Mental illness, challenging behaviour, and psychotropic drug prescribing in people with intellectual disability: UK population based cohort study

摘要: Objectives To describe the incidence of recorded mental illness and challenging behaviour in people with intellectual disability UK primary care to explore prescription psychotropic drugs this group. Design Cohort study. Setting 571 general practices contributing data The Health Improvement Network clinical database. Participants 33 016 adults (58% male) who contributed 211 793 person years’ data. Main outcome measures Existing new records illness, behaviour, drug prescription. Results 21% (7065) cohort had a record at study entry, 25% (8300) 49% (16 242) drugs. During follow-up, rate cases without history entry was 262 (95% confidence interval 254 271) per 10 000 years 239 (231 247) years. those previous treatment 518 (503 533) Rates recording severe declined by 5% 3% 7%) year (P Conclusions proportion have been treated far exceeds illness. Antipsychotics are often prescribed but behaviour. findings suggest that changes needed prescribing psychotropics for disability. More evidence is efficacy safety group, particularly when they used