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Clients with long-term mental disabilities in a Swedish county—conditions of life, needs of support and unmet needs of service provided by the public health and social service sectors

Published online by Cambridge University Press:  16 April 2020

Lennart Jansson ,
Karin Sonnander  and
Frits-Axel Wiesel
Lennart Jansson*
Affiliation:
Department of Neuroscience, Psychiatry, Ulleråker, Uppsala University Hospital, 750 17Uppsala, Sweden
Karin Sonnander
Affiliation:
Department of Neuroscience, Psychiatry, Ulleråker, Uppsala University Hospital, 750 17Uppsala, Sweden
Frits-Axel Wiesel
Affiliation:
Department of Neuroscience, Psychiatry, Ulleråker, Uppsala University Hospital, 750 17Uppsala, Sweden
*
*Corresponding author. E-mail address: lennart.jansson@neuro.uu.se (L. Jansson).
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Abstract

Objective

The purpose of the study was to identify and describe conditions of life and needs of support and public service for clients with a mental disability in a Swedish county population.

Methods

Public health care and social service providers identified clients and completed a questionnaire concerning the clients’ conditions of life and their special needs. A consecutively recruited sample of clients completed a similar questionnaire.

Results

Totally, 1261 clients were identified. The prevalence of clients with mental disabilities was in the urban and rural areas, 6.4/1000 inhabitants and 4.5/1000 inhabitants, respectively. The most prevalent unmet need (42.9%) was to participate in social and scheduled activities. Almost half of the group was reported to need support in activities of daily living. Clients living in urban settings more often needed support with activities of daily living (P < 0.001), whereas clients living in rural settings more often needed support with job training (P < 0.001) or finding work (P < 0.01). Clients and psychiatric care providers reported the needs of the clients in the same areas; however, clients reported a fewer number of needs than did the care providers.

Conclusions

By using both psychiatric care and social service providers, effective case findings of clients with a mental disability were possible to achieve. In general, there was high agreement between psychiatric care providers and clients regarding the clients’ number of needs of support and their unmet needs of service. However, at the individual level, the agreement between client and psychiatric care providers was lower.

Keywords

EpidemiologyCommunity mental health servicesNeeds assessmentMental disabilityRuralUrban
Type
Original article
Information
European Psychiatry , Volume 18 , Issue 6 , October 2003 , pp. 296 - 305
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2003

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