Successful deinstitutionalization of mental health care: increased life expectancy among people with mental disorders in Finland
Abstract
To assess impact of deinstitutionalization of mental health care, we studied life expectancy for 341 630 people with hospitalization or early retirement pension for mental disorders in 1981-2003 in Finland. Life expectancy at the age of 15 years was significantly shorter for men/women with serious mental disorder (59.0/70.8 years) than in the general population (75.3/82.1 years) in 2001-03. Life expectancy increased for people with schizophrenia and other psychoses, mood disorders and neurotic disorders, but decreased for people with substance use disorders. Deinstitutionalization and decentralization of mental health services did not affect life expectancy negatively. Policy measures to control adverse effects of alcohol and substance abuse have failed.
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Excess early mortality in schizophrenia.
Laursen, T. M., Nordentoft, M., & Mortensen, P. B. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153657 · Cited by 913 · see citing works
Laursen, T. M., Wahlbeck, K., Hällgren, J., Westman, J., Ösby, U., Alinaghizadeh, H., Gissler, M., & Nordentoft, M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0067133 · Cited by 313 · see citing works
Self-citationGissler, M., Laursen, T. M., Ösby, U., Nordentoft, M., & Wahlbeck, K. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-834 · Cited by 52 · see citing works
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- Authors
- Westman, J., Gissler, M., & Wahlbeck, K.
- Affiliations
- Karolinska Institutet (SE)
- Finnish Institute for Health and Welfare (FI)
- Venue
- The European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-06-09
- Volume
- 22
- Issue
- 4
- Pages
- 604-606
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- OpenAlex
- W2155015327
- Cited by
- 37
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 14 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2 · 2014: 4 · 2013: 4 · 2012: 1
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Centre
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- deinstitutionalization, mental health services, life expectancy, severe mental illness, schizophrenia, psychosis, mood disorders, neurosis, substance use disorders, alcohol policy, Finland
- MeSH terms
- Mental Disorders, Cause of Death, Deinstitutionalization, Female, Finland, Follow-Up Studies, Humans, Life Expectancy, Male, Mental Health, Mental Health Services, Middle Aged, Quality of Life, Registries, Sex Distribution
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