Deb S
Department of Psychological Medicine, University of Wales College of Medicine, Cardiff.
Health Bull (Edinb). 1995 May;53(3):148-52.
It is known that a substantial proportion of people with a learning disability also have associated emotional problems in the form of psychiatric illness and disturbed behaviour. In the UK various health authorities are developing in-patient facilities for assessment and treatment of this group of people by default rather than by planning. We report the prospective findings of psychiatric admissions to a hospital for learning disabled people in the Grampian region of Scotland over a three year period between 1.1.89 to 31.12.91. Nine beds were deemed necessary for a health district with a general population of 500,000. Average bed occupancy was 66.7%. The most common conditions leading up to an admission was disturbed behaviour followed by affective disorder and psychoses. The majority of the admissions were of adults with a mild to moderate degree of learning disability as opposed to severe and profound learning disability. A hard-core group of patients had many re-admissions. Some acute admissions became long-stays (over one year), although average stay of admissions were between four to six weeks.
众所周知，相当一部分有学习障碍的人还伴有精神疾病和行为紊乱等情感问题。在英国，各个卫生当局都在默认而非规划的情况下，为评估和治疗这类人群建设住院设施。我们报告了1989年1月1日至1991年12月31日期间，苏格兰格兰扁地区一家为学习障碍者服务的医院的精神科住院患者的前瞻性研究结果。对于一个有50万总人口的卫生区来说，九张床位被认为是必要的。平均床位占用率为66.7%。导致入院的最常见情况是行为紊乱，其次是情感障碍和精神病。大多数入院患者是轻度至中度学习障碍的成年人，而非重度和极重度学习障碍者。有一小部分核心患者多次入院。一些急性入院患者变成了长期住院者（超过一年），尽管入院患者的平均住院时间在四到六周之间。
