Service Delivery

Attitude to medication of parents/primary carers of people with intellectual disability.

Rasaratnam et al. (2004) · Journal of intellectual disability research : JIDR 2004
★ The Verdict

Parents of people with ID view medication far more negatively than paid carers, largely because they get less clear information.

✓ Read this if BCBAs who work with adults or children with ID and attend medication-review meetings.
✗ Skip if Clinicians who only serve typically developing clients or work in settings where BCBAs do not join med reviews.

01Research in Context

01

What this study did

Lindsay et al. (2004) gave a short survey to two groups: parents and paid carers of people with intellectual disability. They asked how safe, helpful, and necessary the person’s medicines seemed. The team then compared the two groups’ answers.

The survey looked at all kinds of medication, not only psychotropics. It was done in the United Kingdom.

02

What they found

Parents were four times more likely than paid carers to rate medication negatively. Paid carers felt more positive about the benefits and fewer worries about side effects.

03

How this fits with other research

Aman et al. (1987) asked residential staff the same kind of questions years earlier. That study found 85% of staff felt their training on psychotropic meds was poor. The new data show the worry is still alive, but now strongest among parents.

Erickson et al. (2016) interviewed caregivers again and listed real-world problems: prescribers who don’t know agency rules, missing records, and little follow-up. These concrete barriers help explain why parents in the 2004 survey felt so negative.

Erickson (2023) adds another piece: family carers rely mostly on the prescription label for information. When the label is the only guide, fear and doubt grow. Together the three surveys trace a clear line: poor information leads to poor attitudes.

04

Why it matters

If you write behaviour plans for people with ID, you will meet parents who distrust medication. Use the 2016 barrier list to show you understand their pain points. Offer plain-language med reviews, invite pharmacists to team meetings, and teach parents how to check reliable online sources. These small steps can turn scepticism into partnership and keep behaviour analytic options on the table.

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Add a one-page parent med-info sheet to your intake packet that lists who to call, what each drug is for, and where to find trustworthy websites.

02At a glance

Intervention
not applicable
Design
survey
Sample size
93
Population
intellectual disability
Finding
not reported

03Original abstract

OBJECTIVE: To investigate the influence of attitudes of carers of people with intellectual disability (ID) towards giving medication. METHOD: Ninety-three carers of service users who are currently attending outpatients clinic (Harrow Learning Disability service) were interviewed, using the RAMS (Rating of Attitude to Medication Scale) interview schedule. RESULTS: A significant association was found between relationship of the carer to the service user and overall positive or negative attitude towards medication, with a disproportionate number of parents expressing a negative attitude in comparison with professional carers (46% vs. 11%). CONCLUSION: This study suggests more work needs to be done with family carers than with professional carers to improve compliance with medication. Stigma is still associated with ID and psychiatric disorders. The family carers responses may be projecting their feelings related to the impact of having a child not only with ID, but also with additional psychiatric problems. The implication of the study for psychiatrists is the identification of a number of areas that could be usefully explored before writing a prescription.

Journal of intellectual disability research : JIDR, 2004 · doi:10.1111/j.1365-2788.2004.00597.x