Introduction and outcomes from an enhanced physical health clinic for people with intellectual disabilities prescribed psychotropic medication

Purpose This study aims to explore an intervention that addresses the physical health inequalities and premature mortality experienced by people with intellectual disabilities and comorbid mental health difficulties. In the UK, physical health care has traditionally been coordinated and delivered through primary health-care settings. There is a case that physical health inequalities for those with intellectual disabilities and mental health difficulties can be reduced further if primary care interventions are supplemented by Enhanced Physical Health Clinics (EPHCs) co-located in mental health outpatient settings. Design/methodology/approach This paper describes the structure and setting up of an EPHC for people with intellectual disabilities and mental disorders and an evaluation of its first two years. The EPHC database, which contains patient demographics and process data for the clinic regarding tests and interventions completed, was used for this study. This includes sociodemographic, psychiatric and physical health diagnoses, prescribed medication, physical health assessments and interventions. Findings During its first two years, the clinic saw 463 patients. The mean age was 44 years, and 62% were male. There was considerable developmental and psychiatric comorbidity, with high rates of autism and major mental illness. The most common physical health diagnoses were epilepsy, hypothyroidism, diabetes, hypertension and asthma. A range of previously unidentified unmet health-care needs that warrant further assessment and treatment was identified. Originality/value The EPHC was effective in promoting physical health monitoring and screening in a population that experiences significant health barriers. Recommendations regarding clinical practice and future research are provided.