Howlett Sophie, Florio Tony, Xu Han, Trollor Julian
Department of Developmental Disability Neuropsychiatry, School of Psychiatry, The University of New South Wales, Sydney, Australia.
South Eastern Sydney Local Health District, Sydney, Australia.
Aust N Z J Psychiatry. 2015 Feb;49(2):137-44. doi: 10.1177/0004867414536933. Epub 2014 Jun 9.
To investigate the ambulatory mental health service profile of persons with intellectual disability (ID) in a representative sample of New South Wales (NSW).
A statistical linkage key was used to link the Disability Services Minimum Data Set (DS-MDS) and a community mental health services dataset (MH-COM) for a representative area of NSW for the period 2005-2010. Linkage was undertaken in four NSW local health districts (LHDs), covering 36.7% of the NSW population. The mental health profiles and service use characteristics of people with an ID were compared to mental health service users without an ID.
Of the 89,262 people in the MH-COM over this 6-year period, 1,459 people (1.6 %) were identified as having an ID. Compared to those without an ID, people with an ID were more likely to have psychotic disorders, developmental disorders and personality disorders, and more than twice as likely to have an 'unknown' diagnosis. Compared to those without an ID, people with an ID were less likely to have depressive disorders, adjustment disorders and other disorders. Service use profiles revealed that people with an ID had 1.6 times more face-to-face contacts, and a total face-to-face contact time which was 2.5 times longer than people without an ID.
Ambulatory mental health data from NSW indicates that people with an ID receive care for a distinct range of mental disorders, and experience uncertainty regarding their diagnosis. People with an ID have higher service needs which require recognition and the allocation of specific resources. Such data provide a suitable baseline for future evaluation of the impact of ambulatory mental health reforms for people with an ID.
在新南威尔士州（NSW）具有代表性的样本中，调查智力残疾（ID）者的非住院心理健康服务情况。
使用统计链接密钥，将2005 - 2010年期间新南威尔士州一个代表性地区的残疾服务最小数据集（DS - MDS）和社区心理健康服务数据集（MH - COM）进行链接。在新南威尔士州的四个地方卫生区（LHD）开展链接工作，覆盖新南威尔士州36.7%的人口。将ID者的心理健康状况和服务使用特征与无ID的心理健康服务使用者进行比较。
在这6年期间，MH - COM中的89262人中有1459人（1.6%）被确定为有ID。与无ID者相比，有ID者更易患精神障碍、发育障碍和人格障碍，且有“不明”诊断的可能性是无ID者的两倍多。与无ID者相比，有ID者患抑郁症、适应障碍和其他障碍的可能性较小。服务使用情况显示，有ID者的面对面接触次数多1.6倍，总面对面接触时间比无ID者长2.5倍。
新南威尔士州的非住院心理健康数据表明，有ID者接受针对一系列独特精神障碍的护理，且在诊断方面存在不确定性。有ID者有更高的服务需求，这需要得到认可并分配特定资源。这些数据为未来评估非住院心理健康改革对有ID者的影响提供了合适的基线。
