics of nursing homes and communitiy-based settings, and the well-being of adults with intellectual disability. Journal of Intellectual Disability Research 42, 418–428.CrossRefGoogle ScholarPubMed
Heller, T., Miller, A.B. & Hsieh, K. (2002). Eight-year follow-up of the impact of environmental characteristics on well-being of adults with developmental disabilities. Mental Retardation 40, 366–378.2.0.CO;2>CrossRefGoogle ScholarPubMed
Hollingshead, A.B. (1975). Four Factor Index of Social Status. Department of Sociology, Yale University: New Haven (Connecticut).Google Scholar
Hull, J.T. & Thompson, J.C. (1980). Predicting adaptive functioning of mentally retarded persons in community settings. American Journal of Mental Deficiency 85, 253–261.Google ScholarPubMed
La Malfa, G. (1997). La “linea universo” della persona con ritardo mentale. In Viaggio net Ritardo Mentale (Lisi, di S. Guerra, Malfae, G. LaMasi, G.), p.101. Edizioni del Cerro: Tirrenia (Pisa).Google Scholar
Lawton, M.P., Moss, M., Fulcomer, M. & Kleban, M.H. (1982). A research and service-oriented Multi-Level Assessment Instrument. Journal of Gerontology 37, 91–99.CrossRefGoogle Scholar
Mares, A.S., Young, A.S., Mcguire, J.F. & Rosenheck, R.A. (2002). Residential environment and quality of life among seriously mentally ill residents of board and care homes. Community Mental Health Journal 38, 447–458.CrossRefGoogle ScholarPubMed
Ministero dei Lavori Pubblici (1989). Prescrizioni tecniche necessarie a garantire l'accessibilità, l'adattabilità e la visitabilità degli edifici privati e di edilizia residenziale pubblica sovvenzionata e agevolata, ai fini del superamento e dell'eliminazione delle barriere architettoniche. D.M. 14 giugno 1989, n. 236, Supplemento ordinario alia Gazzetta Ufficiale 23 giugno 1989, n. 145.Google Scholar
Ministero della Sanità (1998). Linee Guida del Ministro della Santità per le Attività di Riabilitazione. Gazzetta Ufficiale, serie Generale, 30.05.98, n. 124.Google Scholar
Nihira, K., Foster, M., Shellhaas, M. & Leland, H. (1974). AAMD - Adaptive Behaviour Scale. American Association on Mental Deficiency: Washington, DC.Google Scholar
Seltzer, G.B. (1981). Community residential adjustment: the relationship among environment, performance, and satisfaction. American Journal of Mental Deficiency 85, 624–630.Google ScholarPubMed
Seltzer, G.B. & Krauss, M.W. (1989). Aging parents with mentally retarded children: family risk factors and source support. American Journal on Mental Retardation 94, 303–312Google Scholar
Sherman, B.R. (1988). Predictors of the decision to place developmen-tally disabled family members in residential care. American Journal of Mental Deficiency 92, 344–351.Google Scholar
Sherman, B.R. & Cocozza, J.J. (1984). Stress in families of the developmentally disabled: a literature review of factors affecting the decision to seek out-of-home placements. Family Relations 33, 95–103.CrossRefGoogle Scholar
Spruytte, N., Van Audenhove, C. & Lammertyn, F. (2001). Predictors of institutionalization of cognitively-impaired elderly cared for by their relatives. International Journal of Geriatric Psychiatry 16, 1119–1128.CrossRefGoogle ScholarPubMed
Tausing, M. (1985). Factors in family decision-making about placement for developmentally disabled individuals. American Journal of Mental Deficiency 89, 352–61.Google Scholar