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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 ,
M. Marttunen ,
E. Pulkkinen ,
P. Laippala ,
J. Lönnqvist  and
H. Aro
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
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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
Information
The British Journal of Psychiatry , Volume 172 , Issue 2 , February 1998 , pp. 159 - 163
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Asarnow, J. R. Tompson, M. C. & Goldstein, M. J. (1994) Childhood-onset schizophrenia: a followup study. Schizophrenia Bulletin, 20, 599–617.Google Scholar
Central Statistical Office of Finland (1987) Classification of Occupations. Helsinki: Central Statistical Office of Finland.Google Scholar
Dixon, W. J. Brown, M. B. Engelman, L. et al (1990) BMDP Statistical Software Manual, vol. 2. Berkeley, CA: University of California Press.Google Scholar
Eggers, C. & Bunk, D. (1997) The long-term course of childhood-onset schizophrenia: a 42-year followup. Schizophrenia Bulletin, 23, 105–117.Google Scholar
Endicott, J. Spitzer, R. L. Fleiss, J. L. et al (1976) The Global Assessment Scale. Archives of General Psychiatry, 33, 766–771.Google Scholar
Gardner, M. J. & Altman, D. G. (1989) Statistics with Confidence. London: BMJ Press.Google Scholar
Hytti, H. (1993) Social and Societal Determinants of Disability Pension Incidence. (In Finnish. English summary.) Helsinki: Social Insurance Institution, M: 87.Google Scholar
Larsen, F. W. (1991) A 30-year follow-up study of a child psychiatric clientele. II. Psychiatric morbidity Acta Psychiatrica Scandinavica, 84, 65–71.Google Scholar
Lönnqvist, J. (1984) Evaluation of psychiatric treatment. Psychiatrica Fennica, 15, 29–40.Google Scholar
Moran, M. A. Engelman, L. Fitzgerald, G. et al (1990) Polychotomous stepwise logistic regression. In BMDP Statistical Software Manual, vol. 2 (eds Dixon, W. J. Brown, M. B. Engelman, L. et al), pp. 1047–1077. Berkeley CA: University of California Press.Google Scholar
National Board of Health (1969) Classificatio Morborum et Causarum Mortis. Helsinki.Google Scholar
Norusis, M. J. (1993) SPSS for Windows, Advanced Statistics. Release 6.0. Chicago, IL: SPSS Inc.Google Scholar
Pelkonen, M. (1990) Inpatient psychiatric adolescents function better than expected after discharge. A follow-up study Acta Psychiatrica Scandinavica, 81, 317–321.Google Scholar
Pfeiffer, S. I. & Strzelecki, S. C. (1990) Inpatient psychiatric treatment of children and adolescents: a review of outcome studies. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 847–853.Google Scholar
Remschmidt, H. E. Schulz, E. Martin, M. et al (1994) Childhood-onset schizophrenia: history of the concept and recent studies. Schizophrenia Bulletin, 20, 727–745.Google Scholar
Social Insurance Institutton (1995) Statistical Yearbook of the Social Insurance Institution. (In Finnish, English summary.) Helsinki: Social Insurance Institution. TI: 31.Google Scholar
Wells, P. & Faragher, B. (1993) In-patient treatment of 165 adolescents with emotional and conduct disorders. A study of outcome. British Journal of Psychiatry, 162, 345–352.Google Scholar
Welner, A. Welner, Z. & Fishman, R. (1979) Psychiatric adolescent inpatients. Archives of General Psychiatry, 36, 698–700.Google Scholar
Werry, J. S. McClellan, J. M. & Chard, L. (1991) Childhood and adolescent schizophrenic, bipolar and schizoaffective disorders: a clinical and outcome study. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 457–465.Google Scholar
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