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Recovery and economy; salary and allowances: a 10-year follow-up of income for persons diagnosed with first-time psychosis
Stockholms universitet, Department of Social Work, Stockholm, Sweden.
Stockholms universitet, Department of Social Work, Stockholm, Sweden.
Stockholms universitet, Department of Social Work, Stockholm, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden.
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2019 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 54, no 8, p. 919-926Article in journal (Refereed) Published
Abstract [en]

Purpose: Persons with severe mental health problems (SMHP) point out financial strain as one of their main problems. De-institutionalisation in welfare countries has aimed at normalisation of their living conditions. The aim of the study was to follow the changes in income and source of income during a 10-year period for persons with a first-time psychosis diagnosis (FTPD).

Methods: Data were gathered from different registers. Data from persons with FTPD were compared to data on the general population. Two groups with different recovery paths were also compared: one group without contact with the mental health services during the last five consecutive years of the 10-year follow-up, and the other with contact with both 24/7 and community-based services during the same period.

Results: SMHP led to poverty, even if the financial effects of SMHP were attenuated by welfare interventions. Even a recovery path associated with work did not resolve the inequalities generated by SMHP.

Conclusions: Attention should be paid to the risks of confusing the effects of poverty with symptoms of SMHP and thus pathologizing poverty and its impact on human beings. Adequate interventions should consider to improve the financial situation of persons with SMHP. 

Place, publisher, year, edition, pages
Springer, 2019. Vol. 54, no 8, p. 919-926
Keywords [en]
Financial strain, Long-term follow-up, Poverty, Psychosis, Recovery
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
URN: urn:nbn:se:hj:diva-42796DOI: 10.1007/s00127-019-01655-4ISI: 000478101400004PubMedID: 30631889Scopus ID: 2-s2.0-85059832498Local ID: HOA HHJ 2019OAI: oai:DiVA.org:hj-42796DiVA, id: diva2:1284498
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-0117Available from: 2019-01-31 Created: 2019-01-31 Last updated: 2019-08-14Bibliographically approved

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