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Klaus Hennicke

    Praxis Der Kinderpsychologie Und Kinderpsychiatrie
    |September 18, 2024
    PubMed
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    Implicit and explicit biases negatively impact mental health care for children with intellectual disabilities, leading to misdiagnoses and inadequate treatment. Addressing these biases through self-awareness and professional standards is crucial for equitable care.

    Area of Science:

    • Child and Adolescent Psychiatry
    • Intellectual Disabilities
    • Mental Health Care Disparities

    Background:

    • Children and adolescents with intellectual disabilities (ID) and behavioral problems often receive suboptimal psychotherapeutic and psychiatric care.
    • Implicit and explicit biases, alongside perceptual distortions, contribute significantly to these care inequalities.

    Purpose of the Study:

    • To highlight the role of bias in the deficient mental health care of children and adolescents with intellectual disabilities.
    • To underscore the need for empirical evidence on how biases lead to misdiagnoses, treatment errors, and exclusion from care.
    • To advocate for open discussion and strategies to mitigate bias in clinical practice.

    Main Methods:

    • This study is a conceptual analysis and literature review.
    Keywords:
    children and adolescents - intellectual disability - behavioral disorders - mental disorders - bias - decision makingintellektuell beeintrachtigte Kinder und Jugendliche - Verhaltensauffalligkeiten - Psychische Storungen - Bias - klinische Entscheidungsfindung

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  • It synthesizes existing knowledge on bias in mental health care for pediatric populations with ID.
  • It discusses ethical implications and proposes mitigation strategies.

    • Main Results:

    • Biases demonstrably contribute to unequal and deficient mental health care for children and adolescents with ID.
    • These biases can result in misdiagnoses, treatment errors, care exclusions, and hostile rejections.
    • The prevalence and impact of these biases require further empirical investigation.

    Conclusions:

    • The pervasive nature of bias in this population contradicts ethical medical and psychotherapeutic principles.
    • Openly addressing bias is essential to prevent misdiagnosis and treatment errors.
    • Strategies such as self-awareness, supervision, second opinions, working diagnoses, and adherence to child and adolescent psychiatric standards can reduce bias.