Teknologia täydentää mielenterveyspalveluita : rahoituspäätökset ohjaavat kehittämisen suuntaa

Teknologia-avusteisten mielenterveyden hoitomallien ja sovellusten kehittämistä ja käyttöönottoa voidaan ohjata rahoituspäätöksillä. Julkaisuun on koottu päättäjille ja käyttöönottajille tarkoitettuja tärkeimpiä periaatteita rahoituspäätöksiin

Long-term work disability due to type I and II bipolar disorder : findings of a six-year prospective study

Publisher Copyright: © 2022, The Author(s).Background: Bipolar disorder (BD) is one of the leading causes of disability worldwide. However, the prevalence and predictors of long-term work disability among patients with type I and II BD have scarcely been studied. We investigated the clinical predictors of long-term work disability among patients with BD. Methods: The Jorvi Bipolar Study (JoBS) is a naturalistic prospective cohort study (n = 191) of adult psychiatric in- and out-patients with DSM-IV type I and II BD in three Finnish cities. Within JoBS we examined the prevalence and predictors of disability pension being granted during a six-year follow-up of the 152 patients in the labor force at baseline and collected information on granted pensions from national registers. We determined the predictors of disability pension using logistic regression models. Results: Over the 6 years, 44% of the patients belonging to the labor force at baseline were granted a disability pension. Older age; type I BD; comorbidity with generalized anxiety disorder, post-traumatic stress disorder or avoidant personality disorder; and duration of time with depressive or mixed symptoms predicted disability pensions. Including disability pensions granted before baseline increased their total prevalence to 55.5%. The observed predictors were similar. Conclusion: This regionally representative long-term prospective study found that about half of patients with type I or II bipolar disorder suffer from persistent work disability that leads to disability pension. In addition to the severity of the clinical course and type I bipolar disorder, the longitudinal accumulation of time depressed, psychiatric comorbidity, and older age predicted pensioning.Peer reviewe

A national implementation of Interpersonal consulting, adolescent version (IPC-A) in Finland

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