scholarly journals Patterns of Health Service Use Among Young People With Cerebral Palsy in England

2021 ◽  
Vol 12 ◽  
Author(s):  
Jennifer M. Ryan ◽  
Grace Lavelle ◽  
Nicola Theis ◽  
Cherry Kilbride ◽  
Marika Noorkoiv

Background: Although the provision of healthcare for people with cerebral palsy (CP) is typically focussed on childhood, many people with CP require access to services periodically throughout their life. Few studies have examined patterns of health service use among young people with CP in England. Understanding patterns of use may inform future service development.Objective: To describe patterns of visits to rehabilitation and medical professionals among ambulatory young people with CP living in England, and identify factors associated with service use.Methods: Sixty-two young people with CP aged 10–19 years [mean (SD) age 13.7 (2.5) years] in Gross Motor Function Classification System (GMFCS) levels I-III reported visits to a range of health professionals, hospital admissions and visits to the emergency department over a median duration of 34 weeks (min–max: 12–34 weeks). Negative binomial models were used to examine factors associated with number of visits.Results: Physiotherapists were the most commonly used professional, with 67.7% of participants visiting a physiotherapist at least once, followed by dentists (66.1%), general practitioners (48.4%), occupational therapists (40.3%) and orthopaedic surgeons (40.3%). Physiotherapists were also the most frequently visited professional with a total of 473 visits (13.3 visits per person-year). Speech and language therapists (5.0 visits per person-year), occupational therapists (4.5 visits per person-year) and nurses (4.3 per person-year) were the next most frequently visited professionals. Age, GMFCS level, and speech impairment were associated with rate of visits to a physiotherapist.Conclusions: The proportion of young people who visited medical and rehabilitation professionals during the study period varied considerably depending on the profession. Generally, the proportion of young people using services was low. In the context of limited resources, data on service use in combination with data on unmet need, may support the reorganisation of services to maximise benefits to young people with CP.

Physiotherapy ◽  
2019 ◽  
Vol 105 ◽  
pp. e41-e42
Author(s):  
G. Lavelle ◽  
M. Noorkoiv ◽  
N. Theis ◽  
C. Kilbride ◽  
T. Korff ◽  
...  

2014 ◽  
Vol 11 (4) ◽  
pp. 451-459 ◽  
Author(s):  
Bita Ghafoori ◽  
Dennis G. Fisher ◽  
Olga Koresteleva ◽  
Madelyn Hong

2020 ◽  
Vol 46 (5) ◽  
pp. 15-22
Author(s):  
Mary Elizabeth Bowen ◽  
Beatrice Gaynor ◽  
Lorraine J. Phillips ◽  
Elizabeth Orsega-Smith ◽  
Angela Lavery ◽  
...  

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0120004 ◽  
Author(s):  
Petra C. Gronholm ◽  
Tamsin Ford ◽  
Ruth E. Roberts ◽  
Graham Thornicroft ◽  
Kristin R. Laurens ◽  
...  

2010 ◽  
Vol 14 (5) ◽  
pp. 535-542 ◽  
Author(s):  
Giyeon Kim ◽  
Yuri Jang ◽  
David A. Chiriboga ◽  
Grace X. Ma ◽  
Lawrence Schonfeld

2020 ◽  
Vol 77 (3) ◽  
pp. 185-187
Author(s):  
Christa Orchard ◽  
Nancy Carnide ◽  
Cameron Mustard ◽  
Peter M Smith

ObjectivesSerious mental illness is common among those who have experienced a physical workplace injury, yet little is known about mental health service use in this population. This study aims to estimate the proportion of the workplace musculoskeletal injury population experiencing a mental illness, the proportion who access mental health services through the workers’ compensation system and the factors associated with likelihood of accessing services.MethodsA longitudinal cohort study was conducted with a random sample of 615 workers’ compensation claimants followed over three survey waves between June 2014 and July 2015. The primary outcome was receiving any type of mental health service use during this period, as determined by linking survey responses to administrative compensation system records for the 18 months after initial interview.ResultsOf 181 (29.4%) participants who met the case definition for a serious mental illness at one or more of the three interviews, 75 (41.4%) accessed a mental health service during the 18-month observation period. Older age (OR=0.96, 95% CI 0.93 to 0.99) and achieving sustained return to work (OR=0.27, 95% CI 0.11 to 0.69) were associated with reduced odds of mental health service use. Although not significant, being born in Australia was associated with an increased odds of service use (OR=2.23, 95% CI 0.97 to 5.10).ConclusionsThe proportion of injured workers with musculoskeletal conditions experiencing mental illness is high, yet the proportion receiving mental health services is low. More work is needed to explore factors associated with mental health service use in this population, including the effect of returning to work.


Author(s):  
Manjula Manikandan ◽  
Claire Kerr ◽  
Grace Lavelle ◽  
Michael Walsh ◽  
Aisling Walsh ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e035892
Author(s):  
Manjula Manikandan ◽  
Aisling Walsh ◽  
Claire Kerr ◽  
Michael Walsh ◽  
Jennifer M Ryan

IntroductionCerebral palsy (CP) is a neurodisability that primarily results in motor impairments and activity limitations, but is often associated with epilepsy and disturbances of sensation, perception, cognition, behaviour and speech. Most children with CP survive well into adulthood. Adults with CP experience increased risk of age-related chronic conditions such as arthritis, stroke, cardiorespiratory and mental health conditions in addition to the ongoing disabilities experienced from childhood. Therefore, adults with CP often require extensive health services. However, health service use among adults with CP has not been well documented. This mixed method review aims to identify, appraise and synthesise quantitative and qualitative literature examining health service use among adults with CP.Methods and analysisThe mixed method systematic review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology. A systematic search of MEDLINE (Ovid), CINAHL, Embase, PsycINFO and Cochrane Library from inception to March 2020 will be conducted. Quantitative observational studies, qualitative studies and mixed method studies examining health service use among adults with CP (≥18 years) will be included. Outcomes of interest are the proportion of adults using health services frequency of use and experiences of health services from the perspectives of adults with CP, caregivers and health service providers. Two reviewers will independently screen titles, abstracts and full-texts, extract data and assess the quality of included studies using JBI instruments. Where possible a pooled analysis and aggregation of findings will be performed for quantitative and qualitative data, respectively, and Grading of Recommendations Assessment, Development and Evaluation (GRADE)/GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) employed. Quantitative and qualitative findings will be integrated using a triangulation approach at the synthesis stage. A narrative synthesis will be carried out where this is not possible.Ethics and disseminationEthical approval is not required for this review. The findings will be disseminated through a peer-reviewed journal and conferences.PROSPERO registration numberCRD42020155 380.


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