Background Knowledge of working capacity from adolescence until adulthood among severely disturbed in-patients is scarce.
Method In a follow-up study of 61 adolescent in-patients, we studied associations between being on a disability pension 20 years after hospitalisation, and the patients'psychopathology and treatment-related factors during the hospitalisation and seven-year follow-up.
Results Ofthe former in-patients, 27% had not been on a disability pension, 20% had short-term pension periods, and 53% were pensioned.
Subjects whose overall psychosocial functioning had improved and who had not utilised in-patient services until the seven-year follow-up, had a better prognosis in terms of working capacity.
Halfofthe subjects who had not been on pension during the follow-up had received a diagnosis ofconduct disorder at discharge, and halfofthose pensioned had a psychotic disorder.
Conclusions The patients'level of psychosocial functioning and capability to work in young adulthood were associated with long-term prognosis in terms of working capacity.
Adolescence seems to be the critical time for intensive psychiatric care combined with vocational rehabilitation programmes.
Mots-clés Pascal : Capacité travail, Aide financière, Pronostic, Trouble psychiatrique, Finlande, Europe, Etude longitudinale, Adolescent, Homme, Adulte jeune, Pension invalidité
Mots-clés Pascal anglais : Work capacity, Financial assistance, Prognosis, Mental disorder, Finland, Europe, Follow up study, Adolescent, Human, Young adult
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0110600
Code Inist : 002B18C14. Création : 22/06/1998.