title: After the Asylum? The New Institutional Landscape.
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 The total institutions have been replaced by a network of micro-institutions sometimes offering help but also control.
authors: Department of Social Work, Stockholm University, 106 91, Stockholm, Sweden. alain.topor@socarb.su.se.|Psychiatry South Stockholm, Stockholm, Sweden. alain.topor@socarb.su.se.|Department of Mental Health, University of Agder, Kristiansand, Norway. alain.topor@socarb.su.se.
authors: Alain
authors: A
authors: Topor
authors: Research and Development Unit, FoU Södertörn, Römossev. 25, 146 31, Tullinge, Sweden.
authors: Gunnel
authors: G
authors: Andersson
authors: Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden.
authors: Per
authors: P
authors: Bülow
authors: Research and Development Unit, Psychiatry South Stockholm, Box 5040, 121 05, Johanneshov, Sweden.
authors: Claes-Göran
authors: CG
authors: Stefansson
authors: Research and Development Unit, Department of Social Work, Psychiatry South Stockholm, Stockholm University, Box 5040, 121 05, Johanneshov, Sweden.
authors: Anne
authors: A
authors: Denhov
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000600:supply & distribution; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D008875:Middle Aged; D011618:Psychotic Disorders / Q000401:mortality / Q000628:therapy*; D012946:Social Welfare; D012959:Socioeconomic Factors; D013548:Sweden / Q000453:epidemiology
keywords: Follow-up; Institutionalization; Psychiatric care; Severe mental illness; Social services