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Does the length of institutionalization matter? Longitudinal follow-up of persons with severe mental illness 65 years and older: shorter-stay versus longer-stay
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, USA.ORCID iD: 0000-0003-2346-2470
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Department of Social Work, University of the Free State, South Africa.ORCID iD: 0000-0001-7341-945X
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).ORCID iD: 0000-0002-3916-2977
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Department of Social Work, Ersta Sköndal Bräcke University College, Sweden.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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021. Vol. 36, no 8, p. 1223-1230
Keywords [en]
ageing, deinstitutionalization, longitudinal studies, re-institutionalization, severe mental illness, severe persistent mental illness
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-51985DOI: 10.1002/gps.5515ISI: 000621120500001PubMedID: 33577096Scopus ID: 2-s2.0-85101520533Local ID: HOA;;725389OAI: oai:DiVA.org:hj-51985DiVA, id: diva2:1534132
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015‐00223Available from: 2021-03-04 Created: 2021-03-04 Last updated: 2021-12-29Bibliographically approved

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Finkel, DeborahBülow, Pia H.Wilińska, MonikaJegermalm, MagnusTorgé, Cristina JoyErnsth-Bravell, Marie

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Finkel, DeborahBülow, Pia H.Wilińska, MonikaJegermalm, MagnusTorgé, Cristina JoyErnsth-Bravell, Marie
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HHJ, Institute of GerontologyHHJ. ARN-J (Aging Research Network - Jönköping)HHJ, Dep. of Social WorkHHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue)
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International Journal of Geriatric Psychiatry
Gerontology, specialising in Medical and Health Sciences

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