Research Publications

Beasley, J., Kalb, L.G. & Klein A. (2018). Improving Mental Health Outcomes for Individuals with Intellectual Disability Through the Iowa START (I-START) Program. Journal off Mental Health Research in Intellectual Disabilities, DOI:10.1080/19315864.2018.1504362

Abstract

Individuals with intellectual disability (ID) experience high rates of psychiatric disorders, and coinciding high rates of emergency service use. The current study seeks to explore strategies to improve outcomes by reporting a one-year prospective investigation among 41 individuals (Mean age = 32 years, SD = 12) with ID and mental health needs who received specialized supports from the I-START program (Iowa Systemic, Therapeutic, Assessment, Resources and Treatment) operating in a rural region of Iowa. To supplement these data, a qualitative case study details the application of the START model. Results indicate that individuals supported by the I-START program experienced significant reductions in informant-reported problem behaviors and fewer psychiatric emergency department visits and hospitalizations over time. Findings illustrate the benefits of START in improving outcomes for individuals with ID and mental needs as well as their systems of support.

Kalb, L. G., Beasley, J., Klein, A., Hinton, J., & Charlot, L. (2016). Psychiatric hospitalisation among individuals with intellectual disability referred to the START crisis intervention and prevention programJournal of Intellectual Disability Research, 60(12), 1153-1164.

Abstract

Background Little is known about inpatient psychiatric hospitalisation among adults with intellectual disability (ID) in the United States. Greater research is, therefore, required to inform efforts aimed at preventing this costly and restrictive form of care. Methods Data were from 3299 individuals with ID (mean age = 31 years; SD =14 years) who were referred to START (Systemic, Therapeutic, Assessment, Resources, and Treatment), a community-based crisis intervention and prevention programme. A random effects logistic regression model was used to examine the association between 11 factors and caregiver report of psychiatric hospitalisation in the past 12 months. Results Twenty eight percent of the sample had at least one psychiatric inpatient stay in the prior year. Factors associated with an increased likelihood of prior hospitalisation included: younger age, diagnosis of a psychotic disorder, a score of >30 on the irritability subscale of the Aberrant Behavior Checklist, increasing number of psychiatric diagnoses, less severe ID, Black/AA race and not having a home and community waiver. Conclusions Among this high-risk referred group, more than 1 in 4 individuals were hospitalised in the year prior to referral. While results from the analyses will help profile those at risk for hospitalisation, the findings suggest that interventions at the policy level may play an important role in reducing psychiatric hospitalisation.

Charlot, L. & Beasley, J.B. (2013). Intellectual Disabilities and Mental Health: United States-Based Research. Journal of Mental Health Research in Intellectual Disabilities, 6 (2), 74-105.

Abstract

In the United States, research directed specifically at improving our understanding of the psychiatric assessment and treatment of individuals with intellectual disabilities (ID) has grown, yet lags far behind efforts for typically developing children and adults. In the United States, a lack of a national approach to the mental health problems of people with ID has likely contributed to a lack of a clear and cohesive national research agenda for “dual diagnosis” of intellectual disabilities and mental health disorders. Despite these concerns, much has been learned and important progress has been made. This article provides an overview of the latest developments in research and social policy on behalf of persons with ID and mental health needs in the United States.

Other Articles

Beasley, J. B. (Ed.) (2007). U.S. Public Policy: Assessment of Services for Individuals with Developmental Disabilities and Mental Health Needs [Special issue]. Mental Health Aspects of Developmental Disabilities. 10(3).

Charlot, L. R., & Beasley, J. B. (2005). Specialized inpatient mental health care for people with intellectual disabilities. Mental Health Aspects of Developmental Disabilities, 8(3), 100.

Beasley, J. B. (2004). Importance of Training and Expertise to Assess “What Works” for Individuals with Intellectual Disabilities. Mental Retardation, 42 (5), 405-406.

Beasley, J. B. & Hurley, A.D. (2003). The Design of Community Supports for Individuals with Developmental Disabilities and Mental Health Needs. Mental Health Aspects of Developmental Disabilities, 6(2), 81-85.

Beasley, J. & DuPree, K. (2003). A systematic strategy to improve services to individuals with coexisting developmental disabilities and mental illness: National trends and the "Connecticut Blueprint." Mental Health Aspects of Developmental Disabilities, 6, 50-58.

Beasley, J. (2000). Family Caregiving Part III: Family Assessments of Mental Health Service Experiences of Individuals with Mental Retardation in the Northeast Region of Massachusetts from 1994 to 1998. Mental Health Aspects of Developmental Disabilities, 3(3).

Beasley, J. (2000). Why Individualized Habilitative Plans May Fail: When Challenging Behaviors are Symptoms of a Psychiatric Disorder.” Mental Retardation, 38 (2), 179.

Beasley, J. & Kroll, J. (1999). Family Caregiving Part II: Family Caregiver-Professional Collaboration in Crisis Prevention and Intervention. Mental Health Aspects of Developmental Disabilities, 2(1), 22-26.

Beasley, J. (1998). Long-term co-resident caregiving in families of persons with a dual diagnosis (Mental Illness and Mental Retardation). Mental Health Aspects of Developmental Disabilities, 1 (1), 10-16.

Book Chapters

Beasley, J. B., Klein, A., & Weigle, K. (2016). Diagnostic, Treatment and Service Considerations to Address Challenging Behavior: A Model Program for Integrated Service Delivery. In Health care for people with intellectual and developmental disabilities across the lifespan (pp. 1629-1644). Springer International Publishing.

Beasley, J.B. (2005). Crisis Prevention and Management. In I. L. Rubin & A. C. Crocker (Eds.), Medical Care for Children and Adults with Developmental Disabilities (pp. 510-517).  Baltimore, MD: Paul H. Brookes Publishing.

Beasley, J.B. (2002). Trends in coordinated and planned mental health service use by people with dual diagnosis. In J. Jacobson, & R. Fletcher (Eds.) Contemporary Dual Diagnosis: MH/MR Service Models, Volume II: Partial and Supportive Services (pp. 35-51). Kingston, NY: NADD.

Beasley, J.B. & Kroll, J. (2002). The START/Sovner Center Program in Massachusetts. In R. Hanson, N.A. Wieseler, & K.C. Lakin (Eds.) Crisis Prevention and Response in the Community (pp. 95-127) American Association of Mental Retardation., Washington, D.C.

Fletcher, R., Beasley, J., & Jacobson, J., (1998). Support Service Systems for people with Dual Diagnosis in the USA. In N. Bouras (Ed.) Psychiatric and Behavioral Disorders in Developmental Disabilities and Mental Retardation (pp. 373-390).

Other Publications

Beasley, J.B. (2013). US Public Policy Update: Crisis Intervention Approaches in the Community: Food Drops or Farming. The NADD Bulletin.

Moser, J. (2012). Improving Preparedness and Flexibility in Web-Based Trainings for North American START Teams. The NADD Bulletin, 15(5), 89-90.

Beasley, J.B. (2012). The United States V The State of Georgia 2010 Olmstead Settlement Agreement: U.S. Public Policy Implications. The NADD Bulletin (16)1.

Hurley, A.D. & Beasley, J.B. (2011). Using Web-Based Technology in Consultation for the National START Teams. The NADD Bulletin, 14(1).

Hinton, J. & Beasley, J.B. (2010). US Public Policy Update: North Carolina Systemic, Therapeutic, Assessment, respite and Treatment: NC START. The NADD Bulletin, 13(3) 58-59.

Martin, K,, Robson, S., Beasley, J.B., Dailey, T. & DuPree, K. (2006). Transitional Housing to Reduce Inpatient Stays. The NADD Bulletin, 9(4), 82.

Horner, R, Dunlap, G., Beasley, J., et al. (2005). Positive Support for Behavioral, Mental Health, Communication and Crisis Needs. In K. C. Lakin and A. Turnbull (Eds.) National Goals and Research for People with Intellectual and Developmental Disabilities [White Paper] (pp. 93-107). Washington, DC: The ARC of the United States & AAMR.

Beasley, J.B. (2004). How well does your state serve people with co-occurring mental illness and intellectual disabilities? The NADD Bulletin, 7(4), 78-79..

Fletcher, R. & Beasley, J.B. (2003). Three US Public Policy initiatives to improve services to people with co-occurring developmental disabilities and mental illness. The NADD Newsletter, 6(3), 60-61.

Beasley, J.B. (2003). The START/Sovner Center Model. The NADD Newsletter, 6(3), 57-59.

Beasley, J.B. & Kroll, J. (2002). The START/Sovner Center Program in Massachusetts. In R. Hanson, N.A. Wieseler, & K.C. Lakin (Eds.) Crisis Prevention and Response in the Community (pp. 95-127) American Association of Mental Retardation., Washington, D.C.

Beasley, J.B. (2001). Collaborative Services in Massachusetts: The START/Sovner Center Program. Impact, 14(1), 16-17.

Beasley, J. (1997). Factors Which Contribute to Planning & Development of Housing Options for Individuals with Dual Diagnosis (MI/MR)”.  The Habilitative Mental Healthcare Newsletter, 6(5), 89-93.

Beasley, J. (1997). The Three A’s In Policy Development to Promote Effective mental Healthcare for People with Developmental Disabilities. The Habilitative Mental Healthcare Newsletter.

Beasley, J. (1996). Mental Healthcare Policy Update ‘Clinical’ vs. ‘Person-Centered’ Service Delivery. The Habilitative Mental Healthcare Newsletter.

Beasley, J. (1995) Commentary on: “Where, Oh, Where, Has Common Sense Gone?”  Mental Retardation.

Sovner, R., Beasley, J.B., &Hurley, A. (1995).  How Long Should a Psychiatric Inpatient Stay Be for a Person with Developmental Disabilities?  The Habilitative Mental Health Newsletter.

Sovner, R., Hurley, A., Beasley, J., & Silka, V. (1995). Commentary: Fifteen-Minute Medication Follow-up Visits. The Habilitative Mental Healthcare Newsletter.

Beasley, J. & Kroll, J. (1994).  The START Comprehensive Psychiatric Evaluation: Preliminary Considerations and Diagnostic Protocol. National Association for the Dually Diagnosed Newsletter.

Beasley, J. & Kroll, J. (1992).  Who is in Crisis, the Consumer or the System? National Association for the Dually Diagnosed Newsletter.

Beasley, J, Kroll, J., & Sovner, R. (1992). Community-Based Crisis Mental Health Services For Persons with Developmental Disabilities. The Habilitative Mental Healthcare Newsletter.