Public mental health service use by people with intellectual disability in New South Wales and its costs
| Autor: | Theresa Heintze, Rachael C Cvejic, Simone Reppermund, Preeyaporn Srasuebkul, Julian N. Trollor |
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| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Adult Male Mental Health Services Rural Population Adolescent Population Specialty Information Storage and Retrieval Population health Rate ratio Cohort Studies Young Adult Intellectual Disability Intellectual disability Outcome Assessment Health Care medicine Ambulatory Care Humans education Child Aged Retrospective Studies Aged 80 and over education.field_of_study Incidence Infant Newborn Infant Retrospective cohort study General Medicine Health Care Costs Middle Aged Patient Acceptance of Health Care medicine.disease Mental health Metropolitan area Hospitalization Child Preschool Female New South Wales Psychology |
| Zdroj: | The Medical journal of Australia. 215(7) |
| ISSN: | 1326-5377 |
| Popis: | Objectives To describe the population characteristics of people with intellectual disability in New South Wales; to quantify and compare public mental health service use and costs for people with and without intellectual disability in NSW during 2014-15. Design Retrospective cohort data linkage analysis. Setting, participants People using publicly funded in- or outpatient (admitted or non-admitted) mental health services in NSW, 2014-15. Main outcome measures Numbers of bed days (inpatient mental health services), and treatment days (ambulatory mental health); costs of publicly funded mental health services. Results People with intellectual disability comprised 1.1% of the NSW population, but 6.3% of people who used public mental health services; 12% of public mental health costs during 2014-15 were for people with intellectual disability. Compared with metropolitan local health districts (LHDs), overall public mental health service costs were lower for rural and regional LHDs (adjusted incidence rate ratio [aIRR], 0.8; 95% CI, 0.8-0.9) and higher for specialty networks (aIRR, 1.2; 95% CI, 1.1-1.3). Per person costs for people with intellectual disability were higher than for those without intellectual disability (aIRR, 2.6; 95% CI, 2.2-3.0). Conclusion People with intellectual disability use public mental health services to a greater degree than other people. They should be explicitly considered by all tiers of mental health policy and service planning in Australia. Population health planning for the needs of people with disabilities would be assisted by including disability identifiers in all health administrative data sets. |
| Databáze: | OpenAIRE |
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