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Institutional recovery: a 10-year follow-up of persons after their first psychosis diagnosis. A critical reflexive approach

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  • Alain Topor
  • Claes-Göran Stefansson
  • Anne Denhov
  • Per Bülow
  • Gunnel Andersson

Abstract

Background: Despite repeated attempts, it has not been possible to reach a consensus on the definition of recovery. In this paper, we use the term “institutional recovery” and focus on the persons’ use of services.Aim: What type of services were used by men and women who were diagnosed for the first time with psychosis? How did different cut-offs of length of follow up influence the findings?Method: Interventions for 386 persons diagnosed for the first time with psychosis were followed up for 10 years. Data were collected from registers covering psychiatric and social work services and prisons.Results: Results varied according to cut-off. Nevertheless, even using the higher cut-off, fifty-five percent of the persons had no stay in 24/7 institutions during the follow-up’s last 5 years. More than 40% had only community-based treatment and support. Fifteen percent had no interventions at all. A 2-year cut-off doubled the percentage of persons with no interventions. No statistically significant gender differences were found.Conclusions: Institutional recovery could be a useful recovery measure. However, the results from different studies are dictated by choices made by the research team, which should be clarified and discussed.

Suggested Citation

  • Alain Topor & Claes-Göran Stefansson & Anne Denhov & Per Bülow & Gunnel Andersson, 2018. "Institutional recovery: a 10-year follow-up of persons after their first psychosis diagnosis. A critical reflexive approach," Psychosis, Taylor & Francis Journals, vol. 10(4), pages 263-274, October.
    • Handle: RePEc:taf:rpsyxx:v:10:y:2018:i:4:p:263-274
    DOI: 10.1080/17522439.2018.1511746
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