Page 84 - Demo

Chapter 482AbstractBackground: Adults with mild intellectual disabilities (MID) experience more mental health (MH) disorders compared to the general population. However, MH care may be insufficiently tailored to match their needs. Detailed information is lacking regarding care provided to people with MID in MH services.Aim: To compare MH disorders and care provided to patients with and without MID in Dutch MH services, including those patients whose MID status was missing in MH service files.Method: In this population-based database study, we used a Statistics Netherlands MH service database, containing health insurance claims of patients who utilised advanced MH services between 2015 and 2017. Patients with MID were identified by linking this database with Statistic Netherlands’ social services and long-term care databases.Results: We identified 7,596 patients with MID, of whom 60.6% had no ID registration in the MH service files. Compared to patients without ID (n=329,864), they had different profiles of MH disorders. They received diagnostic (OR 0.71, 95%CI 0.67–0.75) and treatment activities (OR 0.56, 95%CI 0.53–0.59) less often and required more interprofessional consultations outside the MH service (OR 2.06, 95%CI 1.97–2.16), more crisis interventions (OR 2.00, 95%CI 1.90–2.10), and more MH hospital admissions (OR 1.72 95%CI 1.63–1.82). Conclusions: Patients with MID in MH services have different profiles of MH disorders and care compared to patients without ID. In particular, fewer diagnostics and treatments are provided, more so in those with no ID registered and potentially unknown, putting patients with MID at risk of undertreatment and poorer MH outcomes.Katrien Pouls sHL.indd 82 24-06-2024 16:26