Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T13:18:17.942Z Has data issue: false hasContentIssue false
  • English
  • Français

Community Care and Need for Treatment of Schizophrenic Patients in Finland

Published online by Cambridge University Press:  06 August 2018

Raimo K. R. Salokangas
Raimo K. R. Salokangas*
Affiliation:
Department of Psychiatry, University of Turku, Kiinamyllynkatu 4–8, SF-20520 Turku, Finland
Get access Rights & Permissions [Opens in a new window]

Abstract

In recent years, the use of hospital care in Finland has decreased, while out-patient care has expanded; a psychotherapeutic approach and rehabilitative measures have been widely adopted. For schizophrenic patients, these changes may also have improved outcome, which is better than 30 years ago. However, their need for treatment and care has not been reduced to the extent that was hoped; in line with the decrease in use of hospital services, the need for alternative services for the socially disabled has increased. There is an urgent need to develop crisis-intervention. Male schizophrenic patients require special attention from the community care system and possibly a new kind of service which would meet their needs better. The need for care, support and education of patients' families is also increasing.

Type
II. The Treatment of Schizophrenia
Information
The British Journal of Psychiatry , Volume 164 , Issue S23: Integrated Approach to Schizophrenia , April 1994 , pp. 115 - 120
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alanen, Y. O., Räkköläinen, V., Laakso, J., et al (1986) Towards Need-Specific Treatment of Schizophrenic Psychoses. Heidelberg: Springer.Google Scholar
Alanen, Y. O., Salokangas, R. K. R., Ojanen, M., et al (1990a) Tertiary prevention: treatment and rehabilitation of schizophrenic patients – results of the Finnish National Programme. In The Public Health Impact of Mental Disorder (eds Goldberg, D. & Tantam, D.). Toronto: Hogrefe & Huber.Google Scholar
Alanen, Y. O., Anttinen, E. E., Kokkola, A., et al (1990b) Treatment and rehabilitation of schizophrenic psychoses: the Finnish treatment model. Nordic Journal of Psychiatry, 44, suppl. 22.Google Scholar
Angermeyer, M. C., Goldstein, J. M. & Kühn, L. (1989) Gender differences in schizophrenia: rehospitalization and community survival. Psychological Medicine, 19, 365–382.CrossRefGoogle ScholarPubMed
Aromaa, A., Heliövaara, M., Impivaara, O., et al (1989) Terveys, toimintakyky ja hoidon tarve Suomessa. Mini-Suomiterveystutkimuksen perustulokset. (English summary: Health, functional limitations and need for care in Finland. Basic results from the Mini-Finland Health Survey.). Helsinki and Turku: Kansaneläkelaitoksen julkaisuja AL: 32.Google Scholar
Brewin, C. R., Wing, J. K., Mangen, S. P., et al (1987) Principles and practice of measuring needs in the long-term mentally ill: the MRC Needs for Care Assessment. Psychological Medicine, 17, 971–981.Google Scholar
Häfner, H. & ander Heiden, W. (1985) Schizophrenieforschung mit Hilfe psychiatrischer Fallregister. Fortschritte Neurologie und Psychiatrie, 53, 273–290.Google Scholar
Magi, M. & Allander, E. (1981) Towards a theory of perceived and medically defined need. Sociology of Health and Illness, 3, 49–71.Google Scholar
National Board of Health (1988) Skitsofreniaprojekti 1981–1987. Skitsofrenian tutkimuksen, hoidon ja kuntoutuksen valtakunnallisen kehittämisohjelman loppuraportti. (English summary: The Schizophrenia Project 1981–1987. Final report of the national programme for the study, treatment and rehabilitation of schizophrenic patients in Finland.) Helsinki: National Board of Health in Finland, Association of Mental Hospitals & League of Hospitals in Finland; Lääkintöhallituksen opassarja 4.Google Scholar
Salokangas, R. K. R. (1983) Prognostic implications of the sex of schizophrenic patients. British Journal of Psychiatry, 142, 145–151.Google Scholar
Salokangas, R. K. R. (1991) Outcome of schizophrenia in Finland. Presentation at XXXIII Nordic Psychiatric Congress, Helsinki. Abstracts XXXIII Nordiska Psykiaterkongrssen, 82.Google Scholar
Salokangas, R. K. R., Der, G. & Wing, J. K. (1985) Community psychiatric services in England and Finland. Social Psychiatry, 20, 23–29.Google Scholar
Salokangas, R. K. R., Marttila, J., Räkköläinen, V., et al (1987a) Ensikertalaiset psykiatriset potilaat. (English summary: First-contact psychiatric patients.) Reports of Psychiatria Fennica (Helsinki), Report 75.Google Scholar
Salokangas, R. K. R., Stengård, E., Räkköläinen, V., et al (1987b) Uudet skitsofreniapotilaat ja heidän perheensä (USP-projekti): III. Tutkimus kuudessa mielisairaanhuoltopiirissä hoitoon hakeutuneista uusista skitsofreniapotilaista ja heidän perheistään. (English summary: New schizophrenic patients and their families.) Reports of Psychiatria Fennica (Helsinki), Report 78.Google Scholar
Salokangas, R. K. R., Räkköläinen, V., Stengård, E., et al (1988) Uusien skitsofreniapotilaiden hoito ja ennuste (USP-projekti): IV. Kahden vuoden seuranta. (English summary: Treatment and outcome of new schizophrenic patients: two years follow-up.) Reports of Psychiatria Fennica (Helsinki), Report 81.Google Scholar
Salokangas, R. K. R. & Stengård, E. (1990a) Gender and short-term outcome in schizophrenia. Schizophrenia Research, 3, 333–345.Google Scholar
Salokangas, R. K. R. & Stengård, E. (1990b) Is the outcome of schizophrenia becoming better in Finland? Paper read at World Psychiatric Association Regional Symposium ‘Aetiology of Mental Disorders', Oslo, 23–26 August 1990. Abstract vol. 26.Google Scholar
Salokangas, R. K. R. & Saarinen, S. (1991) Pirkanmaan psykiatriset laitos- ja kuntoutuspotilaat. Tutkimus Pirkanmaan sairaanhoitopiirin psykiatristen laitos- ja kuntoutuspaikkojen potilasrakenteessa vuosina 1984–1989 tapahtuneista muutoksista. (English summary: Psychiatric hospital and rehabilitation patients in Pirkanmaa. Changes in patient structure in the Pirkanmaa Health District 1984–1989.) Tampere: Tampereen yliopistollinen sairaala.Google Scholar
Salokangas, R. K. R., Stengård, E., Räkköläinen, V., et al (1991a) Uusien skitsofreniapotilaiden hoito ja ennuste (USP-projekti): V. Viiden vuoden ennuste. (English summary: Treatment and prognosis of new schizophrenia patients. A five-year follow-up.) Reports of Psychiatria Fennica (Helsinki), Report 95.Google Scholar
Salokangas, R. K. R., Palo-Oja, T., Ojanen, M., et al (1991b) Need for community care among psychiatric outpatients suffering from functional psychosis. Acta Psychiatrica Scandinavica, 84, 191–196.Google Scholar
Salokangas, R. K. R., Stengård, E. & Perälä, K. (1991c) Omaisen arkipäivää: tutkimus psykiatristen potilaiden omaisista ja heidän kokemuksistaan. Tampere: Mielenterveystutkimusyksikkö, Kansanterveystieteen laitos, Tampereen yliopisto.Google Scholar
Salokangas, R. K. R., Palo-Oja, T. & Ojanen, M. (1991d) The need for social support among out-patients suffering from functional psychosis. Psychological Medicine, 21, 209–217.Google Scholar
Salokangas, R. K. R. & Nordling, E. (1992) Pirkanmaan psykiatriset avohoidon potilaat. Tampere: Tampereen yliopistollinen sairaala.Google Scholar
Salokangas, R. K. R., Saarinen, S. & Ojanen, M. (1992) Sairaalasta kotiutetut skitsofreniapotilaat (SKS-projekti): I. Vuonna 1986 kotiutettujen potilaiden kliininenja toiminnallinen tila, hoito-ja tukipalveluiden käyttö sekä niiden arvioitu tarve. (English summary: Discharged schizophrenia patients (DSP-project): I. Patients discharged in 1986 from hospital: clinical and functional status, use of treatment and support services, and evaluated needs for services.) Reports of Psychiatria Fennica (Helsinki), Report 97.Google Scholar
Seeman, M. V. (1986) Current outcome in schizophrenia: women vs men. Acta Psychiatrica Scandinavica, 73, 609–617.Google Scholar
Shepherd, M., Watt, D., Falloon, I., et al (1989) The Natural History of Schizophrenia: a Five Year Follow-Up Study of Outcome and Prediction in a Representative Sample of Schizophrenics. Psychological Medicine, monograph suppl. 15.Google Scholar
Väisänen, E. (1975) Mielenterveyden häiriöt Suomessa. (English summary: Psychiatric disorders in Finland.) Helsinki: Kansaneläkelaitoksen julkaisuja AL 2.Google Scholar
Wattie, B. J. S. & Kedward, H. B. (1985) Gender differences in living conditions found among male and female schizophrenic patients on a follow-up study. International Journal of Social Psychiatry, 31, 205–216.Google Scholar
Wing, J. K. (1982a) Rehabilitation and management of schizophrenia. In Psychoses of Uncertain Aetiology: Handbook of Psychiatry 3 (eds Wing, J. K. & Wing, L.), pp. 88–95. Cambridge: Cambridge University Press.Google Scholar
Wing, J. K. (ed.) (1982b) Long-Term Community Care: Experience in a London Borough. Psychological Medicine, monograph suppl 2.Google Scholar
Wing, J. K. & Morris, B. (eds) (1981) Handbook of Psychiatric Rehabilitation Practice. Oxford: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.