Fractures in older persons with mental handicap

Ageing in learning difficulties: the development of health care outcome indicators

A system of outcome indicators for the health and social care of ageing people with learning disabilities is required to ensure that clinicians, planners, purchasers and policy makers can monitor and evaluate the impact of health and social care. As longevity is increasing in people with learning disabilities, special problems are found in the physical health, psychological health and social wellbeing of the elderly. This paper reviews theoretical aspects of outcome indicators, and uses the various classes of outcome measures available to draw up a system of indicators for clinicians, researchers and planners. This paper represents the personal view of the authors, prepared for a conference in August 1992.

Mental and physical health and ageing in mental handicap: a review

With some exceptions, the mental and physical health problems of elderly mentally handicapped people are similar to those of the elderly population as a whole. Psychiatric disorder is more common due to a higher frequency of behaviour disorders. Increased longevity has been accompanied by a progressive increase in deaths from age-related conditions and in individuals with Down's syndrome exposed a predisposition to premature senility and dementia. Service issues include general health care, preventive measures, provision for those with psychiatric and age-related problems, and staff training.