This annual report - Taranaki District Health Board

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Table 101. Hospital Admissions for Mental Health Conditions in Young People Aged 15–24Years by Primary Diagnosis, Waikato, Bay of Plenty and Lakes DHBs 2007–2011ICD-10-AM DiagnosisNumber:Total2007−2011Number:AnnualAverageRate per100,000Percent ofAdmissions(%)Young People 15–24 YearsWaikatoDepression 247 49.4 93.37 17.5Schizophrenia 246 49.2 92.99 17.5Schizotypal/Delusional Disorders 232 46.4 87.70 16.5Stress Reaction/Adjustment Disorder 180 36.0 68.04 12.8Bipolar Affective Disorder 148 29.6 55.95 10.5Alcohol/Drug Mental Health Effects 128 25.6 48.39 9.1Personality Disorders 54 10.8 20.41 3.8Eating Disorders 43 8.6 16.26 3.1Other Mood Disorders 36 7.2 13.61 2.6Anxiety Disorders 17 3.4 6.43 1.2Other Mental Health Issues 78 15.6 29.49 5.5Waikato Total 1,409 281.8 532.62 100.0Bay of PlentySchizophrenia 152 30.4 119.44 18.5Schizotypal/Delusional Disorders 141 28.2 110.80 17.2Alcohol/Drug Mental Health Effects 117 23.4 91.94 14.3Bipolar Affective Disorder 66 13.2 51.86 8.0Eating Disorders 65 13.0 51.08 7.9Personality Disorders 61 12.2 47.93 7.4Depression 54 10.8 42.43 6.6Stress Reaction/Adjustment Disorder 37 7.4 29.07 4.5Other Mood Disorders 27 5.4 21.22 3.3Anxiety Disorders 17 3.4 13.36 2.1Other Mental Health Issues 84 16.8 66.01 10.2Bay of Plenty Total 821 164.2 645.14 100.0Lakes DHBSchizophrenia 97 19.4 143.26 30.4Schizotypal/Delusional Disorders 55 11.0 81.23 17.2Alcohol/Drug Mental Health Effects 44 8.8 64.98 13.8Depression 22 4.4 32.49 6.9Bipolar Affective Disorder 22 4.4 32.49 6.9Stress Reaction/Adjustment Disorder 19 3.8 28.06 6.0Personality Disorders 18 3.6 26.58 5.6Eating Disorders 8 1.6 11.82 2.5Other Mood Disorders 6 1.2 8.86 1.9Anxiety Disorders 5 1.0 7.38 1.6Other Mental Health Issues 23 4.6 33.97 7.2Lakes DHB Total 319 63.8 471.13 100.0Source: Numerator: NMDS; Denominator: Statistics NZ Projected Population; Note: ED cases removedAccess to Mental Health Services in Young People - 398
Table 102. Hospital Admissions for Mental Health Conditions in Young People Aged 15–24Years by Primary Diagnosis, Tairawhiti and Taranaki DHBs 2007–2011ICD-10-AM DiagnosisNumber:Total2007−2011Young People 15–24 YearsTairawhitiNumber:AnnualAverageRate per100,000Percent ofAdmissions(%)Schizophrenia 92 18.4 291.14 30.3Alcohol/Drug Mental Health Effects 57 11.4 180.38 18.8Depression 36 7.2 113.92 11.8Schizotypal/Delusional Disorders 29 5.8 91.77 9.5Bipolar Affective Disorder 17 3.4 53.80 5.6Other Mood Disorders 17 3.4 53.80 5.6Stress Reaction/Adjustment Disorder 16 3.2 50.63 5.3Personality Disorders 12 2.4 37.98 3.9Anxiety Disorders 7 1.4 22.15 2.3Eating Disorders 5 1.0 15.82 1.6Other Mental Health Issues 16 3.2 50.63 5.3Tairawhiti Total 304 60.8 962.03 100.0TaranakiDepression 110 22.0 166.89 22.1Stress Reaction/Adjustment Disorder 70 14.0 106.21 14.1Alcohol/Drug Mental Health Effects 67 13.4 101.65 13.5Schizotypal/Delusional Disorders 64 12.8 97.10 12.9Schizophrenia 40 8.0 60.69 8.0Bipolar Affective Disorder 28 5.6 42.48 5.6Personality Disorders 22 4.4 33.38 4.4Eating Disorders 19 3.8 28.83 3.8Anxiety Disorders 16 3.2 24.28 3.2Other Mood Disorders 9 1.8 13.66 1.8Other Mental Health Issues 52 10.4 78.90 10.5Taranaki Total 497 99.4 754.06 100.0Source: Numerator: NMDS; Denominator: Statistics NZ Projected Population; Note: ED cases removedAccess to Mental Health Services (PRIMHD Data)New Zealand DistributionNumbers Accessing ServicesIn addition to the diagnoses reviewed in the earlier sections on access to mental healthservices during childhood and early adolescence, a number of mental health diagnosesbecame increasingly common during late adolescence. During 2009–2011, these includedschizophrenia and other psychotic disorders, depression, bipolar disorder and other mooddisorders and personality disorders (Table 106). When compared to the paediatricpopulation, it is likely that very few young people with these diagnoses would have theircare managed primarily in the paediatric outpatient setting (which is not captured byPRIMHD) and thus the extent to which PRIMHD undercounts access to services for youngpeople with these diagnosis is likely to be less than in the previous sections.Access to Mental Health Services in Young People - 399
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Cover Artwork: Long-tailed Blue But
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LIST OF FIGURESFigure 1. Gross Dome
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Figure 41. Number of Students Invol
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Figure 85. Proportion of Babies Bor
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Figure 127. Relationship Between th
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Table 21. Policy Documents Relevant
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Table 108. Proportion of Young Peop
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INTRODUCTION AND OVERVIEWIntroducti
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three then reviews mental health is
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Table 1. Overview of the Determinan
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Stream Indicator New Zealand Distri
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47MACROECONOMICINDICATORS
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Expenditure-based Measure of GDPThe
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Gini Coefficient: The Lorenz curve
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CHILD POVERTY AND LIVING STANDARDSI
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After Housing Costs (AHC)Relative P
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Figure 8. Proportion of Dependent C
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14 Items (Enforced Lacks) are inclu
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Local Policy Documents and Evidence
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Other Relevant New Zealand Evidence
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UNEMPLOYMENT RATESIntroductionIn th
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Figure 12. Unemployment Rates by Ag
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Unemployment Rates by Qualification
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Figure 18. Quarterly Unemployment R
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CHILDREN RELIANT ON BENEFIT RECIPIE
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Table 4. Number of Children Aged 0-
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Table 5. Number of Children Aged 0-
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YOUNG PEOPLE RELIANT ON BENEFITSInt
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Table 7. Number of Young People Age
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New Zealand Distribution by Ethnici
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Figure 25. Young People Aged 16-24
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Table 10. Number of Young People Ag
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HOUSEHOLD COMPOSITION91
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Data Source and MethodsDefinitionPr
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Figure 29. Proportion of Children A
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Robertson J, et al. 2006. Review of
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Canadian National Occupancy Standar
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Figure 33. Proportion of Children a
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Other Relevant EvidenceMarmot Revie
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106
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108
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Note 2: The number of new school en
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Figure 36. Proportion of New Entran
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Sylva K, et al. 2004 The Effective
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Table 15. Enrolments in Māori Medi
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Table 16. Number of Students (Māor
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Local Policy Documents which Consid
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HIGHEST EDUCATIONAL ATTAINMENT AT S
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Figure 43. Highest Educational Atta
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Figure 46. Highest Educational Atta
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SENIOR SECONDARY SCHOOL RETENTION A
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Participation in Tertiary Education
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Midland Region Distribution and Tre
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The following section uses informat
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Figure 54. Age-Standardised Rates o
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Figure 56. Age-Standardised School
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TRUANCY AND UNJUSTIFIED ABSENCESInt
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Figure 60. Total Unjustified Absenc
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Figure 63. Total Unjustified Absenc
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152
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154
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156
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Table 22. The National Immunisation
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Figure 64. Immunisation Coverage by
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Figure 67. Immunisation Coverage by
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Figure 71. Immunisation Coverage at
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Soares-Weiser K, et al. 2012. Vacci
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Briss PA, et al. 2000. Reviews of e
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Data Sources and MethodsIndicatorPr
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Figure 75. Proportion of New Zealan
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Proportion Receiving Core Contacts
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Figure 81. Proportion of Babies who
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The B4 School CheckThe B4 School Ch
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Other Relevant EvidenceThe Scottish
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185SUBSTANCE USE
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Notes on InterpretationNote 1: The
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Maternal Smoking at First Registrat
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Table 32. Number of Cigarettes Smok
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National Institute for Health and C
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2. Proportion of babies born to mot
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Table 37. Number of Cigarettes Smok
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Figure 93. Proportion of Year 10 St
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Figure 95. Proportion of Year 10 St
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TOBACCO USE IN YOUNG PEOPLEIntroduc
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Figure 96. Daily Smoking Rates in Y
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2009 New Zealand Tobacco Use Survey
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Source of Tobacco in the Last Month
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Carson KV, et al. 2011. Community i
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Other Relevant PublicationsMāori A
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Other Cochrane Systematic Reviews o
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ALCOHOL-RELATED HOSPITAL ADMISSIONS
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Figure 100. Alcohol-Related Hospita
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Table 45. Listed External Causes of
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Shults RA, et al. 2009. Effectivene
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Mortality from conditions with a so
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Table 50. Mortality from Conditions
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Figure 105. Hospital Admissions for
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Table 55. Hospital Admissions for C
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Table 57. Hospital Admissions for C
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Midland Region Distribution by Caus
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INFANT MORTALITY AND SUDDEN UNEXPEC
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New Zealand Distribution and Trends
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Figure 111. Total Infant Mortality,
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Table 62. Neonatal and Post Neonata
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Table 65. Neonatal and Post Neonata
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Distribution by Ethnicity, NZ Depri
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Figure 116. Sudden Unexpected Death
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Vennemann M, et al. 2007. Do immuni
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276
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with a review of interventions aime
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deprivation in some parts of the wo
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who delay a second pregnancy by two
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Family ViolenceDefinitions and New
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need for multidisciplinary interven
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6 days to determine gestational age
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In New Zealand, information on fact
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post intervention. Engagement in ed
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antenatal care, including two nutri
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throughout pregnancy, birth and the
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Alcohol and Other DrugsNational and
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Zealand had a number of specialist
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in one Cochrane review [274] (see p
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interventions to treat antenatal de
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In ConclusionWhile it is hoped that
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308
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Data Source and MethodsDefinition1.
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Other Systematic ReviewsLouwers ECF
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INJURIES ARISING FROM ASSAULT IN YO
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New Zealand Distribution by Age and
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Flood M & Fergus L. 2008. An Assaul
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Note 2: The numbers in this section
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Table 78. Number of Notifications t
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Table 80. Outcome of Assessment for
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Table 82. Number of Notifications R
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Table 84. Outcome of Assessment for
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Data Source and MethodsDefinition1.
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Family Violence Investigations Wher
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Table 90. Local Policy Documents an
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Stover CS, et al. 2009. Interventio
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Page 352 and 353: oader contextual influences on the
Page 354 and 355: In addition, Table 112 on Page 414
Page 356 and 357: Williams SB, et al. 2009. Screening
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Page 368 and 369: IN-DEPTH TOPIC: MENTAL HEALTH ISSUE
Page 370 and 371: this [350]. The review stated that
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Page 374 and 375: Social Workers in SchoolsIn 2011 th
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Page 378 and 379: EpidemiologyThe 2009 review by Meri
Page 380 and 381: A diagnosis of conduct disorder acc
Page 382 and 383: programme using a questionnaire. Si
Page 384 and 385: developmentally appropriate diagnos
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Page 388 and 389: state more than it cost) provided t
Page 390 and 391: ACCESS TO MENTAL HEALTH SERVICES: L
Page 392 and 393: Table 97. Children and Young People
Page 394 and 395: Midland Region DistributionChildren
Page 396 and 397: ACCESS TO MENTAL HEALTH SERVICES: L
Page 400 and 401: Numbers Accessing Services by Diagn
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Page 412 and 413: Midland Region DistributionAmongst
Page 414 and 415: Local Policy Documents and Evidence
Page 416 and 417: Fletcher A, et al. 2008. School Eff
Page 418 and 419: New Zealand Distribution and Trends
Page 420 and 421: Figure 138. Mortality from Suicide
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Page 424 and 425: Ougrin D & Latif S. 2011. Specific
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Page 430 and 431: Guide to Community Preventive Servi
Page 432 and 433: information on all of the events oc
Page 434 and 435: 3. In addition, some providers admi
Page 436 and 437: as in the majority of the analyses
Page 438 and 439: APPENDIX 5: THE NATIONAL MORTALITYC
Page 440 and 441: As a result of these changes, there
Page 442 and 443: 2. Research also suggests that ethn
Page 444 and 445: APPENDIX 8: POLICE AREA BOUNDARIESF
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3. The condition exhibits a socioec
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REFERENCES1. Children's Commissione
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33. Mackay R. 2005. The Impact of F
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71. Ministry of Health. 2011. Immun
Page 456 and 457:
107. ASH New Zealand. 2011. Nationa
Page 458 and 459:
141. Child and Youth Mortality Revi
Page 460 and 461:
175. Pihama L. 2011. Overview of M
Page 462 and 463:
208. King-Hele S, Webb RT, Mortense
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244. Nelson Marlborough District He
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274. Ramsay J, Carter Y, Davidson L
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306. Jewkes R. 2002. Intimate partn
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347. Heflinger CA, Hinshaw SP. 2010
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376. Ministry of Education. 2012. W
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410. Ministry of Health. 2001. New
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443. Zeanah PD, Bailey LO, Berry S.
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480. Weinberg MK, Olson KL, Beeghly
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