Why is there such a high incidence of co-occurring mental health diagnoses in persons with IDD (intellectual or developmental disability)?

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1) Why is there such a high incidence of co-occurring mental health diagnoses in persons with IDD (intellectual or developmental disability)?
2) As nurses, what assessments and interventions are essential when caring for patients with IDD (intellectual or developmental disability) who are being treated with psychotropic medications?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814928/
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