Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland

Tutkimustuotos: ArtikkeliTieteellinenvertaisarvioitu

2 Sitaatiot (Scopus)
16 Lataukset (Pure)

Abstrakti

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.

AlkuperäiskieliEnglanti
Sivut631-642
Sivumäärä12
JulkaisuSOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
Vuosikerta59
Varhainen verkossa julkaisun päivämäärä2023
DOI - pysyväislinkit
TilaJulkaistu - 2024
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä

Rahoitus

Open access funding provided by Tampere University including Tampere University Hospital, Tampere University of Applied Sciences (TUNI). The Finnish National Research Fund supported this work through the Pirkanmaa Hospital District [grant number 9V052]. The funding source had no involvement in the study design, in the writing of the report, in the decision to submit the article for publication or in the collection, analysis and interpretation of data.

Julkaisufoorumi-taso

  • Jufo-taso 2

!!ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

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