Mentally Retarded Patients on General Hospital Psychiatric Units

Addington, Donald; Addington, Jean; Ens, Irene C.

doi:10.1177/070674379303800212

Cited by 28 publications

(18 citation statements)

References 10 publications

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“…However, more recently, two studies from Canada and one from the USA have produced more encouraging results (see Table 3). Addington et al. (1993) reviewed patients with ID admitted to general psychiatric wards and compared their length of stay to patients without ID.…”

Section: Resultsmentioning

confidence: 99%

General psychiatric services for adults with intellectual disability and mental illness

Chaplin

2003

J intellect Disabil Res

105

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Background Adults with intellectual disability (ID) and mental illness may use general or specialist psychiatric services. This review aims to assess if there is evidence for a difference in outcome between them. Methods A literature review was conducted using a variety of electronic databases and hand-search strategies to identify all studies evaluating the outcome of people with ID and mental illness using general psychiatric services. Results There is no conclusive evidence to favour the use of general or specialist psychiatric services. People with ID stay less time on general psychiatric than specialist inpatient units. People with severe ID appear not to be well served in general services. Older studies of inpatient samples suggest a worse outcome for people with ID. Novel specialist services generally improve upon pre-existing general services. Assertive outreach in general services may preferentially benefit those with ID. Recent studies suggest similar lengths

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Section: Resultsmentioning

confidence: 99%

General psychiatric services for adults with intellectual disability and mental illness

Chaplin

2003

J intellect Disabil Res

105

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“…However, the literature on the mental health needs of persons with DD in Canada remains very limited [16–25]. Most Canadian research has focused on hospitalizations for mental health or psychiatric disorders [16, 17, 19–21, 23–25] and has centered on the Canadian province of Ontario [19–21, 23–25]. Some of these studies focused on a small number of persons from a selected unit or hospital [22].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression and Dementia among Adults with Developmental Disabilities in Manitoba, Canada

Shooshtari

Martens

Burchill

et al. 2011

International Journal of Family Medicine

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Study Objective. To estimate and compare the prevalence of dementia and depression among adults with and without developmental disabilities (DDs). Methods. We linked data from several provincial administrative databases to identify persons with DDs. We matched cases with DD with persons without DD as to sex, age, and place of residence. We estimated the prevalence of dementia and depression and compared the two groups using the Generalized Estimating Equations (GEEs) technique. Results. The estimated prevalence of depression and dementia among younger adults (20–54) and older adults (50+) with DD was significantly higher than the estimated rates for the matched non-DD group (Depression: younger adults: RR = 2.96 (95% CI 2.59–3.39); older adults: RR = 2.65 (95% CI 1.84–3.81)), (Dementia: younger adults: RR = 4.01 (95% CI 2.72–5.92); older adults: RR = 4.80 (95% CI 2.48–9.31)). Conclusion. Significant disparities exist in mental health between persons with and without DDs.

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“…Although very few studies have looked at hospital utilization data for persons with an intellectual disability, there is evidence that this population uses hospital resources at a higher rate than the general population (Birenbaum et al. 1990; Addington et al. 1993; Morgan et al.…”

Section: Introductionmentioning

confidence: 99%

Hospital Utilization among Persons with an Intellectual Disability, Ontario, Canada, 1995–2001

Balogh

Hunter

Ouellette‐Kuntz

2005

Research Intellect Disabil

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Background It has been suggested that persons with an intellectual disability consume a disproportionate amount of hospital services. Policy changes in Ontario in the 1970s and 1980s made it necessary for community health services to accommodate this population that formerly received most of its medical care in the institutions where they lived. It is frequently suggested that community health services are currently inadequate to care for this population. Methods The study was a retrospective analysis of routinely collected hospitalization data for persons living in Ontario with an intellectual disability, between 1995 and 2001. Results A substantial proportion of hospitalizations of persons with an intellectual disability were for mental disorders and dental diseases. Of all in‐hospital stays, one‐third were for mental disorders such as schizophrenia and depression. Of all day‐surgery admissions, almost 40% were for dental diseases corresponding to a high rate of dental procedures. The study also identified high ambulatory care‐sensitive condition hospitalization rates. In‐hospital surgical procedure rates, however, were low. Interpretation This study is the first to fully describe patterns of hospitalization for persons with an intellectual disability in Ontario, Canada. A recurring finding is the large discrepancy between statistics for persons with an intellectual disability and published data for the general population. The study limitations mean further research is required to confirm the results and to determine if persons with an intellectual disability are receiving the health care they are entitled to in Ontario.

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Mentally Retarded Patients on General Hospital Psychiatric Units

Cited by 28 publications

References 10 publications

General psychiatric services for adults with intellectual disability and mental illness

General psychiatric services for adults with intellectual disability and mental illness

Prevalence of Depression and Dementia among Adults with Developmental Disabilities in Manitoba, Canada

Hospital Utilization among Persons with an Intellectual Disability, Ontario, Canada, 1995–2001

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