Abstract

The aim of this study was to follow up the target group of the 1995 Swedish Mental Health Care Reform, focusing on recovery. In 1995–96, in one area of Sweden, 602 people were surveyed and judged to be severely mentally ill. Five years later the number of people who had recovered was estimated and compared with the group still judged to be severely mentally ill. A sample of recovered people was interviewed in order to gain an understanding of the recovery process. Of those surveyed, 14% were estimated to have recovered to the degree that they were no longer considered to be severely mentally ill. Support from others, medication and healthcare contributed to recovery, sometimes in a complex and contradictory way. It was also found to be important that the person took an active role in his/her own process of recovery. The recovered person's locus of control could be internal as well as external.

Highlights

  • Scientific interest in people who have recovered from severe mental illness has been limited over the last 20 years (Torgelsboen 1999)

  • Arvidsson recovered people was between 30% and 40% and the percentage of people who were totally recovered was between 10% and 20%

  • The aim of the study was to follow up a group of people who were considered to be severely mentally ill at the time of the 1995 Swedish Mental Health Care Reform, but not so 5 years later

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Summary

Introduction

Scientific interest in people who have recovered from severe mental illness has been limited over the last 20 years (Torgelsboen 1999). In a meta-analysis of 87 studies between 1919 and 1979 (Warner 1985) it was shown that the number of people who made a total or considerable recovery varies over time. Arvidsson recovered people was between 30% and 40% and the percentage of people who were totally recovered was between 10% and 20%. Another meta-analysis (Hegarty et al 1994) showed similar percentages. In this meta-analysis the number of recovered people showed a connection to the criteria of diagnoses applied during different periods of time; the stricter the criteria for diagnoses; the lower the number of recovered people

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