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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Integrated, person-centered care models for individuals with intellectual and developmental disabilities: addressing inequalities

Integrated, person-centred care models for individuals with idd: addressing disparities

Multilevel, person-centered care models that go beyond categorical diagnosis and use quality of life as an overarching framework may reduce inequalities for individuals with intellectual and developmental disabilities.

The presentation addresses the complex clinical presentations arising from the unique interplay of psychiatric disorders, neurodevelopmental characteristics, behavioral manifestations, communication difficulties, and limitations in adaptive functioning in individuals with intellectual and developmental disabilities (IDD). It notes that this complexity creates diagnostic uncertainty and contributes to inequalities in access to appropriate health, social, and educational support. Drawing on recent advances in the conceptualization and assessment of quality of life, the talk discusses integrated, person-centered care models based on a multilevel diagnostic framework. Moving beyond categorical diagnosis alone, this approach combines the identification of neurodevelopmental and psychiatric conditions with dimensional assessment of symptoms and functioning, ratings of severity and support needs, staging of the clinical course, and assessment of antecedent and contextual factors that influence the individual presentation. By enabling symptoms to be understood within the interplay of biological predispositions, developmental pathways, life experiences, and environmental conditions, this framework reduces the risk of diagnostic overshadowing and unwarranted pathologization while supporting individualized, coordinated interventions across sectors. Quality of life is positioned not merely as an outcome measure but as an overarching framework linking assessment, clinical formulation, and care planning. The presentation concludes that addressing inequalities requires a shift from fragmented, diagnosis-focused systems to integrated models capable of responding to changing needs throughout life.

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