Health, healthcare utilization and psychiatric disorder in people with intellectual disability in Taiwan

Abstract

Given the high prevalence of psychiatric disorders among individuals with ID, the healthcare system should take further steps to develop an appropriate health status monitoring system and community-based and easily accessible mental health services for them.

Survival Analysis of Living Arrangements and Health Care Utilization in Terms of Total Mortality Among the Middle Aged and Elderly in Taiwan

“…As expected, people who used more health care services, a category including hospital stays and clinic visits, showed a greater likelihood of dying than those who did not or did so in moderation. These results echo the opinion of Chen et al (2007) and Lin, Yen, et al (2003) that ill health and specific diseases caused more inpatient care utilization but did not reduce mortality. In contrast, empirical results of this study describe that more inpatient care utilization reflects poor health and, thus, a greater likelihood of death.…”

“…However, the program has not significantly reduced mortality for the Taiwanese elderly (Chen et al, 2007). In addition, most medical care service studies in Taiwan maintain a focus on treating people with specific diseases (e.g., epilepsy, spinal-cord injuries) that cause poor health and high health care utilizations (Li, Lien, & Lin, 2001;Lin, Wu, & Lee, 2003;Lin, Yen, et al, 2003). There remains relatively little discussion in the literature regarding the relationship between health care utilization and mortality.…”

Effectiveness of a stress-relief initiative for primary caregivers of adolescents with intellectual disability

“…People with ID are more likely to have poor health status, require more medical resources, and experience greater difficulty with healthcare accessibility than the general population (Lin et al, 2006;Lin et al, 2007a;Lin et al, 2007b;Lin, Wu, & Lee, 2003;Lin, Wu, & Lee, 2004;Lin, Yen, Li, & Wu, 2005). Approximately 12% of people with ID in Taiwan have psychiatric disorders; namely, attention deficit/ hyperactivity disorder, adjustment disorders, anxiety disorders, bipolar disorder, conduct disorder, depression, oppositional-defiant disorder, personality disorder, and psychoses.…”

“…Approximately 12% of people with ID in Taiwan have psychiatric disorders; namely, attention deficit/ hyperactivity disorder, adjustment disorders, anxiety disorders, bipolar disorder, conduct disorder, depression, oppositional-defiant disorder, personality disorder, and psychoses. These individuals are likely to be in poorer health and place greater demands on medical services than individuals with ID without psychiatric disorders (Lin et al, 2005). These disorders have serious consequences for the individuals, their families and carers, and the community as a whole (Einfeld, 1996), and their caregivers tend to experience a high prevalence of depression, burden, and psychological distress (Olsson & Hwang, 2001).…”

The general picture of supportive health environments for persons with intellectual disabilities among 121 disability welfare institutions in Taiwan

“…In addition, the healthcare system being far from perfect, healthcare professionals may also fail to recognize and treat medical problems in these individuals (Beange & Bauman 1990; Wilson & Haire 1990; Aspray et al . 1999; Heller & Marks 2002; Lin et al . 2002, 2005).…”