Linaker O, Nitter R
Tidsskr Nor Laegeforen. 1989 Feb 10;109(4):473-5.
The medical and psychiatric diagnoses of 168 clients aged 16 to 65 years in a Norwegian institution for the mentally retarded were registered together with medication, level of functioning, and types of problem behavior. Most of these clients (64.9%) were profoundly or deeply retarded, and only 6.5% were independent of continuous supervision or help. Medical diagnoses were found in 87.5%, psychiatric diagnoses in 89.1% (DSM-III, axis I). Daily use of medication was found in 81.0% of the clients, and 48.9% used psychotropic drugs on a daily schedule. 58.3% of the clients had exhibited violent behavior during the last year, defined as assaults on persons, self-mutilation or destructiveness. The article discusses the implications of these observations for primary health care, which is expected to supply the necessary service to these clients after 1991.
挪威一家智障机构对168名年龄在16至65岁的客户进行了医学和精神科诊断，并记录了他们的用药情况、功能水平和问题行为类型。这些客户中的大多数（64.9%）为重度或极重度智障，只有6.5%的人无需持续监督或帮助。87.5%的客户有医学诊断，89.1%（DSM-III，轴I）有精神科诊断。81.0%的客户每天用药，48.9%的客户每天使用精神药物。58.3%的客户在过去一年中表现出暴力行为，定义为攻击他人、自残或破坏行为。本文讨论了这些观察结果对初级卫生保健的影响，预计1991年后初级卫生保健将为这些客户提供必要的服务。
