Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 28

I ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS
poor psychic health in all age groups. Suggestions for primary and
secondary prevention will be presented.
S-V/2 Thursday 14/8,11:00-12:30
Preventive strategies in children and adolescent
psychiatry
Anna Lindstriim. Head of Clinic, Sen. Med. Dr., Child and Adolescent Psychiatry,
Umeá, Sweden
Buckground: A major increase during recent years of children and
adolescents in need of child and adolescent psychiatric (CAP)
service has highlighted the need for prevention and early inter-
vention programmes.
A project was launched with the aim to give CAP education,
consultations, and network methods to the primary health care
service for children, adult psychiatry, schools, and social service.
Before the programme all partners were asked about their needs in
terms of CAP methods and knowledge. The experts of CAP were
recruited from the different CAP clinics in the county. Tlie research
and developmental unit of the county council made evaluations of
the projects by questionnaires and interviews to see if the aims and
goals of the projects were fulfilled.
Results: A total of 31 projects were developed, each with specific
goals. The activities reached 1100 different professionals as primary
care doctors, nurses and psychologists, school nurses, social workers
in the schools and social service, and staff from adult psychiatry.
Tliere were high scores on the satisfaction of the programme
from different partners. The participants reported a substantial
increase of the knowledge in CAP. There were lot of suggestions of
further cooperation and the development of preventive and early
intervention methods in the mental health care of children and
adolescents in county of Vasterbotten.
Conclusion: An increase of the knowledge in CAP in primary
health care settings, adult psychiatry, school and social service can
be of importance in the development of mental heath care pro-
grammes for children and adolescents.
S-V/3 Thursday 14/8, 11:00-12:30
Communíty-based psychiatry in sparsely populated areas
Karin Haggqvist, Psychologist, Vasterbottens lans landsting, Psykiatriska öppenvárden,
Volgsjövagen 48, SE- 912 32 Vilhelmina, Sweden
karin.haggqvist.sls@vll.se
During the 70s the psychiatric care in Sweden as well as in other
western countries went through dramatic changes. The big mental
institutions were closed down and other forms of psychiatric care
were built up. In the health care district of southern Lapland, situ-
ated in the Northern inland of Sweden, the psychiatry started
building up a modern organisation with no own history of big insti-
tutions. Southern Lapland Health Care District has a small popula-
tion with approximately 40 000 inhabitants but covers a vast land
area with 7 separate municipalities. The challenge has been to build
a psychiatric care that is based on as little in patient care as possible
and with the ambition to work closely together with other health
resources and the network around the patients. Today we have
three open care units spread in the district and buy inpatient care
from the coast district. Our inpatient care is extremely low and we
work in close contact with the primary care and other caregivers.
Working with the network and in the patients own environment are
guiding stars. New technology such as videoconferences is fre-
quently used as an important tool both in patient work, supervision
and conferences.
S - V / 4 Thursday 14/8, 11:00-12:30
Psychiatric care and development at the non-university
level
Carl-Guslaf Olofsson and Göran Nyberg, Chief Psychiatrists, Clinic of Psychiatry,
Skellefteá lasarett, S-931 86 Skellefteá, Sweden
carlgustaf.olofsson@vll.se
We want to share clinical experiences in psychiatric care from a
non-university clinic in the north of Sweden. We have full responsi-
bility for psychiatric service in our catchment area of about 80000
inhabitants and hospital beds for an additional catchment area of
40000.
Our approach is family-oriented; the on-call system is team-
based and mobile. We use modern techniques in both care and co-
operation (using telemedicine). We have a special outpatient
service for youth up to 25.
A short overview is given of our clinical tradition including
compulsory care and forensic psychiatry. We give some comments
on good co-operation with social services; the user and family
members’ associations and primary care, and share some visions
from the reforms, which are going on in the county council, where
psychiatry is in a “family” called “narsjukvárd” (“health service
close to population”).
S-V/5 Thursday 14/8,11:00-12:30
Health care, research and education in symbiosis at the
university clinic
Tonny Anderscn. Dept. of Clinical Sciences, Umeá University, S-90185, Umeá, Sweden
tonny. andersen. us@vll.se
The University of Umeá is a rather young university - established in
the mid sixties starting with the medical sciences. Prior to this, the
hospital of Umeá was a general hospital for the local area. Within the
field of psychiatry Umeá hosted a large psychiatric state hospital with
nearly 1000 beds serving most of Northem Sweden. From these
starting points the task during the decades has been to build a viable
environment for medical research and education in general and in
psychiatry and, of course, to develop and practice good quality every-
day psychiatric care. A cornerstone for this - also necessitated by low
governmental funding for research and education - has been a close
integration between clinical and academic activities. Clinical research
has been - and still is - at the heart of the University Psychiatric
Clinic-work being done e.g. within the areas of social psychiatric
28 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89