The Stockholm Follow-up Study of Users Diagnosed with Psychosis (SUPP): A 10-year Follow-up 2004\u20132013

Per Bülow,Anne Denhov,Alain Topor,Gunnel Andersson,Claes-Göran Stefansson

doi:10.1007/s10597-020-00740-2

Per Bülow, Anne Denhov + Show 3 more

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https://doi.org/10.1007/s10597-020-00740-2

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Abstract

Since the 1970s, psychiatric care in the western world has undergone fundamental changes known as de-institutionalisation. This has changed the living conditions for people with severe mental illness. The purpose of this study was to investigate the living conditions and utilisation of care and social services for a group of people in Sweden with diagnosis of psychosis over a 10-year period, 2004–2013. During this period, psychiatric care decreased at the same time as interventions from the social services increased. Half of the persons in the studied group did not have any institutional care, that is, neither been hospitalised nor dwelling in supported housing, during the last 5 years, and just over 20% had no contact with either psychiatry or the municipality's social services during the last 2 years of the investigated period.

Highlights

Psychiatric care has undergone major changes in the western World since the mid-20th century, often referred to as deinstitutionalisation
In Sweden, the process began in the 1970s with a nationwide implementation of Community Mental Health centres with out-patient units as a complement to psychiatric hospitalisation
Evaluations showed that patients with severe mental illness (SMI) did not benefit from out-patient care due to lack of support in social needs relating to daily life matters

Summary

Introduction

Psychiatric care has undergone major changes in the western World since the mid-20th century, often referred to as deinstitutionalisation. The concepts of de-institutionalisation and community-based care are multifaceted, and the organisational changes have created a complex landscape of psychiatric “supplies” (Topor et al 2015). De-institutionalisation and the expanding community-based care have different meanings and are interpreted in divergent ways. In Sweden, the process began in the 1970s with a nationwide implementation of Community Mental Health centres with out-patient units as a complement to psychiatric hospitalisation. The Swedish Government commissioned a parliamentary committee to make proposals for a reformation of psychiatry in Sweden. It resulted in The Mental Health Care Reform, which came into being in 1995

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