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Response to Your Request for Official Information I Refer to Your Request Of L \l l 'Jl\11\\lll r;) HEALTH 133 Molesworth St POBox5013 Wellington 6145 New Zealand T+64 4 496 2000 Response to your request for official information I refer to your request of 19 November 2018 under the Official Information Act 1982 (the Act) for: "I would like to ask for these statistics under the Official Information Act. I previously asked about anorexia nervosa diagnoses however I think there may have been a typo in the information given to me so I am asking that question again to double check. Nationwide, how many females under 18 with a diagnosis of gender dysphoria and/or gender identity disorder were prescribed puberty blockers (usually Leuprorelin or goserelin) each year of 2008, 2009, 2010, 2011, 2012? How many males under 18 with a diagnosis of gender dysphoria and/or gender identity disorder were prescribed puberty blockers (usually Leuprorelin or goserelin) each year of 2008, 2009, 2010, 2011, 2012? (If separating by sex is difficult feel free to simply state the number of children per year as you have done previously) How many females of all ages were diagnosed/in secondary health services with a primary diagnosis of gender dysphoria and/or gender identity disorder in each year of 2006, 200~ 2008, 2009, 2010, 2011, 2012, 2013,2014, 2015, 2016, 2017? How many males of all ages were diagnosed with gender dysphoria and/or gender identity disorder in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many females were diagnosed with anorexia nervosa in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with anorexia nervosa in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many females were under 18 were put under the mental health act for any periodoftimeeachyearfor2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were under 18 were put under the mental health act for any period of time each year for 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many females were diagnosed with precocious puberty in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with precocious puberty in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014,2015, 2016, 2017? How many females were diagnosed with precocious puberty and prescribed a puberty blocker such as Leuprorelin or goserelin in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with precocious puberty and prescribed a puberty blocker such as Leuprorelin or goserelin in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 201~ 2017? How many females were diagnosed with bulimia nervosa in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with bulimia nervosa in each year of 2008, 2009, 2010, 2011, 2012,2013, 2014, 2015,201~ 2017? How many females were diagnosed with eating disorders not otherwise specified in eachyearof2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with eating disorders not otherwise specified in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many females were diagnosed with gender dysphoria or gender identity disorder in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? How many males were diagnosed with gender dysphoria or gender identity disorder in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? Nationwide, what percentage of under 18 years old referrals to secondary services are for females? And what percentage of 18 year old and over referrals to secondary services are for females? How much funding does the Ministry of Health set aside for eating disorder specialist services? How much funding does the Ministry of Health set aside for gender identity specialist services?" Please note that you were advised via email on 4 December 2018 that the Ministry of Health (the Ministry) would be extending the timeframe for responding to your request under section 1SA of the Act as further collation and research was required. The information relating to this request is itemised in Appendix One, with copies of documents attached. Certain questions have been refused under section 18(f) of the Act, as the information requested cannot be made available without substantial collation or research. These grounds are noted next to the corresponding questions in Appendix One. I trust this information fulfils your request. You have the right, under section 28 of the Act, to ask the Ombudsman to review any decisions made under this request. Please note this response (with your personal details removed) may be published on the Ministry of Health website. Yours sincerely Ann-Marie Cavanagh Acting Deputy Director-General Data and Digital Appendix One Request ; Response 1. Nationwide, how many females under 18 with a diagnosis of gender dysphoria and/or gender identity disorder were prescribed puberty blockers (usually Leuprorelin or goserelin) each year of 2008, 2009, 2010, 2011, 2012? These parts of your request are refused under section 18{f) of the Act, 2. How many males under 18 with a diagnosis of as the information requested cannot gender dysphoria and/or gender identity disorder be made available without substantial were prescribed puberty blockers (usually 1 collation or research. Leuprorelin or goserelin) each year of 2008, 2009, 2010, 2011, 2012? (If separating by sex is difficult I feel free to simply state the number of children per year as you have done previously) I 3. How many females of all ages were diagnosed/in secondary health services with a primary diagnosis Information is provided from 2009 of gender dysphoria and/or gender identity disorder onwards, as the implementation of in each year of 2006, 2007, 2008, 2009, 2010, 2011, PRIMHD in mid-2008 means that the 2012, 2013, 2014, 2015, 2016, 2017? numbers pre-2008 are not comparable. 4. How many males of afl ages were diagnosed with gender dysphoria and/or gender identity disorder in Please see Attachment 1. each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014,2015, 201~ 2017? . Information is provided from 2009 onwards. The implementation of PRIMHD in mid-2008 means that the 5. How many females were diagnosed with anorexia numbers pre-2008 are not nervosa in each year of 2008, 2009, 2010, 2011, comparable. The National Minimum 2012,2013, 2014, 2015,2016,2017? Dataset (NMDS) and Programme for the Integration of Mental Health Data 6. How many males were diagnosed with anorexia (PRIMHD) have been used to answer nervosa in each year of 2008, 2009, 2010, 2011, these questions, as both collections 2012, 2013, 2014, 2015, 2016, 2017? capture people with this condition. I Please see Attachment 2. 7. How many females were under 18 were put under I the mental health act for any period of time each year for 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? Please see Attachment 3. 8. How many males were under 18 were put under the mental health act for any period of time each year for 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? I 9. How many females were diagnosed with precocious puberty in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? Please see Attachment 4. 10. How many males were diagnosed with precocious puberty in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? 11. How many females were diagnosed with precocious puberty and prescribed a puberty blocker such as Leuprorelin or goserelin in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, These parts of your request are 2016, 2017? refused under section 18(f) of the Act, as the information requested cannot 12. How many males were diagnosed with be made available without substantial precocious puberty and prescribed a puberty blocker collation or research. such as Leuprorelin or goserelin in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? Information is provided from 2009 onwards. The implementation of 13. How many females were diagnosed with bulimia PRIMHD in mid-2008 means that the nervosa in each year of 2008, 2009, 2010, 2011, numbers pre-2008 are not 2012, 2013, 2014, 2015, 2016, 2017? comparable. NMDS and PRIMHD have been used to answer these 14. How many males were diagnosed with bulimia questions, as both collections capture nervosa in each year of 2008, 2009, 2010, 2011, people with this condition. 2012, 2013,2014, 2015, 2016, 2017? Please see Attachment 5. Information is provided from 2009 15. How many females were diagnosed with eating onwards. The implementation of disorders not otherwise specified in each year of PRIMHD in mid-2008 means that the 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, numbers pre-2008 are not 2016, 2017? comparable NMDS and PRIMHD have been used to answer these 16. How many males were diagnosed with eating questions, as both collections capture disorders not otherwise specified in each year of people with this condition. 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? Please see Attachment 6. 17. How many females were diagnosed with gender dysphoria or gender identity disorder in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017? These questions are interpreted as repetitions of questions 3 and 4, 18. How many males were diagnosed with gender answered above. dysphoria or gender identity disorder in each year of 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 12016, 2017? We have interpreted this question as a request for the information by year, 19.
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