Public mental health service use by people with intellectual disability in New South Wales and its costs.
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Care
/ economics
Child
Child, Preschool
Cohort Studies
Female
Health Care Costs
/ statistics & numerical data
Hospitalization
/ economics
Humans
Incidence
Infant
Infant, Newborn
Information Storage and Retrieval
Intellectual Disability
/ economics
Male
Mental Health Services
/ economics
Middle Aged
New South Wales
/ epidemiology
Outcome Assessment, Health Care
Patient Acceptance of Health Care
/ statistics & numerical data
Retrospective Studies
Rural Population
/ statistics & numerical data
Young Adult
Mental health policy
Mental health services
Journal
The Medical journal of Australia
ISSN: 1326-5377
Titre abrégé: Med J Aust
Pays: Australia
ID NLM: 0400714
Informations de publication
Date de publication:
04 Oct 2021
04 Oct 2021
Historique:
revised:
26
05
2021
received:
08
01
2021
accepted:
27
05
2021
pubmed:
7
7
2021
medline:
29
10
2021
entrez:
6
7
2021
Statut:
ppublish
Résumé
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. Retrospective cohort data linkage analysis. People using publicly funded in- or outpatient (admitted or non-admitted) mental health services in NSW, 2014-15. Numbers of bed days (inpatient mental health services), and treatment days (ambulatory mental health); costs of publicly funded mental health services. 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). 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.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
325-331Subventions
Organisme : National Health and Medical Research Council
ID : GNT 1056128
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 AMPCo Pty Ltd.
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