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Disability pensions in severely disturbed in-patient adolescents

Twenty-year prospective study

Published online by Cambridge University Press:  02 January 2018

M. Pelkonen*
Affiliation:
Tampere School of Public Health, University of Tampere, Tampere, and Department of Mental Health, National Public Health Institute, Helsinki
M. Marttunen
Affiliation:
Department of Mental Health, National Public Health Institute, Helsinki and University of Helsinki, Department of Psychiatry, Helsinki
E. Pulkkinen
Affiliation:
Adolescent Psychiatric Unit, Kellokoski Hospital, Kellokoski
P. Laippala
Affiliation:
Tampere School of Public Health and Tampere University Hospital, Tampere
J. Lönnqvist
Affiliation:
Department of Mental Health, National Public Health Institute, Helsinki
H. Aro
Affiliation:
Tampere School of Public Health, University of Tampere, Tampere, and Department of Mental Health, National Public Health Institute, Helsinki, Finland
*
Mirjami Pelkonen, Researcher, Department of Mental Health, National Public Health Institute, Mannerheimintie 166, FIN-00300, Helsinki, Finland. Tel: (358) 9 4744213; Fax: (358) 9 4744478

Abstract

Background

Knowledge of working capacity from adolescence until adulthood among severely disturbed in-patients is scarce.

Method

In a follow-up study of 61 adolescent in-patients, we studied associations between being on a disability pension 20 years after hospitalisation, and the patients' psychopathology and treatment-related factors during the hospitalisation and seven-year follow-up.

Results

Of the former in-patients. 27% had not been on a disability pension, 20% had short-term pension periods, and 53% were pensioned. Subjects whose overall psychosocial functioning had improved and who had not utilised in-patient services until the seven-year follow-up, had a better prognosis in terms of working capacity Half of the subjects who had not been on pension during the follow-up had received a diagnosis of conduct disorder at discharge, and half of those pensioned had a psychotic disorder.

Conclusions

The patients' level of psychosocial functioning and capability to work in young adulthood were associated with long-term prognosis in terms of working capacity Adolescence seems to be the critical time for intensive psychiatric care combined with vocational rehabilitation programmes.

Type
Papers
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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