Health, healthcare utilization and psychiatric disorder in people with intellectual disability in Taiwan.

OBJECTIVES The aims of the present study were to examine health characteristics and healthcare utilization in relation to people with intellectual disability (ID) having psychiatric disorders in Taiwan. METHODS A cross-sectional study was employed; study subjects were recruited from the National Disability Registration Database. Taiwan, stratified by administrative geographical area for the study. Statistical analysis of 1026 carers for people with ID was made to examine the health status and healthcare utilization of individuals with ID having psychiatric disorders. RESULTS Approximately 12.1% of people with ID had psychiatric disorders. These individuals were more likely to be poorer in health condition and consuming more medical services (in the outpatient, inpatient and emergency care areas), than those individuals without psychiatric disorders. These individuals with psychiatric disorders were also taking medicines regularly at a far greater percentage than did those without psychiatric disorders. CONCLUSIONS Given the high prevalence of psychiatric disorders among individuals with ID, the healthcare system should take further steps to develop an appropriate health status monitoring system and community-based and easily accessible mental health services for them.

[1]  P. Sturmey,et al.  Referral trends of people with intellectual disabilities and psychiatric disorders. , 2003, Journal of intellectual disability research : JIDR.

[2]  P. Lee,et al.  Healthcare needs of people with intellectual disability in institutions in Taiwan: outpatient care utilization and implications. , 2003, Journal of intellectual disability research : JIDR.

[3]  M. Folstein,et al.  Patients with and without intellectual disability seeking outpatient psychiatric services: diagnoses and prescribing pattern. , 2003, Journal of intellectual disability research : JIDR.

[4]  E. Emerson.  Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. , 2003, Journal of intellectual disability research : JIDR.

[5]  C. Schuengel,et al.  Understanding challenging behaviour in people with severe and profound intellectual disability: a stress-attachment model. , 2002, Journal of intellectual disability research : JIDR.

[6]  R. Voelker.  Putting mental retardation and mental illness on health care professionals' radar screen. , 2002, JAMA.

[7]  S. Deb,et al.  Mental disorder in adults with intellectual disability. 2: The rate of behaviour disorders among a community-based population aged between 16 and 64 years. , 2001, Journal of intellectual disability research : JIDR.

[8]  Y. Lunsky,et al.  Developmental Disability Training in Canadian Psychiatry Residency Programs , 2001, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[9]  L. Salvador-Carulla,et al.  Hidden psychiatric morbidity in a vocational programme for people with intellectual disability. , 2001, Journal of intellectual disability research : JIDR.

[10]  B. Tonge,et al.  The Trajectory of Psychiatric Disorders in Young People with Intellectual Disabilities , 2000, The Australian and New Zealand journal of psychiatry.

[11]  N. Lennox,et al.  General practice registrars’ care of people with intellectual disabilities , 2000 .

[12]  B. King,et al.  Pharmacologic management of psychiatric and behavioral symptoms in mental retardation. , 2000, Child and adolescent psychiatric clinics of North America.

[13]  G. Baird,et al.  Psychopharmacotherapy in children and adults with intellectual disability , 1999, The Lancet.

[14]  N. Lennox,et al.  Health targets for people with an intellectual disability , 1999 .

[15]  D. L. Councilman.  Caring for adults with mental disabilities. Problems tend to be complex among this growing population. , 1999, Postgraduate medicine.

[16]  G. Masi.  Psychiatric illness in mentally retarded adolescents: clinical features. , 1998, Adolescence.

[17]  D. Sabatino,et al.  Diagnosis and treatment considerations with comorbid developmentally disabled populations. , 1998, Journal of clinical psychology.

[18]  S. Cooper.  Psychiatry of Elderly Compared to Younger Adults with Intellectual Disabilities , 1997 .

[19]  G. Masi,et al.  Psychiatric illness in mental retardation: an update on pharmacotherapy. , 1997, Panminerva medica.

[20]  S. Deb.  Mental disorder in adults with mental retardation and epilepsy. , 1997, Comprehensive psychiatry.

[21]  S. Cooper.  Epidemiology of psychiatric disorders in elderly compared with younger adults with learning disabilities , 1997, British Journal of Psychiatry.

[22]  N. Lennox,et al.  The Psychiatric Care of People with Intellectual Disabilities: The Perceptions of Consultant Psychiatrists in Victoria , 1996, The Australian and New Zealand journal of psychiatry.

[23]  C. Gillberg,et al.  Psychiatric disorders in children and adolescents with mental retardation and active epilepsy. , 1996, Archives of neurology.

[24]  A. DesNoyersHurley.  Psychiatric disorders in children and adolescents with mental retardation and developmental disabilities. , 1996 .

[25]  B. Tonge,et al.  Population prevalence of psychopathology in children and adolescents with intellectual disability: I. Rationale and methods. , 1996, Journal of intellectual disability research : JIDR.

[26]  B. Tonge,et al.  Population prevalence of psychopathology in children and adolescents with intellectual disability: II. Epidemiological findings. , 1996, Journal of intellectual disability research : JIDR.

[27]  N. Lennox,et al.  The Psychiatric Care of People with Intellectual Disabilities: The Perceptions of Trainee Psychiatrists and Psychiatric Medical Officers , 1995, The Australian and New Zealand journal of psychiatry.

[28]  M. White,et al.  Diagnostic overshadowing and mental retardation: a meta-analysis. , 1995, American journal of mental retardation : AJMR.

[29]  S. Borthwick-Duffy.  Epidemiology and prevalence of psychopathology in people with mental retardation. , 1994, Journal of consulting and clinical psychology.

[30]  A. Došen.  Diagnosis and treatment of psychiatric and behavioural disorders in mentally retarded individuals: the state of the art. , 2008, Journal of intellectual disability research : JIDR.

[31]  S. Tuinier,et al.  Psychiatry and mental retardation: towards a behavioural pharmacological concept. , 2008, Journal of intellectual disability research : JIDR.

[32]  D. Kohen.  Psychiatric emergencies in people with a mental handicap , 1993 .

[33]  D. Goldberg,et al.  Psychiatric Morbidity in Older People with Moderate and Severe Learning Disability , 1993, British Journal of Psychiatry.

[34]  H. Molony.  Mental health services for people with intellectual disability: Current developments , 1993 .

[35]  S. Einfeld.  Clinical Assessment of Psychiatric Symptoms in Mentally Retarded Individuals , 1992, The Australian and New Zealand journal of psychiatry.

[36]  Nirbhay N. Singh,et al.  Assessment and Diagnosis of Mental Illness in Persons with Mental Retardation , 1991, Behavior modification.

[37]  D. Dean,et al.  Meeting the needs for health services of persons with mental retardation living in the community. , 1990, American journal of public health.

[38]  R. Eyman,et al.  Who are the dually diagnosed? , 1990, American journal of mental retardation : AJMR.

[39]  T. Parmenter.  An Analysis of Australian Mental Health Services for People with Mental Retardation. , 1988 .

[40]  R. Göstason.  Psychiatric Illness Among the Mentally Retarded: A Swedish population study , 1985, Acta Psychiatrica Scandinavica Supplementum.

[41]  M. Rutter,et al.  Isle of Wight Studies, 1964–1974 , 1976, Psychological Medicine.