Outpatient clinic for people with ID,‘s Heeren Loo location Apeldoorn

Barber Tinselboer, ID physician‘s Heeren Loo, location Apeldoorn

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

‘s Heeren Loo, location Apeldoorn

Multiple forms of support and care for people with ID

Residential and community living

400 residential clients350 community living clients

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Outpatient clinic

Started in March 2008

At first in hospital, later at residential setting ‘s Heeren Loo

Large catchment area

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Mode of operation

• 2 ID physicians (plus 2 other colleagues and 1 trainee ID physician)

• Referral by GP or physician (no CIZ indication needed)

• No waiting list

• About 4 hours per week available but very flexible

• Multidisciplinary approach possible (psychologist, paramedic, etc.), but CIZ indication required

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Statistics

In 2 years (2008-2010):

103 patients: 62 male, 41 female

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Statistics

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Statistics

Referral by:

GP 85Paediatrician 7Neurologist 4Child psychiatrist 4Psychiatrist 1Autism-outpt clinic 1Other ID physician 1

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Reasons for referral

Behavioural problems 29 Medical check / follow-up 20

Psychiatric disorders 10 Somatic disorders 16Functional decline / dementia 7 Epilepsy 4Sleep disorders 4 Medication assessment 3Inappropriate sexual behaviour 2 Etiological diagnostics 3

52 46

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

New diagnoses

Environmental demands 13  Gastro-esophageal reflux 4

Depression 4  Constipation 3

Bipolar disorder 2  Visual impairment 2Parenting problems 2  Hypothyroidism 1

ADHD 2  Elevated ammonium level 1

Anxiety disorder 2  Oral candidacies 1

Compulsive disorder 1  Epilepsy 1

Tic disorder 1  Sleep disordered breathing 1

Autism spectrum disorder 1  Diabetes 1

No PDD-nos 1  Rectal carcinoma 1

Alzheimer’s disease 1  Hypertension 1

No dementia 1  14q- syndrome 1

Mood disorder nos 1  Myotonic dystrophy 1

  32    19

Bridge 2010: Outpatient clinics for people with ID in the Netherlands

Questions or remarks?

Bridge 2010: Outpatient clinics for people with ID in the Netherlands