This annual report - Taranaki District Health Board

More documents

Recommendations

Info

Numbers Accessing Services by Diagnosis and AgeSchizophrenia, Other Psychotic Disorders and Personality Disorders: In New Zealandduring 2009–2011, the number of young people accessing mental health services withpsychotic disorders (other than schizophrenia) increased rapidly after 13 years of age, withnumbers continuing to increase up until 20 years. While the number diagnosed withschizophrenia and personality disorders followed a similar pattern, the age distribution wasshifted to the right by two to three years (i.e. the average age of diagnosis for thesedisorders was two to three years later than for other psychotic disorders (Figure 132)).Depression, Bipolar Disorders and Other Mood Disorders: In New Zealand during 2009–2011, the number of young people accessing mental health services with a diagnosis ofdepression increased gradually between eight and thirteen years, with numbers then risingvery rapidly thereafter, to reach a peak at 16–17 years of age. Rates then decreased againduring the late teens. While a similar pattern was seen for other mood disorders, numberswere lower than for those with depression at every age from eight years onwards. Incontrast, the number accessing mental health services with a diagnosis of bipolar disorderincreased gradually from twelve years of age onwards (Figure 133).Numbers Accessing Services by Diagnosis, Ethnicity and GenderSchizophrenia and Other Psychotic Disorders: In New Zealand during 2009–2011, thenumber of young people accessing mental health services with schizophrenia or otherpsychotic disorders was significantly higher for males and for Māori > Pacific >European/Other young people. Similar patterns were seen for mental health servicecontacts and inpatient bed nights (Table 103).Depression and Other Mood Disorders: In New Zealand during 2009–2011, the number ofyoung people accessing mental health services with depression or other mood disorderswas significantly higher for females and for European/Other > Māori > Pacific youngpeople. While similar patterns were seen for mental health service contacts, inpatient bednights for those with depression were significantly higher for Māori > European/Other >Pacific young people (Table 104, Table 105).Bipolar Disorder: In New Zealand during 2009–2011, the number of young peopleaccessing mental health services with bipolar disorder was significantly higher for femalesand for Māori > European/Other > Pacific young people. While similar ethnic differenceswere seen for mental health service contacts and inpatient bed nights, the number ofinpatient bed nights for males with bipolar disorder was significantly higher than forfemales (Table 104).Personality Disorders: In New Zealand during 2009–2011, the number of young peopleaccessing mental health services with a personality disorder was significantly higher forfemales and for European/Other and Māori > Pacific young people. While similar genderand ethnic differences were seen for the number of mental health service contacts, thenumber of inpatient bed nights was significantly higher for Māori > European/Other >Pacific young people (Table 105).Midland Region DistributionYoung People Accessing Mental Health Services by DiagnosisAmongst the DHBs in the Midland Region during 2009–2011, depression and other mooddisorders and schizophrenia and other psychotic disorders were the most frequentdiagnoses assigned to young people accessing mental health services (Table 106, Table107). While rates for a number of conditions differed significantly from the New Zealandrate, it must be remembered these figures reflect young people’s access to mental healthservices rather than the underlying health need in the community, with the figurespresented thus being likely to underestimate the prevalence of these conditions in theregion.Access to Mental Health Services in Young People - 400
Figure 132. Children and Young People Accessing Mental Health Services withSchizophrenia, Other Psychotic Disorders or Personality Disorders by Age, New Zealand2009–2011400Number with Diagnosis per 100,000350300250200150100Other Psychotic DisordersSchizophreniaPersonality Disorders5000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Average Age (Years)Source: Numerator: PRIMHD (individuals attending Mental Health Services who had ever been assigned thesediagnoses); Denominator: Statistics NZ Projected Population (2010 = mid-point of 2009–2011)Figure 133. Children and Young People Accessing Mental Health Services withDepression, Bipolar Disorder or Other Mood Disorders by Age, New Zealand 2009–20111600Number with Diagnosis per 100,000140012001000800600400DepressionOther Mood DisordersBipolar Disorder20000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Average Age (Years)Source: Numerator: PRIMHD (individuals attending Mental Health Services who had ever been assigned thesediagnoses); Denominator: Statistics NZ Projected Population (2010 = mid-point of 2009–2011)Access to Mental Health Services in Young People - 401
Page 4 and 5:
Cover Artwork: Long-tailed Blue But
Page 7 and 8:
LIST OF FIGURESFigure 1. Gross Dome
Page 9 and 10:
Figure 41. Number of Students Invol
Page 11 and 12:
Figure 85. Proportion of Babies Bor
Page 13 and 14:
Figure 127. Relationship Between th
Page 15:
Table 21. Policy Documents Relevant
Page 19:
Table 108. Proportion of Young Peop
Page 23 and 24:
INTRODUCTION AND OVERVIEWIntroducti
Page 25 and 26:
three then reviews mental health is
Page 27 and 28:
Table 1. Overview of the Determinan
Page 29 and 30:
Stream Indicator New Zealand Distri
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43:
Page 47:
47MACROECONOMICINDICATORS
Page 50 and 51:
Expenditure-based Measure of GDPThe
Page 52 and 53:
Gini Coefficient: The Lorenz curve
Page 54 and 55:
CHILD POVERTY AND LIVING STANDARDSI
Page 56 and 57:
After Housing Costs (AHC)Relative P
Page 58 and 59:
Figure 8. Proportion of Dependent C
Page 60 and 61:
14 Items (Enforced Lacks) are inclu
Page 62 and 63:
Local Policy Documents and Evidence
Page 64 and 65:
Other Relevant New Zealand Evidence
Page 66 and 67:
UNEMPLOYMENT RATESIntroductionIn th
Page 68 and 69:
Figure 12. Unemployment Rates by Ag
Page 70 and 71:
Unemployment Rates by Qualification
Page 72 and 73:
Figure 18. Quarterly Unemployment R
Page 74 and 75:
CHILDREN RELIANT ON BENEFIT RECIPIE
Page 76 and 77:
Table 4. Number of Children Aged 0-
Page 78 and 79:
Table 5. Number of Children Aged 0-
Page 80 and 81:
YOUNG PEOPLE RELIANT ON BENEFITSInt
Page 82 and 83:
Table 7. Number of Young People Age
Page 84 and 85:
New Zealand Distribution by Ethnici
Page 86 and 87:
Figure 25. Young People Aged 16-24
Page 88 and 89:
Table 10. Number of Young People Ag
Page 91:
HOUSEHOLD COMPOSITION91
Page 94 and 95:
Data Source and MethodsDefinitionPr
Page 96 and 97:
Figure 29. Proportion of Children A
Page 98 and 99:
Robertson J, et al. 2006. Review of
Page 100 and 101:
Canadian National Occupancy Standar
Page 102 and 103:
Figure 33. Proportion of Children a
Page 104 and 105:
Other Relevant EvidenceMarmot Revie
Page 106 and 107:
106
Page 108 and 109:
108
Page 110 and 111:
Note 2: The number of new school en
Page 112 and 113:
Figure 36. Proportion of New Entran
Page 114 and 115:
Page 116 and 117:
Sylva K, et al. 2004 The Effective
Page 118 and 119:
Table 15. Enrolments in Māori Medi
Page 120 and 121:
Table 16. Number of Students (Māor
Page 122 and 123:
Local Policy Documents which Consid
Page 124 and 125:
HIGHEST EDUCATIONAL ATTAINMENT AT S
Page 126 and 127:
Figure 43. Highest Educational Atta
Page 128 and 129:
Figure 46. Highest Educational Atta
Page 130 and 131:
Page 132 and 133:
SENIOR SECONDARY SCHOOL RETENTION A
Page 134 and 135:
Participation in Tertiary Education
Page 136 and 137:
Midland Region Distribution and Tre
Page 138 and 139:
The following section uses informat
Page 140 and 141:
Figure 54. Age-Standardised Rates o
Page 142 and 143:
Figure 56. Age-Standardised School
Page 144 and 145:
Page 146 and 147:
TRUANCY AND UNJUSTIFIED ABSENCESInt
Page 148 and 149:
Figure 60. Total Unjustified Absenc
Page 150 and 151:
Figure 63. Total Unjustified Absenc
Page 152 and 153:
152
Page 154 and 155:
154
Page 156 and 157:
156
Page 158 and 159:
Table 22. The National Immunisation
Page 160 and 161:
Figure 64. Immunisation Coverage by
Page 162:
Figure 67. Immunisation Coverage by
Page 165 and 166:
Figure 71. Immunisation Coverage at
Page 167 and 168:
Soares-Weiser K, et al. 2012. Vacci
Page 169 and 170:
Briss PA, et al. 2000. Reviews of e
Page 171 and 172:
Data Sources and MethodsIndicatorPr
Page 173 and 174:
Figure 75. Proportion of New Zealan
Page 175 and 176:
Proportion Receiving Core Contacts
Page 177 and 178:
Figure 81. Proportion of Babies who
Page 179 and 180:
The B4 School CheckThe B4 School Ch
Page 181 and 182:
Page 183 and 184:
Other Relevant EvidenceThe Scottish
Page 185 and 186:
185SUBSTANCE USE
Page 188 and 189:
Notes on InterpretationNote 1: The
Page 190 and 191:
Maternal Smoking at First Registrat
Page 192 and 193:
Page 194 and 195:
Table 32. Number of Cigarettes Smok
Page 196 and 197:
Page 198 and 199:
National Institute for Health and C
Page 200 and 201:
2. Proportion of babies born to mot
Page 202 and 203:
Page 204 and 205:
Table 37. Number of Cigarettes Smok
Page 206 and 207:
Page 208 and 209:
Figure 93. Proportion of Year 10 St
Page 210 and 211:
Figure 95. Proportion of Year 10 St
Page 212 and 213:
TOBACCO USE IN YOUNG PEOPLEIntroduc
Page 214 and 215:
Figure 96. Daily Smoking Rates in Y
Page 216 and 217:
2009 New Zealand Tobacco Use Survey
Page 218 and 219:
Source of Tobacco in the Last Month
Page 220 and 221:
Carson KV, et al. 2011. Community i
Page 222 and 223:
Other Relevant PublicationsMāori A
Page 224 and 225:
Other Cochrane Systematic Reviews o
Page 226 and 227:
ALCOHOL-RELATED HOSPITAL ADMISSIONS
Page 228 and 229:
Figure 100. Alcohol-Related Hospita
Page 230 and 231:
Table 45. Listed External Causes of
Page 232 and 233:
Page 234 and 235:
Page 236 and 237:
Shults RA, et al. 2009. Effectivene
Page 238 and 239:
238
Page 240 and 241:
240
Page 242 and 243:
242
Page 244 and 245:
Mortality from conditions with a so
Page 246 and 247:
Table 50. Mortality from Conditions
Page 248 and 249:
Figure 105. Hospital Admissions for
Page 250 and 251:
Page 252 and 253:
Table 55. Hospital Admissions for C
Page 254 and 255:
Table 57. Hospital Admissions for C
Page 256 and 257:
Midland Region Distribution by Caus
Page 258 and 259:
Page 260 and 261:
INFANT MORTALITY AND SUDDEN UNEXPEC
Page 262 and 263:
New Zealand Distribution and Trends
Page 264 and 265:
Figure 111. Total Infant Mortality,
Page 266 and 267:
Table 62. Neonatal and Post Neonata
Page 268 and 269:
Table 65. Neonatal and Post Neonata
Page 270 and 271:
Distribution by Ethnicity, NZ Depri
Page 272 and 273:
Figure 116. Sudden Unexpected Death
Page 274 and 275:
Vennemann M, et al. 2007. Do immuni
Page 276 and 277:
276
Page 278 and 279:
with a review of interventions aime
Page 280 and 281:
deprivation in some parts of the wo
Page 282 and 283:
who delay a second pregnancy by two
Page 284 and 285:
Family ViolenceDefinitions and New
Page 286 and 287:
need for multidisciplinary interven
Page 288 and 289:
6 days to determine gestational age
Page 290 and 291:
In New Zealand, information on fact
Page 292 and 293:
post intervention. Engagement in ed
Page 294 and 295:
antenatal care, including two nutri
Page 296 and 297:
throughout pregnancy, birth and the
Page 298 and 299:
Alcohol and Other DrugsNational and
Page 300 and 301:
Zealand had a number of specialist
Page 302 and 303:
in one Cochrane review [274] (see p
Page 304 and 305:
interventions to treat antenatal de
Page 306 and 307:
In ConclusionWhile it is hoped that
Page 308 and 309:
308
Page 310 and 311:
Data Source and MethodsDefinition1.
Page 312 and 313:
Page 314 and 315:
Page 316 and 317:
Page 318 and 319:
Other Systematic ReviewsLouwers ECF
Page 320 and 321:
INJURIES ARISING FROM ASSAULT IN YO
Page 322 and 323:
New Zealand Distribution by Age and
Page 324 and 325:
Page 326 and 327:
Page 328 and 329:
Flood M & Fergus L. 2008. An Assaul
Page 330 and 331:
Note 2: The numbers in this section
Page 332 and 333:
Table 78. Number of Notifications t
Page 334 and 335:
Table 80. Outcome of Assessment for
Page 336 and 337:
Table 82. Number of Notifications R
Page 338 and 339:
Table 84. Outcome of Assessment for
Page 340 and 341:
Data Source and MethodsDefinition1.
Page 342 and 343:
Family Violence Investigations Wher
Page 344 and 345:
Table 90. Local Policy Documents an
Page 346 and 347:
Stover CS, et al. 2009. Interventio
Page 348 and 349:
348
Page 350 and 351: 350
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
Page 358 and 359: Ministries of Education, Health, Ju
Page 360 and 361: Figure 129. Children and Young Peop
Page 362 and 363: Table 92. Children Aged 0-14 Years
Page 368 and 369: IN-DEPTH TOPIC: MENTAL HEALTH ISSUE
Page 370 and 371: this [350]. The review stated that
Page 372 and 373: psychotic disorders including first
Page 374 and 375: Social Workers in SchoolsIn 2011 th
Page 376 and 377: Children or young people with sever
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
Page 386 and 387: playthings or the environment, appe
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 398 and 399: Table 101. Hospital Admissions for
Page 402 and 403: Table 103. Young People Aged 15-24
Page 408 and 409: Table 108. Proportion of Young Peop
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
Page 422 and 423: Figure 139. Mortality from Suicide
Page 424 and 425: Ougrin D & Latif S. 2011. Specific
Page 426 and 427: 426
Page 428 and 429: 428
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
Page 446 and 447: Figure 142. Police Area Boundaries
Page 448 and 449: 3. The condition exhibits a socioec
Page 450 and 451:
REFERENCES1. Children's Commissione
Page 452 and 453:
33. Mackay R. 2005. The Impact of F
Page 454 and 455:
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
Page 464 and 465:
244. Nelson Marlborough District He
Page 466 and 467:
274. Ramsay J, Carter Y, Davidson L
Page 468 and 469:
306. Jewkes R. 2002. Intimate partn
Page 470 and 471:
347. Heflinger CA, Hinshaw SP. 2010
Page 472 and 473:
376. Ministry of Education. 2012. W
Page 474 and 475:
410. Ministry of Health. 2001. New
Page 476 and 477:
443. Zeanah PD, Bailey LO, Berry S.
Page 478 and 479:
480. Weinberg MK, Olson KL, Beeghly
show all

This annual report - Taranaki District Health Board

Create successful ePaper yourself

Delete template?

Save as template?