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Table 4 Guidelines with recommendations specific to persons with intellectual disabilities

From: Clinical guidelines contribute to the health inequities experienced by individuals with intellectual disabilities

Theme Guidelines Specific examples of recommendations
Specialist management NICE Obesity People with learning disabilities and those supporting them should have access to specialist advice and support regarding dementia. (NICE Dementia)
  NICE Epilepsy  
  SIGN Epilepsy  
  NICE Dementia  
Communication/consultation NICE Obesity Information in an accessible form should be available to clients and carers. (SIGN Epilepsy)
  SIGN Epilepsy  
Equality NICE Epilepsy Every therapeutic option should be explored in individuals with epilepsy in the presence or absence of learning disabilities. (NICE Epilepsy)
  NICE Dementia  
  NICE Bipolar  
Service/training issues NICE Dementia Health and social care staff working in care environments where younger people are at risk of developing dementia, such as those catering to people with learning disabilities, should be trained in dementia awareness. (NICE Dementia)
Diagnostic issues NICE Epilepsy Patients with mental retardation, especially those who are nonverbal, may be more challenging to assess; collateral information from caregivers is important. Cognitive and functional testing to delineate the patient’s developmental level and relative strengths and weaknesses are also essential. (Canada Schizophrenia)
  NICE Dementia  
  Canada Schizophrenia  
Treatment issues NICE Epilepsy In making a management plan for an individual with learning disabilities and epilepsy, particular attention should be paid to the possibility of adverse cognitive and behavioral effects of anti-epileptic drug therapy. (NICE Epilepsy)
  SIGN Epilepsy  
  1. SIGN = Scottish Intercollegiate Guideline Network; NICE = National Institute for Health and Clinical Excellence.