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Disability pensions in severely disturbed in-patient adolescents: Twenty-year prospective study

  • M. Pelkonen (a1), M. Marttunen (a2), E. Pulkkinen (a3), P. Laippala (a4), J. Lönnqvist (a5) and H. Aro (a6)...

Abstract

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.

Copyright

Corresponding author

Mirjami Pelkonen, Researcher, Department of Mental Health, National Public Health Institute, Mannerheimintie 166, FIN-00300, Helsinki, Finland. Tel: (358) 9 4744213; Fax: (358) 9 4744478

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Disability pensions in severely disturbed in-patient adolescents: Twenty-year prospective study

  • M. Pelkonen (a1), M. Marttunen (a2), E. Pulkkinen (a3), P. Laippala (a4), J. Lönnqvist (a5) and H. Aro (a6)...

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Disability pensions in severely disturbed in-patient adolescents: Twenty-year prospective study

  • M. Pelkonen (a1), M. Marttunen (a2), E. Pulkkinen (a3), P. Laippala (a4), J. Lönnqvist (a5) and H. Aro (a6)...
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