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Prevalence of Co-occurring Developmental Disability and Mental Health Needs 

  • Some   recent studies have suggested that 30-40% (Einfield and Tonge 1996) or 50 % (Decker, et al, 2002) or more of children with developmental disabilities have associated mental health problems (Dykens, 2000).
  • When specific disabilities are considered separately, however, the rate is often even higher. For example, among children with intellectual disabilities, 94% of those with Fetal Alcohol Syndrome and Fetal Alcohol Effects are estimated to have associated emotional and behavioral disorders (Streissguth, A, 1997).
  • Children with Fragile X syndrome have a very high rate of behavior problems such as ADHD or ADD (estimated  80-90% of males).
  • Studies suggest that about 15% of children with Down syndrome and 20 to 38% of youth have behavioral or psychiatric disorders. Anxiety disorders have been reported in 96 percent of children with Williams syndrome.  From 70 to 95 % of those with Prader-Willi syndrome have behavioral difficulties (Dykens, 2003).

Contact:

Diane Jacobstein, PhD
jacobstd@georgetown.edu

Resources Links:

National Association for the Dually Diagnosed
www.thenadd.org

Selected Bibliography:

Policy Issues
- Jacobstein, D. and Cattan, L.  Mending cracks in service delivery for children: Interagency strategies that really work, NADD Bulletin (2004)Vol. 7, No. 2
http://www.thenadd.org/cgi-bin/checkmember.pl?page=content/bulletins/v7n2a1

- Jacobstein, D & McNelis, T.  Children's services in the real world,
NADD Bulletin (2003) Vol. 6 (6)
http://www.thenadd.org/content/policy/v6n6.shtml

Prevalence Data: Sample of Review Articles  
- Dykens, E.M. (2003) Anxiety, fears, and phobias in persons with Williams syndrome, Developmental Neuropsychology, 23(1-2), 291-316.

- Dykens, E.M., Shah, M., Sagun, J. Beck, T., King, B.H. (2002) Maladaptive behavior in children and adolescents with Down  syndrome.  Journal of Intellectual Disability Research, 46(Pt.6), 484-92.

- Dykens, E. (2000) Psychopathology in Children with intellectual Disability, J. Child Psychology and Psychitry (2000) 41 (4), 407-417.

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