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

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

Psychosis, 2018, vol. 10, issue 4, 263-274

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.

Date: 2018
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DOI: 10.1080/17522439.2018.1511746

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