outpatient clinic for people with id, ‘s heeren loo location apeldoorn barber tinselboer, id...
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Outpatient clinic for people with ID,‘s Heeren Loo location Apeldoorn
Barber Tinselboer, ID physician‘s Heeren Loo, location Apeldoorn
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
‘s Heeren Loo, location Apeldoorn
Multiple forms of support and care for people with ID
Residential and community living
400 residential clients350 community living clients
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Outpatient clinic
Started in March 2008
At first in hospital, later at residential setting ‘s Heeren Loo
Large catchment area
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Mode of operation
• 2 ID physicians (plus 2 other colleagues and 1 trainee ID physician)
• Referral by GP or physician (no CIZ indication needed)
• No waiting list
• About 4 hours per week available but very flexible
• Multidisciplinary approach possible (psychologist, paramedic, etc.), but CIZ indication required
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Statistics
In 2 years (2008-2010):
103 patients: 62 male, 41 female
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Statistics
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Statistics
Referral by:
GP 85Paediatrician 7Neurologist 4Child psychiatrist 4Psychiatrist 1Autism-outpt clinic 1Other ID physician 1
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Reasons for referral
Behavioural problems 29 Medical check / follow-up 20
Psychiatric disorders 10 Somatic disorders 16Functional decline / dementia 7 Epilepsy 4Sleep disorders 4 Medication assessment 3Inappropriate sexual behaviour 2 Etiological diagnostics 3
52 46
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
New diagnoses
Environmental demands 13 Gastro-esophageal reflux 4
Depression 4 Constipation 3
Bipolar disorder 2 Visual impairment 2Parenting problems 2 Hypothyroidism 1
ADHD 2 Elevated ammonium level 1
Anxiety disorder 2 Oral candidacies 1
Compulsive disorder 1 Epilepsy 1
Tic disorder 1 Sleep disordered breathing 1
Autism spectrum disorder 1 Diabetes 1
No PDD-nos 1 Rectal carcinoma 1
Alzheimer’s disease 1 Hypertension 1
No dementia 1 14q- syndrome 1
Mood disorder nos 1 Myotonic dystrophy 1
32 19
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
Questions or remarks?
Bridge 2010: Outpatient clinics for people with ID in the Netherlands