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Trainees' assessment and management of mental illness in adults with mild learning disabilities

Bethlem Royal Hospital and Maudsley Hospital, Denmark Hill, London SE5 8AF

Recommended changes in services for adults with mild learning disabilities are likely to have training implications. A case vignette study examined the effect of coexistent mental illness and learning disability on trainees' clinical assessment and management. Mental illness was more likely to be diagnosed in those with a mild learning disability than in a control group who had no learning disability. Despite this, the learning disability group was less likely to receive treatment. Service and training issues are discussed.