Primary mental healthcare for adults with mild intellectual disabilities: a Dutch database study.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2022-12-01 DOI:10.1080/13814788.2022.2142936

Katrien P M Pouls, Monique C J Koks-Leensen, Willem J J Assendelft, Mathilde Mastebroek, Geraline L Leusink

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Abstract

Background: General practitioners (GPs) are increasingly confronted with people with both mild intellectual disability (MID) and mental health (MH) problems. Little is known about the type of MH problems for which people with MID visit their GP and the care provided.

Objectives: To identify the type and prevalence of MH disorders and MH-related complaints in people with MID in primary care and care provided, compared to people without ID.

Methods: By linking the Netherlands Institute for Health Services Research's primary care databases, comprising electronic health records, with Statistic Netherlands' social services and chronic care databases, we identified 11,887 people with MID. In this four-year retrospective study, MH-related International Classification of Primary Care (ICPC) codes and care characteristics were compared between people with MID and without ID.

Results: Of the people with MID, 48.8% had MH problems recorded vs. 30.4% of the people without ID, with significant differences in substance abuse, suicide attempts, and psychosis. Of the MID group, 80.3% were not registered by their GP with the ICPC code mental retardation. GPs provided more care to people with MID and MH problems than people without ID but with MH-problems regarding consultations (median 6.4 vs. 4.0 per year) and variety of prescribed medications (median 2.7 vs. 2.0 per year).

Conclusion: In primary care, the prevalence of MH problems and care provided is high in people with MID. To improve primary mental healthcare for this group, it is essential to increase GPs' awareness and knowledge on the combination of MID and MH.

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轻度智障成人的初级精神保健：荷兰数据库研究。

背景：全科医生（GPs）越来越多地面对同时患有轻度智障（MID）和精神健康（MH）问题的患者。人们对轻度智障者因何种精神健康问题到全科医生处就诊以及所提供的护理知之甚少：目的：与非智障人士相比，确定初级医疗机构中智障人士的精神障碍和精神健康相关投诉的类型和发生率，以及所提供的医疗服务：通过将荷兰卫生服务研究所的初级医疗数据库（包括电子健康记录）与荷兰统计局的社会服务和慢性病护理数据库联系起来，我们确定了11887名MID患者。在这项为期四年的回顾性研究中，我们比较了 MID 患者和非 ID 患者之间与 MH 相关的国际初级保健分类（ICPC）代码和护理特征：在 MID 患者中，48.8% 有精神健康问题记录，而在无 ID 患者中，这一比例为 30.4%，两者在药物滥用、自杀未遂和精神病方面存在显著差异。在 MID 群体中，80.3% 的全科医生没有在 ICPC 代码中登记精神发育迟滞。与没有智障但有精神健康问题的人相比，全科医生为有精神发育障碍和精神健康问题的人提供了更多的咨询（中位数为每年6.4次对4.0次）和处方药种类（中位数为每年2.7种对2.0种）：结论：在初级医疗中，MID 患者的精神健康问题发生率和所提供的医疗服务都很高。为了改善对这一群体的初级精神保健，必须提高全科医生对 MID 和精神健康问题的认识和了解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.