Who cares? A scoping review on intellectual disability, epilepsy and social care. (April 2023)

• Record Type: Journal Article
• Authors: Newman, Hannah; Rudra, Sonya; Burrows, Lisa; Tromans, Samuel; Watkins, Lance; Triantafyllopoulou, Paraskevi; Hassiotis, Angela; Gabrielsson, Alexandra; Shankar, Rohit
• Is Part Of: Seizure. Volume 107(2023)
• Page Start: 35
• Page End: 42
• Publication Date: 2023-04
• Subjects: Social care -- SUDEP -- Basic epilepsy training -- Emergency seizure management -- Staff training, nocturnal monitoring; Epilepsy -- Periodicals; Epilepsy -- Periodicals; Seizures -- Periodicals; Épilepsie -- Périodiques; Electronic journals; Electronic journals; 616.853
• DOI: 10.1016/j.seizure.2023.03.002
• Languages: English
• ISSNs: 1059-1311

Abstract

Highlights: Social care impacts on health outcome of people with intellectual disabilities (PWID). A significant minority of PWID have drug resistant lifelong epilepsy & social needs. We explore key areas of social provision required in meeting needs in PWID & epilepsy. This scoping review identifies four themes which require social care involvement. Themes include holistic care, staff education, basic & emergency epilepsy training. Abstract: Purpose: Nearly a quarter of people with Intellectual disability (PwID) have epilepsy. Many have seizures across their lifetime. In the UK supporting their epilepsy linked risks and needs, particularly in professional care settings and in the community, requires significant social care input. Therefore, the interface between social and health care services is important. This study aim is to identify key intersectional areas of social provision for PWID and epilepsy. Methods: A scoping review of the literature was performed in accordance with PRISMA guidance with suitable search terms. The search was completed in CINAHL, Embase, Psych INFO, SCIE, and Cochrane electronic databases by an information specialist. A quality assessment was completed for the included studies where appropriate. The included studies were analysed qualitatively to identify key themes and provide a narrative description of the evidence by two reviewers. Results: Of 748 papers screened, 94 were retrieved. Thirteen articles met the inclusion criteria with a range of methodologies. A thematic analysis generated four key categories for significant social care involvement i.e., staff training and education; emergency seizure management; holistic approach to care; and nocturnal monitoring and supervision. Conclusions: PwID with epilepsy have support needs that require fulfilling by various aspects of special care provision, many within the social ambit. Inspite of evidence of these needs and recurrent calls to work jointly with social care providers this has not happened. There is limited research into social care role in epilepsy management in PwID which needs addressing.