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American Journal of Public Health, Vol. 80, Issue 9 1043-1048, Copyright © 1990 by American Public Health Association

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Meeting the needs for health services of persons with mental retardation living in the community.

P M Minihan and D H Dean

Department of Community Health, Tufts University School of Medicine, Boston, MA 02111.

Adequate health services are critical to the success of efforts to maintain persons with mental retardation in the community, yet information concerning the health status of this population is in short supply. This paper presents the results of a survey of 333 mentally retarded persons randomly selected from a population of 1,333 such individuals living in community settings. Almost two-thirds had chronic conditions requiring medical intervention. The top five conditions in terms of prevalence were neurologic, ophthalmologic, dermatologic, psychiatric-emotional, and orthopedic. The majority of conditions were being managed appropriately in the community health system. A substantial proportion can be managed by primary care physicians with limited specialty involvement. For almost 60 percent of clients with conditions requiring home treatments on an ongoing basis, however, service gaps were identified. Other problems included the reluctance of some providers to accept Medicaid, and the inability of some clients to cooperate with medical examinations.


Related articles in AJPH:

Medical care in the community for adults with mental retardation.
A C Crocker
AJPH 1990 80: 1037-1038. [PDF]  



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