Psychiatrische Störungen und neurologische Komorbiditäten bei Kindern und Jugendlichen mit Intelligenzminderung

Introduction: This article gives an overview of the consultant child and adolescent psychiatric services in the region of Upper Bavaria (Germany). Method: The data of 257 children and adolescents with intellectual disability and psychiatric disorders were evaluated. Results: About 14% of the children with ID in special schools or day care centers, and 40% of the children with ID in residential care showed a definite psychiatric disorder. The most frequently diagnosed disorders were adjustment disorders, hyperkinetic disorders and conduct disorders, as well as emotional problems and pervasive developmental disorders. Children with severe intellectual disability had more additional somatic disorders and were more impaired in their psychosocial functions. Conclusions: The results show the need for psychiatric services for children and adolescents with intellectual disability and psychiatric disorders. The development and implementation of integrative and interdisciplinary models is necessary to allow for adequate medical care for these patients.