Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland.

ABSTRACT:

Purpose

Public mental health services (MHS) are crucial in preventing psychiatric disability pensions (DP). We studied the associations between mood disorder DP risk and the characteristics of Finnish municipalities' MHS provision using the ESMS-R mapping tool and Finnish population registers, based on first-time granted mood disorder DPs between 2010 and 2015.

Methods

The final data set included 13,783 first-time mood disorder DP recipients and 1088 mental health service units in 104 municipalities. We focused on five different MHS types: all MHS, outpatient care provision, local services without and with gatekeeping, and centralized services. Three factors for each MHS type were studied: service resources, richness, and diversity index. Negative binomial regression models

SUBMITTER: Karolaakso T 

PROVIDER: S-EPMC10960744 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature