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Social Psychiatry and Psychiatric Epidemiology

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Open Access 28-04-2023 | Mood Disorders | Research

Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland

Authors: Tino Karolaakso, Reija Autio, Petra Suontausta, Helena Leppänen, Päivi Rissanen, Turkka Näppilä, Martti T. Tuomisto, Sami Pirkola

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2024

Abstract

Purpose

Public mental health services (MHS) are crucial in preventing psychiatric disability pensions (DP). We studied the associations between mood disorder DP risk and the characteristics of Finnish municipalities’ MHS provision using the ESMS-R mapping tool and Finnish population registers, based on first-time granted mood disorder DPs between 2010 and 2015.

Methods

The final data set included 13,783 first-time mood disorder DP recipients and 1088 mental health service units in 104 municipalities. We focused on five different MHS types: all MHS, outpatient care provision, local services without and with gatekeeping, and centralized services. Three factors for each MHS type were studied: service resources, richness, and diversity index. Negative binomial regression models were used in the analysis.

Results

In all the municipalities, higher service richness and diversity regarding all MHS, outpatient care and local services with gatekeeping were associated with a lower DP risk. In urban municipalities, service richness was mainly associated with lower DP risk, and in semi-urban municipalities service diversity and resources were primarily associated with lower DP risk in outpatient care and local services with gatekeeping. In rural municipalities, DP risk indicated no association with MHS factors.

Conclusion

The organization and structure of MHS play a role in psychiatric disability pensioning. MHS richness and diversity are associated with lower mood disorder DP in specific societal contexts indicating their role as quality indicators for regional MHS. The diversity of service provision should be accounted for in MHS planning to offer services matching population needs.

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Title: Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland
Authors: Tino Karolaakso
Reija Autio
Petra Suontausta
Helena Leppänen
Päivi Rissanen
Turkka Näppilä
Martti T. Tuomisto
Sami Pirkola
Publication date: 28-04-2023
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 4/2024
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-023-02481-5

Keynote webinar | Spotlight on medication adherence

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Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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