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3 results

  • Needs and care of migrants considered as severely mentally ill – cross-sectional and longitudinal studies of a Swedish sample

  • H. Arvidsson, S. Hultsjö
  • Journal:
    European Psychiatry / Volume 24 / Issue 8 / December 2009
    Published online by Cambridge University Press:
    16 April 2020, pp. 533-539
  • Purpose

    Higher incidence of mental illnesses and less access to care is previously reported concerning migrants but few studies focus on the needs and care of migrant groups in psychiatry. The aim of this study was to compare differences in needs and care between migrant and nonmigrant groups of severely and persistently mentally ill (SMI) after the 1995 Swedish mental health care reform.

    Methods

    In a Swedish area, inventories were made in 2001 and 2006 of persons considered as SMI. These persons were interviewed and their needs were assessed. In a cross-sectional study in 2006, needs and care were compared between migrants and nonmigrants. In a longitudinal study, migrants and nonmigrants interviewed in both 2001 and 2006 were compared concerning the development of needs and care.

    Results

    The needs of the migrant group were less taken care of. In 2006, there were more unmet needs in this group concerning accommodation, physical health, psychological distress, basic education and economy.

    Conclusion

    The improvement of groups considered as SMI concerning functional disability and efforts of care found in the actual area did not seem to include the migrant group, at least not to the same degree.

  • Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management

  • T. Björkman, L. Hansson
  • Journal:
    European Psychiatry / Volume 17 / Issue 1 / March 2002
    Published online by Cambridge University Press:
    16 April 2020, pp. 33-40

  • One hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.

  • Recovered or dead? A Swedish study of 321 persons surveyed as severely mentally ill in 1995/96 but not so ten years later

  • H. Arvidsson
  • Journal:
    Epidemiology and Psychiatric Sciences / Volume 20 / Issue 1 / March 2011
    Published online by Cambridge University Press:
    28 March 2011, pp. 55-63
  • Aim.

    The aim was to follow-up a group of persons who were considered severely and persistently mentally ill (SMI) at the time of the 1995 Swedish mental health-care reform but not so ten years later.

    Methods.

    Surveys were conducted in 1995/96 and 2006 in an area of Sweden. Of 602 persons surveyed as SMI in 1995/96, 321 were not found to be so in a similar survey in 2006. These persons were followed up concerning death rates and causes, as well as concerning recovery and present care. Comparisons between subgroups were made using the results of interviews conducted in 1995/96.

    Results.

    Nineteen percent of the persons considered SMI in 1995/96 were recovered in 2006 in the sense that they no longer were considered SMI. The only variable found to predict recovery was diagnosis. Half of the persons in the sample given a diagnosis of neurosis were recovered but only 6% of those given a diagnosis of psychosis. Death rates and death causes seemed to be in line with previous research.

    Conclusions.

    Relatively few persons were considered recovered after ten years. Most persons in the sample were still in contact with care and services.