Abstract
Adults with intellectual disability or autism are at risk of psychiatric admission which carries personal, social and economic costs. We identified 654 adults with intellectual disability or autism in the electronic clinical records of one mental health trust. We investigated the demographic and clinical factors associated with admission and readmission after discharge. Young male patients with intellectual disability, schizophrenia and previous admissions are most at risk of the former, whereas affective and personality disorders predict the latter. Both community intellectual disability services and mental health crisis care must focus on providing effective support for those patients.
Highlights
Adults with intellectual disability or autism are at risk of psychiatric admission which carries personal, social and economic costs
Adults with intellectual disability were more likely to have been diagnosed with schizophrenia spectrum disorders (47.8% v. 18.1%, P < 0.001), whereas a greater proportion in the autism-only group had a diagnosis of anxiety disorder (11.2% v. 24.9%, P < 0.001) (Table 1)
We found that young male patients with intellectual disability, schizophrenia spectrum disorder and previous admissions are most at risk of a new admission to psychiatric in-patient care, whereas only affective and personality disorders predict readmission
Summary
Adults with intellectual disability or autism are at risk of psychiatric admission which carries personal, social and economic costs. Young male patients with intellectual disability, schizophrenia and previous admissions are most at risk of the former, whereas affective and personality disorders predict the latter. Both community intellectual disability services and mental health crisis care must focus on providing effective support for those patients. We used patient-level data to explore associations with inpatient admission, and with readmission following discharge, of adults with intellectual disability and/or autism accessing care from a mental health trust. The specific project was approved by the Camden and Islington CRIS oversight panel
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