People with severe mental illness living in the community - care, rehabilitation and social situation
Principal investigator; Hansson, Lars, Professor, PhD
Clinical speciality: Psychiatry
Co-workers, not Lund University: Bengtsson-Tops Anita, Brunt David, Markström Urban, Sandlund Mikael, Östman Margareta
Research area/areas: Health Care Service and Management, Health Policy and Services and Health Economy, Psychiatry
In recent decades there have been major changes in public policies, resulting in an extensive deinstitutionalisation of people with serious mental illness and a major shift towards the provision of mental health care in local community-based services.
We perform studies investigating life situation, social network, quality of life and needs for care and support as well as studies investigating stigmatization and obstacles for integration in the community. Burden of illness in families with members having a severe mental illness are performed with a specific focus on needs for support to grown up family members and under aged children. Community based care requires integration and coordination of interventions and the effectiveness of models, such as case management, psychosocial rehabilitation and supported employment, are investigated. Central issues in community based services are the development of appropriate daily occupation and housing services in the community. Studies are performed to investigate characteristics of housing alternatives in the community as well as the relationship of quality of life and aspects of daily occupation. Quality of life research concerning the mentally ill has so far generated a rather modest theoretical development. In ongoing studies we aim to give a firmer knowledge about essential predictors of subjective quality of life and of improvements in quality of life in people with severe mental illness. A recent focus is studies on the implementation of evidence based psychosocial interventions and factors facilitating such efforts.
Although the pace of mental health care reforms have varied across nations, now most western countries have established some forms of community care. Community mental health care is still evolving and the outlined studies involve research designed to participate in this process with special emphasis on a number of key issues where social and clinical problems have been identified with a need for further scientific evidence to direct an optimal development.
5 recent original publications
Van den Brink Rob, Wiersma Durk, Wolters Kerstin, Bullenkamp Jens, Hansson Lars, Lauber Christoph, Martinez-Leal Rafael, McCabe Rosemarie, Roessler Wulf, Salize Hans, Svensson Bengt, Torres-Gonzales Francisco, Priebe Stefan
Non-uniform effectiveness of structured patient-clinician communication in community mental healthcare: an international comparison
Social Psychiatry and Psychiatric Epidemiology. 2011; 46: 685 - 693
Priebe Stefan, Reininghaus Ulrich, McCabe Rosemarie, Burns Tom, Eklund Mona, Hansson Lars, Junghan Ulrich, Kallert Thomas, van Nieuwenhuizen Chijs, Ruggeri Mirella, Slade Mike, Wang Duolao
Factors influencing subjective quality of life in patients with schizophrenia and other mental disorders: A pooled analysis
Schizophrenia Research. 2010; 121: 251 - 258
Nygren U, Markström U, Svensson S, Hansson L, Sandlund M
Individual Placement and Support - a model to get employed for people with mental illness. The first Swedish report of outcomes
Scand J Caring Sci. 2011; 25: 591-598
Wiersma D, van den Brink R, Wolters K, McCabe R, Björkman T, Bullenkamp J, Hansson L, Lauber C, Martinez-Leal R, Rössler W, Salize H, , Torres-Gonzales F, Wright D, Priebe S
Individual Unmet Needs for Care: are they sensitive as outcome criterion for the effectiveness of mental health services interventions?
Soc Psychiatry Psychiatr Epidemiol. 2009; 44: 317-324
Markström U, Lundvik Gyllensten A, Bejerholm U, Björkman T, Brunt D, Hansson L, Leufstadius C, Sandlund M, Svensson B, Östman M, Eklund M
Attitudes towards mental illness among health care students at Swedish universities. A follow-up study after completed clinical placement
Nurse Educ Today. 2009; 29: 660-665
Further publications here (new window)
|Total financing:||4 MSEK||Gov grant for clinical research ("ALF"):||MSEK|
|Total external financing:||MSEK||Natl and intl prioritized grants:||MSEK|