Feasibility of a Cost-Effectiveness Analysis Examining Interventions for Abused Persons with Intellectual Disabilities

Authors

  • Toshihiro Horiguchi National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan

DOI:

https://doi.org/10.6000/2292-2598.2020.08.01.1

Keywords:

Abuse, intellectual disabilities, intervention, legislation.

Abstract

Japan implemented new legislation to prevent the abuse of persons with disabilities on Oct 1, 2012. Many specialists from various domains participated in the development of interventions to prevent such abuse. Here, we conducted a pilot analysis to examine the cost of such interventions and to explore differences in resources. In particular, we compared resources for the assistance of victims with intellectual disabilities with those for the assistance of victims with other disabilities. We requested the enrollment of the anonymous case records of 16 local governments. Thirteen municipal/certified centres reported 41 cases, including 42 victims. Of them, 27 victims had intellectual disabilities. We calculated both the time and human/social resources consumed per case until the resolution of the case. Although the median length of time from the start of the intervention until the solution of the claimed crisis seemed longer in cases abused by their families, an analysis of 22 familial cases did not reveal a significant relationship between the type of disability and the resource. Although the existence of intellectual disabilities did not seem to impact the resource, our method of analysis worked well. The accumulation of more cases is warranted.

References

Department of Health and Welfare for Persons with Disabilities MHLW. The report on the Abuse Prevention Act for Persons with Disabilities (http://www.mhlw.go.jp/stf/ houdou/0000028282.html) (press released 11 Nov 2013) (last accessed 1 Nov 2019).

The Cabinet Office. Annual report on government measures for persons with disabilities (summary) 2014. (http://www8.cao.go.jp/shougai/english/annualreport/2014/index-pdf.html) (last accessed 1 Nov 2019).

The Cabinet Office. Annual report on government measures for persons with disabilities (summary) 2013. (http://www8.cao.go.jp/shougai/english/annualreport/2013/index-pdf.html) (last accessed 1 Nov 2019)

Hughes K, Bellis MA, Jones L, et al. Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies. Lancet 2012; 379: 1621-1629. https://doi.org/10.1016/S0140-6736(11)61851-5 DOI: https://doi.org/10.1016/S0140-6736(11)61851-5

Hayhoe B, Cowling TE, Piluntla V, Garg P, Majeed A, Harris M. Integrating a nationally scaled workforce of community health workers in primary care: a modeling study. J R Soc Med 2018; 111(12): 453-461. https://doi.org/10.1177/0141076818803443 DOI: https://doi.org/10.1177/0141076818803443

Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: a literature review. Palliat Med 2014; 28(2): 130-150. https://doi.org/10.1177/0269216313493466 DOI: https://doi.org/10.1177/0269216313493466

Tashiro N, Horiguchi T. [Activity report on a preliminary program for the utilization of school social workers.] The Journal of Child Health 2012; 69: 823-829. (in Japanese)

Izumida N, Noda T, Sugiyama N, Hirata T, Ito H. A quantitative analysis of human resources for patients in seclusion in acute psychiatric care: from the perspective of economic balance and the minimization of seclusion. Clinical Psychiatry 2012; 54(8): 801-809. (in Japanese)

Horner-Johnson W, Drum CE. Prevalence of maltreatment of people with intellectual disabilities: a review of recently published research. Ment Retard Dev Disabil Res Rev 2006; 12: 57-69. https://doi.org/10.1002/mrdd.20097 DOI: https://doi.org/10.1002/mrdd.20097

Lin LP, Yen CF, Kuo FY, Wu JL, Lin JD. Sexual assault of people with disabilities: results of a 2002-2007 national report in Taiwan. Res Dev Disabil 2009; 30: 969-975. https://doi.org/10.1016/j.ridd.2009.02.001 DOI: https://doi.org/10.1016/j.ridd.2009.02.001

Elgendy IS, Hassan NA. Medicolegal study of child sexual abuse in Greater Cairo, Egypt, during a 7-year period: 2005-2011. Am J Forensic Med Pathol 2013; 34(4): 335-341. https://doi.org/10.1097/PAF.0000000000000043 DOI: https://doi.org/10.1097/PAF.0000000000000043

Soylu M, Alpaslan AH, Ayaz M, Esenyel S, Oruç M. Psychiatric disorders and characteristics of abuse in sexually abused children and adolescents with and without intellectual disabilities. Res Dev Disabil 2013; 34: 4334-4342. https://doi.org/10.1016/j.ridd.2013.09.010 DOI: https://doi.org/10.1016/j.ridd.2013.09.010

Leutar Z, Vitlov J, Leutar I. Personal experience and perception of abuse in people with intellectual disabilities. J Intellect Disabil 2014; 18(3): 249-269. https://doi.org/10.1177/1744629514538876 DOI: https://doi.org/10.1177/1744629514538876

Euser S, Alink LR, Tharner A, van IJzendoorn MH, Bakermans-Kranenburg MJ. The prevalence of child sexual abuse in out-of-home care: increased risk for children with a mild intellectual disability. J Appl Res Intellect Disabil 2016; 29(1): 83-92. https://doi.org/10.1111/jar.12160 DOI: https://doi.org/10.1111/jar.12160

Maclean MJ, Sims S, Bower C, Leonard H, Stanley FJ, O’Donnell M. Maltreatment risk among children with disabilities. Pediatrics 2017; 139(4). https://doi.org/10.1542/peds.2016-1817 DOI: https://doi.org/10.1542/peds.2016-1817

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Published

2020-02-10

How to Cite

Horiguchi, T. (2020). Feasibility of a Cost-Effectiveness Analysis Examining Interventions for Abused Persons with Intellectual Disabilities. Journal of Intellectual Disability - Diagnosis and Treatment, 8(1), 1–8. https://doi.org/10.6000/2292-2598.2020.08.01.1

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General Articles