Page 87 - Demo

A database study in Dutch mental health services854because of a low prevalence of MID in the study registries and thus limited possibility for comparing these age groups. This study used pseudonymised non-public microdata, which under certain conditions are accessible for statistical and scientific research from Statistics Netherlands. 11 The study protocol was reviewed by the Radboud university medical center institutional Ethics Committee, who passed a positive judgment (2017-3921). Results are reported in accordance with the RECORD statement. 14Outcomes The primary outcomes of this study consist of the prevalence of a range of MH disorders and characteristics of MH care provided. Reported primary diagnoses, based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th edition), were taken from the submitted insurance claims in the SN-MH service database and converted by SN into one of 16 predefined diagnostic groups (Supplementary table). Reported contributing diagnoses were searched to determine the presence of an ID in the original MH service files. An MH trajectory, defined as the period in which a patient receives MH care for a specific diagnosis, was initiated for each primary diagnosis. The MH trajectories include information on the specific setting in which care was provided, the start and end dates of the trajectory, and the care activities within the trajectory. We used this information to calculate the duration of MH trajectories and counted the frequency of various care activities. The duration of trajectories and the number of care activities provide an impression of the intensity and nature of care provided in MH services. The MH care setting (generic long- or short-term care, eldercare, addiction care, or forensic care) provides information on the type of care settings in which patients with MID are most likely to receive care. Care activities were segregated into those with direct and those with indirect patient involvement. Direct patient care included diagnostic, treatment, or guidance activities. Regarding treatment activities, therapeutic interventions like psychotherapy or pharmacotherapy were listed separately, as they are important treatment models in MH care and often topics of discussion concerning their applicability in patients Katrien Pouls sHL.indd 85 24-06-2024 16:26