Prevalence of mental disorders and uptake of mental health services in Tyrol: An analysis of epidemiological literature and administrative data from the Tyrolean health insurance

Zechmeister-Koss I, Tüchler H
Record ID 32018000330
Authors' objectives: Different approaches can be followed for the early identifying and supporting of children with mentally ill parents. One is to get into contact with the children via the parents in the adult mental health care settings. To explore this strategy further, information on the prevalence of both mental disorders and the usage of mental health benefits in Tyrol are analysed.
Authors' results and conclusions: Robust epidemiological data for Tyrol are lacking. Based on mental health service uptake in 2011 it was estimated that 3% of the Austrian population suffers from severe mental disorder which would roughly affect 22,500 persons in Tyrol. Overall, almost 86,000 TGKK-insured patients received at least one type of mental health benefit in 2017. This represents 14.5% of all insured. Five percent of patients were younger than 19 years, almost 60% were between 19 and 64 years old and the remainder was older than 64 years. Two third of recipients were females. In patients who are potential parents of dependent children (age group 19-64 years old), the vast majority (80%) were prescribed medication and half of the patients received medication only. A quarter had contacted an outpatient psychiatrist and 13% received psychotherapy. Five percent were treated in psychiatric inpatient or day care. The most frequently occurring ICD-10 diagnoses were F1, F4 and F3. The median length of hospital stay was 15 days. The overall number of benefit recipients has risen between 2012 and 2017; however the percentage of insured persons who received benefits remained almost stable. More persons had contact with outpatient psychiatrists, received psychotherapy or were on sick leave in 2017 compared to 2012, while those who received inpatient or day care decreased. The number of patients who were prescribed medication rose between 2012 and 1014 and has slightly decreased since then. Conclusion: The proportion of mentally ill parents that one may be able to reach via adult mental health care differs considerably according to the setting chosen. Additionally, severity and type of illness differ by setting. Each setting involves different organisational challenges for implementing and evaluating support. Administrative data are a useful piece of information for assisting planning but cannot replace robust epidemiological data.
Project Status: Completed
Year Published: 2018
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English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Austria
MeSH Terms
  • Health Services Administration
  • Mental Disorders
  • Family Health
  • Parent-Child Relations
  • Mental Health Services
  • Epidemiology
  • Psychopharmacology
  • Austria
  • Mental illness
  • benefit uptake
  • mental health care
  • administrative data
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
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This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.