NDLI: Emergency department visits and use of outpatient physician services by adults with developmental disability and psychiatric disorder.

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Emergency department visits and use of outpatient physician services by adults with developmental disability and psychiatric disorder.

Content Provider	Semantic Scholar
Author	Lunsky, Yona Lin, Elizabeth Klein-Geltink, Julie
Copyright Year	2012
Abstract	OBJECTIVE To compare the emergency department (ED), primary, and psychiatric care visit rates associated with the presence and absence of a developmental disability (DD) and a mental illness. METHOD This is a population-based study comparing Ontario adults, with and without DDs and mental illnesses, in terms of rates of primary, psychiatric, and ED care, from April 2007 to March 2009. RESULTS In Ontario, 45% of adults with a DD received a psychiatric diagnosis during a 2-year period, and 26% of those with a psychiatric diagnosis were classified as having a serious mental illness (SMI), compared with 8% of those with a psychiatric diagnosis but no DD. People with DDs had an increased likelihood of psychiatric and ED visits. Patients with SMIs and DDs had the highest rates of such visits. CONCLUSIONS People with more severe impairments had the greatest likelihood of ED visits, despite access to outpatient services, suggesting that outpatient care (primary and psychiatric), as currently delivered, may not be adequate to meet their complex needs.
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.ices.on.ca/~/media/Files/Journal%20Articles/2012/Emergency%20department%20visits%20and%20use%20of%20outpatient%20physician/Full%20text.ashx
PubMed reference number	23072951v1
Volume Number	57
Issue Number	10
Journal	Canadian journal of psychiatry. Revue canadienne de psychiatrie
Language	English
Access Restriction	Open
Subject Keyword	Accident and Emergency department Classification Developmental Disabilities Drug Delivery Systems Ehlers-Danlos Syndrome Erectile dysfunction Illness (finding) Inference Language Development Disorders Mental disorders Outpatients Patient Visit Primary Health Care Science ambulatory care services
Content Type	Text
Resource Type	Article

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