joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
years were more likely to be admitted relative to the prevalence. There was no
clear pattern of inpatient admissions to prevalence for neurotic disorders and
depressive disorders. For personality disorder, relative to prevalence, the
admission rate was much higher for those aged 16-34 years compared to those
aged 55-74 years, with around 1 in 100 of the women and 1 in 400 of the men
with a personality disorder being admitted in the 16-34 year age group compared
to 1 in over 2,000 people with a personality disorder being admitted in the 55-74
year age group.
With respect to differences in mortality among the age groups and genders, men
had higher mortality rates for substance abuse (80% of all such deaths) and
suicide and undetermined injury (75% of all such deaths). For Hull and East
Riding of Yorkshire combined, the average annual number of deaths was
approximately 20 for substance abuse, and 45 for men and 15 for women for
suicide and undetermined injury. There was also a strong relationship with age
with the young having a much higher mortality rate compared to the older age
groups. There were over 100 deaths to Hull and East Riding of Yorkshire
residents from dementia annually mainly in the 75+ year age group, with almost
three-quarters of all dementia deaths in the 75+ year age group occurring to
women. If there is a problem with the diagnosis or coding on death certificates, it
is not just a local problem; locally the percentage of deaths with a primary cause
of death as dementia is slightly lower than that observed nationally.
With respect to differences among different deprivation groups, prevalence
information is limited at both a national and local level. The only local information
which is available is the number of claimants of Incapacity Benefit and Severe
Disablement Allowance where the main reason for the claim was mental illness.
There are various reasons why the number of such benefit claimants may not
reflect prevalence. Nevertheless, this data was examined and it was found that
there was a strong association between deprivation and the percentage of the
working population claiming these benefits for poor mental health and mental
illness. As the measure of deprivation was geographically based, it is possible
that this relationship could be partially explained by the type of accommodation
available in more deprived areas which would attract people with poor mental
health, such as supported accommodation, hostels and in general cheaper
accommodation. The referral pattern to Hull‟s Primary Care Mental Health
Workers and to specialist mental health services across Hull and East Riding of
Yorkshire followed a similar pattern. For both, the referral rate was more than
twice as high in the most deprived national quintile compared to the least
deprived national quintile.
There is a strong association between increased deprivation and inpatient
admissions which have a primary diagnosis related to mental health. This is
particularly the case for substance abuse and schizophrenia; the latter is more
likely to due to people with schizophrenia moving to more deprived areas where
there are more hostels, supported accommodation and cheaper accommodation.
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