caa a22 4500 388073004 CHVBK 20180307125153.0 cr unu---uuuuu 161130e199906 xx s 000 0 eng 10.1017/S0790966700005140 doi S0790966700005140 pii (NATIONALLICENCE)cambridge-10.1017/S0790966700005140 Health gain for epilepsy associated with learning disabilities psychiatric care [Elektronische Daten] [Elizabeth Beber, Nicola M Bailey, Sally-Ann Cooper] Objectives: The establishment of a learning disabilities psychiatric service for people living in north Northamptonshire presented the opportunity to measure the clinical effectiveness of epilepsy care provided by learning disabilities psychiatrists. Method: Baseline and one year outcome health measurements were made on a group of adults with learning disabilities and epilepsy who received learning disabilities psychiatric care (n = 42), and also on a group of adults with learning disabilities and epilepsy who did not receive care from learning disabilities psychiatry -(n = 12). Comparisons were made between baseline and outcome measurements for those who did, compared to those who did not receive psychiatric care. The comparison group was included as conducting a baseline health assessment may itself improve the quality of healthcare by raising awareness of the issue (in a way that is unconnected to care provided by the psychiatrist). Results: Learning disabilities psychiatric care was found to effect reduced seizure frequency, with a reduced frequency of drug side-effects and reduced frequency of polypharmacy. The type of the person's seizures was more likely to be determined, medical reviews and appropriate blood test monitoring conducted and active interventions made to improve seizure control and to withdraw unnecessary drugs, if the person was receiving learning disabilities psychiatric care. Almost all of these results were highly statistically significant. Conclusion: It is important that learning disabilities psychiatric care is available to this group, as it has been demonstrated to effect health gain. Copyright © Cambridge University Press 1999 Mental retardation nationallicence Epilepsy nationallicence Psychiatric care nationallicence Learning disabilities services nationallicence Beber Elizabeth Rockingham Forest NHS Trust aut Bailey Nicola M. Oxford Higher Training Scheme aut Cooper Sally-Ann Rockingham Forest NHS Trust, St Mary's Hospital, London Road, Kettering, Northants NN15 7PW, England aut Irish Journal of Psychological Medicine Cambridge University Press 16/2(1999-06), 46-50 0790-9667 16:2<46 1999 16 IPM https://doi.org/10.1017/S0790966700005140 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0790966700005140 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Beber Elizabeth Rockingham Forest NHS Trust aut NATIONALLICENCE 700 1- Bailey Nicola M. Oxford Higher Training Scheme aut NATIONALLICENCE 700 1- Cooper Sally-Ann Rockingham Forest NHS Trust, St Mary's Hospital, London Road, Kettering, Northants NN15 7PW, England aut NATIONALLICENCE 773 0- Irish Journal of Psychological Medicine Cambridge University Press 16/2(1999-06), 46-50 0790-9667 16:2<46 1999 16 IPM CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge