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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 8/2019

Open Access 01-08-2019 | Original Paper

Recovery and economy; salary and allowances: a 10-year follow-up of income for persons diagnosed with first-time psychosis

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

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2019

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Abstract

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.
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Metadata
Title
Recovery and economy; salary and allowances: a 10-year follow-up of income for persons diagnosed with first-time psychosis
Authors
Alain Topor
Claes-Göran Stefansson
Anne Denhov
Per Bülow
Gunnel Andersson
Publication date
01-08-2019
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2019
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-019-01655-4

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