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Does the length of institutionalization matter? Longitudinal follow-up of persons with severe mental illness 65 year and older: shorter-stay versus longer-stay
Jönköping University; Indiana University Southeast, USA.ORCID iD: 0000-0003-2346-2470
Jönköping University; University of the Free State, South Africa.ORCID iD: 0000-0001-7341-945X
Jönköping University.ORCID iD: 0000-0002-3916-2977
Ersta Sköndal Bräcke University College, Centre for Civil Society Research. Jönköping University.ORCID iD: 0000-0001-9702-2043
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2021 (English)In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 36, no 8, p. 1223-1230Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: As part of the process of de-institutionalization in the Swedish mental healthcare system, a reform was implemented in 1995, moving the responsibility for services and social support for people with severe mental illness (SMI) from the regional level to the municipalities. In many ways, older people with SMI were neglected in this changing landscape of psychiatric care. The aim of this study is to investigate functional levels, living conditions, need of support in daily life, and how these aspects changed over time for older people with SMI.

METHODS: In this study we used data from surveys collected in 1996, 2001, 2006, and 2011 and data from national registers. A group of older adults with severe persistent mental illness (SMI-O:P) was identified and divided into those who experienced shorter stays (less than 3 years) in a mental hospital (N = 118) and longer stays (N = 117).

RESULTS: After correcting for longitudinal changes with age, the longer-stay group was more likely than the shorter-stay group to experience functional difficulties and as a result, were more likely to have experienced "re-institutionalization" to another care setting, as opposed to living independently.

CONCLUSIONS: The length of mental illness hospitalization has significant effects on the living conditions of older people with SMI and their ability to participate in social life. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
2021. Vol. 36, no 8, p. 1223-1230
Keywords [en]
Aging, Deinstitutionalization, Longitudinal studies, Re-institutionalization, Severe mental illness, Severe persistant mental illness
National Category
Social Work Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:esh:diva-8620DOI: 10.1002/gps.5515ISI: 000621120500001PubMedID: 33577096OAI: oai:DiVA.org:esh-8620DiVA, id: diva2:1528254
Available from: 2021-02-15 Created: 2021-02-15 Last updated: 2023-01-26Bibliographically approved

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Jegermalm, Magnus

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