Abstract

A mental health‐care reform was implemented in Sweden in 1995. The objective of this study has been to investigate whether, five years after the reform, there were any changes in the group of persons considered to be severely mentally ill. To estimate the number and needs of severely mentally ill persons, a survey was made in 1995/96 and again in 2000/2001, using the same definition of ‘severely mentally ill’, and the same interview form used on both occasions. Needs were assessed using the Camberwell Assessment of Need. In the 1995/96 survey, 602 individuals were identified as severely mentally ill. In 2000/2001, the number was 828. Those surveyed in 2000/2001 had, on average, fewer unmet needs. The results indicate that one reason for the difference in the size of the groups was that the way the concept of severely mentally ill was interpreted had changed.

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