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Supply or demand? Institutionalization of the mentally ill in the emerging Swedish welfare state, 1900–59
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).ORCID iD: 0000-0003-1527-279x
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies.ORCID iD: 0000-0001-7559-2571
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies.ORCID iD: 0000-0001-9042-9166
2022 (English)In: History of Psychiatry, ISSN 0957-154X, E-ISSN 1740-2360, Vol. 33, no 2, p. 180-199Article in journal (Refereed) Published
Abstract [en]

Historical studies on the institutionalization of the mentally ill have primarily relied on data for institutionalized patients rather than the population at risk. Consequently, the underlying factors of institutionalization are unclear. Using Swedish longitudinal microdata from 1900–59 reporting mental disorders, we examine whether supply factors, such as distance to institutions and number of asylum beds, influenced the risk of institutionalization, in addition to demand factors such as access to family. Institutionalization risks were associated with the supply of beds and proximity to an asylum, but also dependent on families’ unmet demand for care of relatives. As the supply of mental care met this family-driven demand in the 1930s, the relative risk of institutionalization increased among those lacking family networks.

Place, publisher, year, edition, pages
Sage Publications, 2022. Vol. 33, no 2, p. 180-199
Keywords [en]
Asylum, confinement, institutionalization, mental illness, Sweden, 20th century
National Category
Other Social Sciences
Research subject
Historical Demography; History
Identifiers
URN: urn:nbn:se:umu:diva-195005DOI: 10.1177/0957154x221084976ISI: 000798273900004Scopus ID: 2-s2.0-85130323789OAI: oai:DiVA.org:umu-195005DiVA, id: diva2:1659385
Projects
MAW 2019.0003 / Risks and Loads from Disabilities and Later Life Outcomes
Part of project
Liveable disabilities: Life courses and opportunity structures across time, Europeiska unionen – Horizon 2020Available from: 2022-05-19 Created: 2022-05-19 Last updated: 2023-09-05Bibliographically approved

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Liselotte, ErikssonJunkka, JohanSandström, GlennVikström, Lotta

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Liselotte, ErikssonJunkka, JohanSandström, GlennVikström, Lotta
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Centre for Demographic and Ageing Research (CEDAR)Umeå Centre for Gender Studies (UCGS)Department of historical, philosophical and religious studies
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History of Psychiatry
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