Phillips Ava, Leal Ray, Jewell Amelia, Madan Ira, Downs Johnny, Broadbent Matthew, Hotopf Matthew, Dorrington Sarah, Fear Nicola T, Stevelink Sharon A M
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Int J Popul Data Sci. 2024 May 23;9(1):2377. doi: 10.23889/ijpds.v9i1.2377. eCollection 2024.
In the UK, mental disorders are one of the most common reasons for claiming a benefit relating to unemployment, income, sickness and disability. Limited information exists regarding the demographic characteristics and psychiatric profiles of working age individuals claiming benefits in London. Until recently, detailed data on both mental disorders and benefit receipt were unavailable.
To establish and describe a cohort of working age adults accessing secondary mental health services and benefits related to unemployment, income, sickness, and disability.
Using a novel data linkage containing electronic secondary mental health records from the South London and Maudsley (SLaM) NHS Foundation Trust and benefits data from the Department for Work and Pensions (DWP), we present descriptive statistics on sociodemographics, psychiatric diagnoses, and benefits received among a cohort of working age adults. The DWP benefits data window covers the period January 2007-June 2020, the SLaM data window covers the period January 2007-June 2019.
We identified n 150,348 patients (18-65 years), who had attended SLaM secondary mental health services, 78.3% of which had received a benefit relating to unemployment, income, sickness and disability. Of this group, 68% had a recorded primary psychiatric diagnosis. We found that a much higher percentage of those with a primary psychiatric diagnosis received more than one benefit (69.4%) compared to those who had not received a primary psychiatric diagnosis (30.6%). Almost 70% of claimants who obtained more than one benefit were identified as living within the two quintiles representing the highest levels of deprivation in the South-east London boroughs served by SLaM.
We showed types of benefits received among working age adults accessing secondary mental health services. This cohort will be further examined to explore trajectories of mental health care and benefit receipt and provide evidence that will help to inform both DWP policies and mental health care delivery.
在英国，精神障碍是申领与失业、收入、疾病和残疾相关福利的最常见原因之一。关于在伦敦申领福利的工作年龄个体的人口统计学特征和精神疾病概况的信息有限。直到最近，关于精神障碍和福利领取的详细数据都无法获取。
建立并描述一个使用二级心理健康服务以及领取与失业、收入、疾病和残疾相关福利的工作年龄成年人队列。
利用一种新型数据链接，该链接包含来自南伦敦和莫兹利国民保健服务基金会信托（SLaM）的电子二级心理健康记录以及工作和养老金部（DWP）的福利数据，我们呈现了一组工作年龄成年人的社会人口统计学、精神疾病诊断和领取福利情况的描述性统计数据。DWP福利数据窗口涵盖2007年1月至2020年6月期间，SLaM数据窗口涵盖2007年1月至2019年6月期间。
我们识别出150348名患者（18至65岁），他们曾接受SLaM的二级心理健康服务，其中78.3%领取过与失业、收入、疾病和残疾相关的福利。在这一组中，68%有记录在案的主要精神疾病诊断。我们发现，与未接受主要精神疾病诊断的人（30.6%）相比，有主要精神疾病诊断的人领取不止一项福利的比例要高得多（69.4%）。几乎70%领取不止一项福利的申领者被确定生活在SLaM服务的伦敦东南部行政区中代表最高贫困水平的两个五分位数范围内。
我们展示了使用二级心理健康服务的工作年龄成年人领取的福利类型。将对该队列进行进一步研究，以探索心理健康护理和福利领取的轨迹，并提供有助于为DWP政策和心理健康护理提供信息的证据。
