Occupational Rehabilitation or Early Retirement (via Social Insurance Pension) as Alternatives for First Admission Psychiatric Patients

1989 ◽  
Vol 22 (4) ◽  
pp. 213-217 ◽  
Author(s):  
V. Bell ◽  
S. Blumenthal ◽  
N.-U. Neumann ◽  
R. Schüttler ◽  
R. Vogel
2019 ◽  
pp. 313-340
Author(s):  
Ibrahim Alhawarin ◽  
Irene Selwaness

Jordan has undergone a profound social security reform since 2010, primarily aiming to ensure the financial sustainability of the system over time. Using data from the 2010 and 2016 Jordan Labor Market Panel Survey (JLMPS), this chapter examines the dynamics of Jordanian workers’ access to social security and trends in early retirement incidence before and after the reform. The chapter also explores the time it takes to acquire social security coverage on the labor market before and after the reform. Our findings show that the overall incidence of social insurance coverage slightly increased in 2016, for private sector wage workers, irregular wage workers, and non-wage workers (employers and self-employed). Public sector employees were the most likely to acquire social insurance coverage at the start of their jobs, followed by the private sector wage workers inside establishments. Both men and women who started their first job after the 2010 reform experienced a decline in their probability of acquiring social insurance coverage upon their job start. Moreover, the average incidence of early retirement slightly declined among men while still being highly prevalent around ages 40–46.


2004 ◽  
Vol 185 (3) ◽  
pp. 245-250 ◽  
Author(s):  
S. Hodgins ◽  
R. Müller-Isberner

BackgroundKnowledge of when and how to implement treatments to prevent criminal offending among people with schizophrenia is urgently needed.AimsTo identify opportunities for interventions to prevent offending among men with schizophrenic disorders by tracking their histories of offending and admissions to hospital.MethodWe examined 232 men with schizophrenic disorders discharged from forensic and general psychiatric hospitals. Data were collected from participants, family members and official records.ResultsMore than three-quarters (77.8%) of the forensic patients had previously been admitted to general psychiatric services; 24.3% of the general psychiatric patients had a criminal record. Offences had been committed by 39.8% of the forensic patients and 10.8% of the general psychiatric patients before their first admission to general psychiatry, and after their first admission these 59 patients committed 195 non-violent and 59 violent offences. Subsequently, 49 of them committed serious violent offences that led to forensic hospital admission. The offenders were distinguished by a pervasive and stable pattern of antisocial behaviour evident from at least mid-adolescence.ConclusionsGeneral psychiatry requires resources in order to prevent criminal offending among a subgroup of patients with schizophrenic disorders.


1992 ◽  
Vol 161 (4) ◽  
pp. 489-495 ◽  
Author(s):  
Povl Munk-J⊘rgensen ◽  
Preben Bo Mortensen

All Danish psychiatric patients admitted to hospital for the first time in the period 1969–88 with a diagnosis of schizophrenia given at least once during the period were included in the study. More than 8500 patients were examined in the Danish nationwide psychiatric register. First-admission rates decreased by approximately 50% irrespective of mode of calculation and increase in SMR. The use of in-patient care was unchanged despite a reduction in available beds of more than 40% in the study period.


1995 ◽  
Vol 10 (4) ◽  
pp. 165-170 ◽  
Author(s):  
N Takei ◽  
PC Sham ◽  
EO' Callaghan ◽  
G Glover ◽  
RM Murray

SummaryFirst admission psychiatric patients born in England and Wales between 1938 and 1963, and discharged from hospitals in England and Wales between 1976 and 1986, were examined. Using logistic regression, we tested the hypothesis that the risk of shizophrenia varies by place, and season of birth. Persons born in city areas showed a 12% greater risk of schizophrenia (odds ratio 1.12; 95% confidence interval 1.06 to 1.19) than those born in non-city areas, when compared with other psychiatric patients. The increase in risk was particularly high for individuals born in city areas in winter (21%, ie odds ratio 1.21 and confidence interval 1.08 to 1.36). These findings suggest that the factor(s) responsible for the season-of-birth effect preferentially affects city born schizophrenics.


1994 ◽  
Vol 165 (S24) ◽  
pp. 80-88 ◽  
Author(s):  
Xishi Wang

The evolution of the Zhengyang Community Mental Health Rehabilitation Centre described in this paper proves that community-based mental health services initiated and developed by enthusiastic and committed community members can be successful in the Chinese setting. The most important step is to utilise community resources to secure a stable source of income, preferably by establishing a profitable welfare enterprise that can both finance the provision of other services and provide work for mentally ill clients who cannot obtain regular employment. The ultimate goal is to reintroduce as many clients back into the community as possible, so a range of services is needed: supervision of medication, social skills training, occupational rehabilitation, and, most importantly, work placement. The vitality of the organisation depends on its flexibility and responsiveness to the changing needs of patients; it must use its experience to guide policy decisions about the development of new services and the alteration or termination of existing services.


1995 ◽  
Vol 24 (2) ◽  
pp. 193-217
Author(s):  
Bo Carlsson

ABSTRACTThe social insurance system has been an important element in the Swedish welfare model. However, in Sweden as in other Western countries there is an ongoing discussion about the rationality of the post-1940 welfare state. A social right or benefit constantly debated is the right to an early retirement pension. The value of such an early retirement pension has been questioned from economical as well as social or human points of view. The purpose of this article is to shed light on different processes behind the increasing number of early retirement pensioners and on the ongoing rehabilitation programmes in Sweden. A question that will arise: Is there a possible margin of gains from the interventions of the rehabilitation programme?


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