Idema W J, Konz D N, Mulder A F, Kattentidt-Mouravieva A A, Kasius M C, Ester W A
Tijdschr Psychiatr. 2022;64(10):643-649.
Due to an experienced gap in care for adolescents with an autism spectrum disorder (ASD) and an intellectual disability (ID), an interdisciplinary outpatient clinic was initiated by child- and adolescent psychiatry services together with intellectual disability physicians in the Rotterdam region in 2017.
Evaluation of the ASD-ID outpatient clinic.
A retrospective chart review study of the first year of the ASD-ID outpatient clinic was performed. The care specific traits of the adolescents who visited the ASD-ID outpatient clinic, their health care costs and the effect of the ASD-ID outpatient clinic on both the health care costs and the patient outflow was compared to the traits of the adolescents of the autism outpatient clinic.
32 adolescents who were referred to the ASD-ID outpatient clinic were comparable to 204 adolescents of the autism outpatient clinic in age (mean 16.5 years) and gender (75% male). They had 39% more DSM-IV classifications, were in care 3.7 years longer and had 44% more health care costs. After visiting the ASD-ID outpatient clinic, 50% of the adolescents were transferred within a year and 100% within three years to a intellectual disability physician.
Adolescents with ASD and ID are a group with a substantial demand for care who deserve specific attention. An integrated ASD-ID outpatient clinic contributes to this demand.
由于在为患有自闭症谱系障碍（ASD）和智力残疾（ID）的青少年提供护理方面存在经验差距，2017年鹿特丹地区的儿童和青少年精神病学服务部门与智力残疾医生共同开设了一家跨学科门诊诊所。
评估ASD-ID门诊诊所。
对ASD-ID门诊诊所第一年进行回顾性病历审查研究。将前往ASD-ID门诊诊所的青少年的护理特定特征、他们的医疗保健费用以及ASD-ID门诊诊所在医疗保健费用和患者流出方面的影响与自闭症门诊诊所青少年的特征进行比较。
被转诊到ASD-ID门诊诊所的32名青少年在年龄（平均16.5岁）和性别（75%为男性）方面与自闭症门诊诊所的204名青少年相当。他们的DSM-IV分类多39%，接受护理的时间长3.7年，医疗保健费用多44%。在就诊于ASD-ID门诊诊所后，50%的青少年在一年内被转诊，100%在三年内被转诊到智力残疾医生处。
患有ASD和ID的青少年是一个对护理有大量需求的群体，值得特别关注。一个综合的ASD-ID门诊诊所满足了这一需求。
