Page 91 - Demo

A database study in Dutch mental health services894Table 4.2. continuedNo ID N=329,864MIDN=7,596OR (CI95%)a MID No ID registrationN=4,605OR (CI95%)bOther substancerelated disorders N (%)16,516 (5.0) 750 (9.9) 1.40 (1.30–1.52)** 408 (8.9) 1.31 (1.18–1.46)**Alcohol-related disorders N (%)17,861 (5.4) 441 (5.8) 1.13 (1.03–1.25)* 220 (4.8) 0.96 (0.84–1.11)Anxiety disorders N (%)60,356 (18.3) 1,242 (16.4) 0.85 (0.79–0.90)** 696 (15.1) 0.77 (0.71–0.83)**Bipolar and related mood disorders N (%)11,167 (3.4) 163 (2.1) 0.73 (0.63–0.86)** 62 (1.3) 0.49 (0.38–0.63)**Attention deficit and conduct disorders N (%)16,885 (5.1) 320 (4.2) 0.55 (0.49–0.62)** 160 (3.5) 0.44 (0.38–0.52)**Depressive disorders N (%)74,672 (22.6) 811 (10.7) 0.46 (0.43–0.50)** 443 (9.6) 0.42 (0.38–0.46)**Feeding and eating disorders N (%) 5,442 (1.6) 70 (0.9) 0.45 (0.36–0.57)** 49 (1.1) 0.52 (0.39–0.69)**Personality disorders N (%)45,195 (13.7) 541 (7.1) 0.41 (0.37–0.45)** 327 (7.1) 0.43 (0.38–0.48)**Somatic symptom disorders N (%)14,405 (4.4) 115 (1.5) 0.39 (0.32–0.47)** 85 (1.8) 0.47 (0.38–0.58)**Other problems that are a reason for concern N (%) 383 (0.1) <10 <10MID: mild intellectual disability; ID: intellectual disability; OR: odds ratio; **P<.001; *P<.05; a MID vs no ID; b MID without ID registration compared with no IDIn table 4.3, we present an overview of the care provided. Patients with MID were provided with significantly shorter MH trajectories than patients without ID (286.8 vs 325.7 days). Trajectories were particularly short for patients in the MID subgroup without ID registration (252.9 days). Compared to patients without ID, patients with MID were more likely to receive care in an addiction or a forensic setting (OR 1.19, 95%CI 1.11–1.27 and 1.81, 95%CI 1.62–2.03, respectively) and less likely in a generic short-term setting (OR 0.76, 95%CI 0.72–0.80). Significantly fewer patients with MID than without ID were provided diagnostic (74.9 vs 79.7%) and treatment activities (67.7 vs 78.0%); in particular, fewer patients were provided psychotherapy (13.5 vs 31.0%). In addition, if psychotherapy was started, the mean number of psychotherapy activities per patient with MID was significantly lower (11.8 vs 19.3 activities per patient). The differences compared to the no-ID group Katrien Pouls sHL.indd 89 24-06-2024 16:26