Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID...
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Transcript of Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID...
![Page 1: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/1.jpg)
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
![Page 2: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/2.jpg)
‘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
![Page 3: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/3.jpg)
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
![Page 4: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/4.jpg)
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
![Page 5: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/5.jpg)
Statistics
In 2 years (2008-2010):
103 patients: 62 male, 41 female
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
![Page 6: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/6.jpg)
Statistics
Bridge 2010: Outpatient clinics for people with ID in the Netherlands
![Page 7: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/7.jpg)
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
![Page 8: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/8.jpg)
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
![Page 9: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/9.jpg)
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
![Page 10: Outpatient clinic for people with ID, ‘s Heeren Loo location Apeldoorn Barber Tinselboer, ID physician ‘s Heeren Loo, location Apeldoorn Bridge 2010: Outpatient.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e4f5503460f94b4743b/html5/thumbnails/10.jpg)
Questions or remarks?
Bridge 2010: Outpatient clinics for people with ID in the Netherlands