Merrick Joav, Kandel Isack, Stawski Mike
National Institute of Child Health and Human Development, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 2006;43(4):281-4.
Persons with intellectual disability (ID) have more mental health problems than the general population and utilize psychiatric service to a greater extent. This study was conducted to look at trends over time in the number of psychiatrists recruited, psychiatric medication and hospitalization for persons with ID in residential care in Israel. Data was extracted for the 1998-2004 period from the annual surveys conducted of medical service in all residential care centers in Israel by the Office of the Medical Director. Results showed an increase in psychiatrists working with this population, from 1.08 psychiatrist per 1,000 study population in 1998 to 2.23 in 2004, psychotropic medication also increased from 45% to 52% over the same period, but psychiatric inpatient hospitalization decreased from 5.48 to 4.99 per 1,000 study population. It is concluded that there has been an improvement in psychiatric service to this residential care population over the study period, but there is a need for a formal subspecialty in psychiatry, training and research.
智力残疾者比普通人群有更多心理健康问题，且更多地利用精神科服务。本研究旨在观察以色列住院护理机构中智力残疾者的精神科医生招聘数量、精神科药物使用情况及住院情况随时间的变化趋势。数据取自1998 - 2004年期间以色列医疗主任办公室对以色列所有住院护理中心进行的年度医疗服务调查。结果显示，为该人群服务的精神科医生数量有所增加，从1998年每1000名研究对象中有1.08名精神科医生增至2004年的2.23名，同期精神药物使用比例也从45%增至52%，但每1000名研究对象的精神科住院率从5.48降至4.99。研究得出结论，在研究期间，针对该住院护理人群的精神科服务有所改善，但仍需要精神科的正式亚专业、培训及研究。
