Arvidsson Hans
Department of Psychology, Göteborg University, Göteborg, Sweden.
Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):705-13. doi: 10.1007/s00127-008-0356-7. Epub 2008 Apr 25.
The objective of this study was to follow the development of met and unmet needs in a sample of severely mentally ill after the 1995 Swedish mental health care reform and to analyse whether the efforts made by social services and mental health care have been more adequate since the reform.
Inventories were made in 1995/1996, 2000/2001 and 2006 in an area of Sweden. A total of 171 persons who were considered to be severely mentally ill both in 1995/1996 and 2006, using the same criteria of definition, were interviewed using the same form of interview and their needs were assessed according to Camberwell Assessment of Need on all three occasions.
The number of met needs had increased between 2006 and 1995/1996 and unmet needs in important need-domains had decreased. The changes in needs mostly referred to needs in the factor 'functional disability'. The degree of effort by psychiatric care and social services had increased. The number of wage-earners in the group had decreased to almost zero and the degree of social isolation had increased in 2006.
The target group had made some progress referring to their functional disability and the efforts from services had increased. However, the integration in society had decreased in fundamental aspects.
本研究的目的是追踪1995年瑞典精神卫生保健改革后一组重症精神病患者中已满足和未满足需求的发展情况，并分析自改革以来社会服务和精神卫生保健所做的努力是否更加充分。
1995/1996年、2000/2001年和2006年在瑞典的一个地区进行了调查。共有171人在1995/1996年和2006年都被认为患有重症精神病，采用相同的定义标准，使用相同的访谈形式进行访谈，并在所有三次调查中根据《坎伯韦尔需求评估》对他们的需求进行评估。
2006年与1995/1996年相比，已满足需求的数量有所增加，重要需求领域中未满足的需求有所减少。需求的变化主要涉及“功能残疾”因素中的需求。精神科护理和社会服务的努力程度有所提高。该群体中挣工资者的数量已降至几乎为零，2006年社会隔离程度有所增加。
目标群体在功能残疾方面取得了一些进展，服务方面的努力也有所增加。然而，在基本方面，融入社会的程度有所下降。
