joint strategic needs assessment foundation profile - JSNA

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10.9.7 Inpatient Hospital Admissions
During the three year period 2007/08 to 2009/10, there were 271,375 daycase and
inpatient clinician episodes in total (for an explanation of clinician episodes see section
12.12 on page 781), with 3,245 (1.2%) of them having a primary diagnosis of mental
and behavioural disorders. Almost half of all clinician episodes for mental and
behavioural disorders were for mental and behavioural disorders due to psychoactive
substance abuse with a further 13% for schizophrenia, schizotypal and delusional
disorders, 10% for dementia and 10% for mood disorders (Table 339). Almost all
(1,484; 92.2%) of the 1,609 mental and behavioural disorders due to psychoactive
substance abuse were due to alcohol with a small number from opioids (61; 3.8%). The
other substances (cannabinoids, sedatives or hypnotics, cocaine, other stimulants
including caffeine, tobacco, volatile solvents) each had fewer than ten clinician episodes
over the three year period (19 clinician episodes in total over the three years for all of
these substances combined), with the „other or multiple substance‟ category having 45
clinician episodes over the three year period.
In-patient admission rates provide useful information about the general level of illness
and the use of hospital services within geographical areas. It is very important to note
that admission rates depend on how willing people are to make use of medical services,
the location and accessibility of services, as well as differences in referral patterns and
practices within primary and secondary care (see page 179 for more discussion).
Table 339: Total number of daycase and inpatient clinician episodes with primary
diagnosis of mental and behavioural disorders over three year period 2007/08 to
2009/10
ICD 10
code
Mental and behavioural disorder Total mental health
clinician episodes
2007/08 to 2009/10
Number Percentage
F00-F03 Dementia 307 9.5
F04-F09 Other organic, including symptomatic, mental disorders 94 2.9
F10-F19 Psychoactive substance abuse 1,609 49.6
F20-F29 Schizophrenia, schizotypal & delusional disorders 426 13.1
F30-F39 Mood disorders 320 9.9
F40-F48 Neurotic, stress-related & somotoform disorders 285 8.8
F50-F59 Behavioural syndromes 50 1.5
F60-F69 Disorders of adult personality & behaviour 92 2.8
F70-F79 Mental retardation 15 0.5
F80-F89 Disorders of psychological development 23 0.7
F90-F98 Behavioural/emotional disorders – usual child/teen onset 24 0.7
TOTAL 3,245 100.0
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 705