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Mental health care reform in Sweden, 1995[Note 1. This paper was read in a preliminary version at ...]
Author(s) -
Stefansson C.G.,
Hansson L.
Publication year - 2001
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.2001.1040s2082.x
Subject(s) - subsidy , mental health , rehabilitation , psychiatric rehabilitation , social welfare , population , psychiatry , social care , medicine , mental illness , nursing , psychology , gerontology , environmental health , political science , physical therapy , law
Objective: To describe the content of the Community Mental Health Care reform in Sweden, in effect from 1995 and directed to severely mentally ill people (SMI). Method: Evaluating changes, at local and national level, in living conditions among SMI and resources of services directed to them, by using registers, questionnaires, interviews and case studies. Results: A survey, covering 93% of the population, identified 43 000 SMI (prevalence of 0.63%); 4000 long‐stay patients and 400 rehabilitation programmes were transferred from psychiatric services to social services (15% of the budget of psychiatric services). Employment and rehabilitation projects, family support and user programmes and educational projects for social services staff, were launched (funded by state subsidies). Conclusion: SMI still have difficulties in obtaining adequate support on the basis of disability laws and there continue to be barriers between social services and psychiatric services.