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National Board of Health and Social Welfare: Those who receive a psychiatric diagnosis are often sick for a long time
This is an article of debate. It is the author who represents the opinions expressed in the text, not the Aftonbladet.
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The number of 15- to 17-year-old girls treated for depression and anxiety disorders in specialized child and adolescent psychiatry, BUP, has tripled since 2006. The most significant increase has occurred since 2010, writes Olivia Wigzell, Executive Director, National Council of Health and Wellness.
DEBATE. Mental health problems continue to increase, especially among children and youth, and health problems often extend. Nearly one third of young people with depression or anxiety diagnosed ten years ago still need psychiatric care. In the case of mental illness, difficulties are necessary to establish oneself in working life and adult life. It shows a new assessment of care for depression and anxiety disorders presented by the National Council of Health and Welfare.
Depression and anxiety disorders are among the major diseases of the population and account for more than 40% of sick leave in Sweden. More than one in three women gets sick at one point in the depression, and almost one in four men.
The number of 15- to 17-year-old girls who have been treated for depression and anxiety disorders in specialized child and adolescent psychiatry, BUP, has tripled since 2006. The most significant increase has occurred since then. 2010. This shows the result of an assessment of care provided anxiety disorder based on national guidelines established by the National Council of Health and Wellness.
Follow-up by the National Council of Health and Social Welfare shows that those who are diagnosed with a psychiatric illness have often been sick for a long time. 30% of young people recently diagnosed with depression or anxiety disorders in child and adolescent psychiatry ten years ago still need psychiatric care. More than half of them also need a drug treatment.
This means that care should be more organized in the same way as for patients with chronic or long-term illness, such as diabetes, COPD, etc. Structured follow-up and access to care and support over time and with good continuity are needed.
Young people with anxiety and depression find it more difficult to establish themselves in professional life and adult life. Nearly ten years after diagnosis, one in four was completely out of the labor market or dependent on financial assistance. In other words, the consequences of depression and anxiety that affect life are enormous.
In order to break the negative development, it is important that more preventive and early efforts are made, that access to an initial assessment and treatment is further improved, and that care and care can be improved. be attentive to complicity. The mortality rate in diagnoses that the health and health care system is likely to affect is twice as high for the group suffering from anxiety and depression. The evaluation shows that care has developed the work of identifying complicity over the past ten years. Seven out of ten primary care clinics have routines on how somatic disease should be identified in relation to the diagnosis of anxiety and depression.
The evaluation also draws attention to the fact that health care has evolved positively in other respects. More municipalities and regions have a so-called first line for youth with mental illness. More and more suicide risk assessments are being diagnosed and more and more are being managed in psychiatry for children and adolescents. In this way, access has increased.
However, waiting times for care and treatment are long, which is also true for adult psychiatry. Accessibility needs to increase and the future supply of skills will therefore be a very important issue.
The National Council of Health and Welfare will continue to monitor developments, support and promote good care for children, youth and adults with mental illness. What we do and should do in the future in different areas, namely to promote health, identify and treat mental illnesses, provide support and quality care, should be considered as an investment in the health care. to come up.
Olivia Wigzell, Director General, National Council of Health and Social Welfare
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