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A longitudinal study of men and women diagnosed with psychosis: trajectories revealing interventions in a time-geographic framework

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Abstract

The living conditions for persons with severe mental illness have undergone substantial change in Sweden as well as in the rest of the Western world due to the downsizing of inpatient care and the development of community-based interventions. However, there is a lack of knowledge concerning the “trajectories of interventions” in this new, fragmented, institutional landscape. The aim of the study was to explore types of interventions and when they occur in a 10-year follow-up of 437 women and men diagnosed with psychosis for the first time. Based on registers and using a timegeographic visualization method, the results showed a great diversity of trajectories and differences between sexes. The aggregate picture revealed that over the 10-year period there were considerable periods with no interventions for both men and women. Furthermore, institutional interventions more commonly occurred among women but appeared for longer periods among men. Community-based interventions declined among women and increased among men during the period.

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Acknowledgements

This study is a part of a larger research project “Persons with severe mental illness—living conditions, interventions and paths. A 10-year follow-up”, financed by the Swedish Research Council for Health, Working life and Welfare, Grant No: 2014-0117.

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Authors and Affiliations

  1. Research and Development Center, FoU Södertörn, Söderbymalmsv 8, 13645, Haninge, Sweden

    Gunnel Andersson

  2. Division Technology and Social Change, Department of Thematic Studies, Linköping University, Campus Valla, 58183, Linköping, Sweden

    Kajsa Ellegård

  3. Department of Social Work, School of Health and Welfare, Jönköping University, 55318, Jönköping, Sweden

    Per Bülow

  4. Department of Social Work, Stockholm University, 106 91, Stockholm, Sweden

    Anne Denhov, Claes-Göran Stefansson & Alain Topor

  5. Department of Science and Technology, Linköping University, Campus Norrköping, 60174, Norrköping, Sweden

    Katerina Vrotsou

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  1. Gunnel Andersson
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Correspondence to Gunnel Andersson.

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Andersson, G., Ellegård, K., Bülow, P. et al. A longitudinal study of men and women diagnosed with psychosis: trajectories revealing interventions in a time-geographic framework. GeoJournal 87, 2423–2440 (2022). https://doi.org/10.1007/s10708-019-10036-y

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