Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland.
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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. |
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| Authors: | Karolaakso, Tino (AUTHOR), Autio, Reija (AUTHOR), Suontausta, Petra (AUTHOR), Leppänen, Helena (AUTHOR), Rissanen, Päivi (AUTHOR), Näppilä, Turkka (AUTHOR), Tuomisto, Martti T. (AUTHOR), Pirkola, Sami (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Apr2024, Vol. 59 Issue 4, p631-642. 12p. |
| Subjects: | Mental health services, Disability retirement, Affective disorders, Mental illness, Association of ideas, Children with intellectual disabilities |
| Geographic Terms: | Finland |
| 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. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 176222596 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Karolaakso%2C+Tino%22">Karolaakso, Tino</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Autio%2C+Reija%22">Autio, Reija</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Suontausta%2C+Petra%22">Suontausta, Petra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leppänen%2C+Helena%22">Leppänen, Helena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rissanen%2C+Päivi%22">Rissanen, Päivi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Näppilä%2C+Turkka%22">Näppilä, Turkka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tuomisto%2C+Martti+T%2E%22">Tuomisto, Martti T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pirkola%2C+Sami%22">Pirkola, Sami</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Apr2024, Vol. 59 Issue 4, p631-642. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+retirement%22">Disability retirement</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Association+of+ideas%22">Association of ideas</searchLink><br /><searchLink fieldCode="DE" term="%22Children+with+intellectual+disabilities%22">Children with intellectual disabilities</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Finland%22">Finland</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: 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. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-023-02481-5 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 631 Subjects: – SubjectFull: Mental health services Type: general – SubjectFull: Disability retirement Type: general – SubjectFull: Affective disorders Type: general – SubjectFull: Mental illness Type: general – SubjectFull: Association of ideas Type: general – SubjectFull: Children with intellectual disabilities Type: general – SubjectFull: Finland Type: general Titles: – TitleFull: Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Karolaakso, Tino – PersonEntity: Name: NameFull: Autio, Reija – PersonEntity: Name: NameFull: Suontausta, Petra – PersonEntity: Name: NameFull: Leppänen, Helena – PersonEntity: Name: NameFull: Rissanen, Päivi – PersonEntity: Name: NameFull: Näppilä, Turkka – PersonEntity: Name: NameFull: Tuomisto, Martti T. – PersonEntity: Name: NameFull: Pirkola, Sami IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 59 – Type: issue Value: 4 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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