Document Detail

Disability pensions in severely disturbed in-patient adolescents. Twenty-year prospective study.
MedLine Citation:
PMID:  9519069     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Knowledge of working capacity from adolescence until adulthood among severely disturbed in-patients is scarce. METHOD: In a follow-up study of 61 adolescent in-patients, we studied associations between being on a disability pension 20 years after hospitalisation, and the patients' psychopathology and treatment-related factors during the hospitalisation and seven-year follow-up. RESULTS: Of the former in-patients, 27% had not been on a disability pension, 20% had short-term pension periods, and 53% were pensioned. Subjects whose overall psychosocial functioning had improved and who had not utilised in-patient services until the seven-year follow-up, had a better prognosis in terms of working capacity. Half of the subjects who had not been on pension during the follow-up had received a diagnosis of conduct disorder at discharge, and half of those pensioned had a psychotic disorder. CONCLUSIONS: The patients' level of psychosocial functioning and capability to work in young adulthood were associated with long-term prognosis in terms of working capacity. Adolescence seems to be the critical time for intensive psychiatric care combined with vocational rehabilitation programmes.
M Pelkonen; M Marttunen; E Pulkkinen; P Laippala; J Lönnqvist; H Aro
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  172     ISSN:  0007-1250     ISO Abbreviation:  Br J Psychiatry     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-04-01     Completed Date:  1998-04-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  159-63     Citation Subset:  IM    
Tampere School of Public Health, University of Tampere, Finland.
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MeSH Terms
Age Factors
Analysis of Variance
Follow-Up Studies
Mentally Disabled Persons*
Prospective Studies
Social Security*
Comment In:
Br J Psychiatry. 1998 May;172:452   [PMID:  9747420 ]

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