Organization of Community Psychiatric Services in Finland

Background. The Finnish psychiatric treatment system has undergone a rapid transformation from operating in institutional settings to a adopting a community-based approach, through implementation of national plans; this process was carried out quickly, due to a severe economic recession in the early...

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Autor principal:	Jyrki Korkeila
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2021
Materias:	community psychiatry development outcome use of services Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/1614705f5f1b4228bd66bd55e93e19a2
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id	oai:doaj.org-article:1614705f5f1b4228bd66bd55e93e19a2
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spelling	oai:doaj.org-article:1614705f5f1b4228bd66bd55e93e19a22021-11-30T16:05:53ZOrganization of Community Psychiatric Services in Finland2712-76722713-291910.17816/CP64https://doaj.org/article/1614705f5f1b4228bd66bd55e93e19a22021-03-01T00:00:00Zhttps://consortium-psy.com/jour/article/viewFile/64/pdfhttps://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919Background. The Finnish psychiatric treatment system has undergone a rapid transformation from operating in institutional settings to a adopting a community-based approach, through implementation of national plans; this process was carried out quickly, due to a severe economic recession in the early 1990s. Methods. This paper is a narrative review, based on relevant documents by national authorities, academic dissertations and published scientific literature, between 1984 and 2018, as well as the interviews of key experts in 2019. Results. The municipality is currently the primary organization, responsible for all health services. Municipalities may also work together in organizing the services, either through unions of municipalities or hospital districts. Services are to a great extent outpatient-oriented. The number of beds is one fifth of the previous number, around four decades ago, despite the increase in population. In 2017, 191,895 patients in total (4% of Finns) had used outpatient psychiatric services, and the number of visits totalled 2.25 million. Psychotherapy is mainly carried out in the private sector by licensed psychotherapists. Homelessness in relation to discharged psychiatric patients has not been in evidence in Finland and deinstitutionalization has not caused an increase in the mortality rate among individuals with severe mental disorders. Conclusion. Psychiatric patients have, in general, benefitted greatly from the shift from institutions to the community. This does not preclude the fact that there are also shortcomings. The development of community care has, to date, focused too heavily on resource allocation, at the expense of strategic planning, and too little on methods of treatment.Jyrki KorkeilaEco-Vectorarticlecommunity psychiatrydevelopmentoutcomeuse of servicesPsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 2, Iss 1, Pp 55-64 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	community psychiatry development outcome use of services Psychiatry RC435-571 Psychology BF1-990
spellingShingle	community psychiatry development outcome use of services Psychiatry RC435-571 Psychology BF1-990 Jyrki Korkeila Organization of Community Psychiatric Services in Finland
description	Background. The Finnish psychiatric treatment system has undergone a rapid transformation from operating in institutional settings to a adopting a community-based approach, through implementation of national plans; this process was carried out quickly, due to a severe economic recession in the early 1990s. Methods. This paper is a narrative review, based on relevant documents by national authorities, academic dissertations and published scientific literature, between 1984 and 2018, as well as the interviews of key experts in 2019. Results. The municipality is currently the primary organization, responsible for all health services. Municipalities may also work together in organizing the services, either through unions of municipalities or hospital districts. Services are to a great extent outpatient-oriented. The number of beds is one fifth of the previous number, around four decades ago, despite the increase in population. In 2017, 191,895 patients in total (4% of Finns) had used outpatient psychiatric services, and the number of visits totalled 2.25 million. Psychotherapy is mainly carried out in the private sector by licensed psychotherapists. Homelessness in relation to discharged psychiatric patients has not been in evidence in Finland and deinstitutionalization has not caused an increase in the mortality rate among individuals with severe mental disorders. Conclusion. Psychiatric patients have, in general, benefitted greatly from the shift from institutions to the community. This does not preclude the fact that there are also shortcomings. The development of community care has, to date, focused too heavily on resource allocation, at the expense of strategic planning, and too little on methods of treatment.
format	article
author	Jyrki Korkeila
author_facet	Jyrki Korkeila
author_sort	Jyrki Korkeila
title	Organization of Community Psychiatric Services in Finland
title_short	Organization of Community Psychiatric Services in Finland
title_full	Organization of Community Psychiatric Services in Finland
title_fullStr	Organization of Community Psychiatric Services in Finland
title_full_unstemmed	Organization of Community Psychiatric Services in Finland
title_sort	organization of community psychiatric services in finland
publisher	Eco-Vector
publishDate	2021
url	https://doaj.org/article/1614705f5f1b4228bd66bd55e93e19a2
work_keys_str_mv	AT jyrkikorkeila organizationofcommunitypsychiatricservicesinfinland
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Organization of Community Psychiatric Services in Finland

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