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01-08-2016 | Original Paper

After the Asylum? The New Institutional Landscape

Authors: Alain Topor, Gunnel Andersson, Per Bülow, Claes-Göran Stefansson, Anne Denhov

Published in: Community Mental Health Journal | Issue 6/2016

Abstract

During the last decades services to people with severe mental health problems have gone through important changes. Terms as de-, trans-, reinstitutionalisation and dehospitalisation has been used. The objective of the study was to collected data about the changes in a welfare society about the new institutional landscape after the mental hospital area. Data about interventions from social welfare agencies, psychiatric care, and prisons were collected from local and national register as well as data about cause of death and socio-economic status for 1355 persons treated with a diagnosis of psychosis in a Stockholm area 2004–2008. Psychiatric in-patient care and prisons are marginalized. Different interventions in open care touched a very large number of persons. Social welfare agencies play an increasing role in this context. The total institutions have been replaced by a network of micro-institutions sometimes offering help but also control.

In Sweden, group homes, residential care facilities, supported housing and day activity centres are run by the municipalities with staff consisting mainly of social workers, most of them without psychiatric training. Psychiatric in- and out-patient care is run by the regional authorities with a staff of psychiatrists, nurses and psychologists.

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Title: After the Asylum? The New Institutional Landscape
Authors: Alain Topor
Gunnel Andersson
Per Bülow
Claes-Göran Stefansson
Anne Denhov
Publication date: 01-08-2016
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 6/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9928-7

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