Social Risks in Specialized Psychiatric Care Often Go Unnoticed, Increasing Vulnerabilities

Recent research from the University of Eastern Finland highlights that individuals receiving specialized psychiatric treatment frequently face interconnected social risks that can exacerbate their condition and hinder recovery. These social risks include financial hardships, housing instability, exposure to violence, and difficulties in maintaining social relationships. Despite their prevalence, these risks often remain unnoticed by healthcare providers, particularly in short-term or focused treatments.

The study analyzed case records of around 200 patients over a decade, identifying nine key categories of social risks: capacity to work, social connections, addiction issues, basic subsistence, violence and crime exposure, functional ability, intergenerational transmission of problems, housing stability, and grief-related issues such as the loss of loved ones.

Findings revealed that 94% of patients faced at least two social risk categories simultaneously, with an average experiencing five during their treatment period. Social risks were pervasive across all demographic groups, indicating a high prevalence among psychiatric patients. Moreover, individuals diagnosed with psychosis or substance use disorders tended to experience higher levels of risk, highlighting that the most vulnerable are often those most affected.

These insights underscore the importance of integrating social risk assessments into psychiatric care. Addressing these factors could significantly improve patients’ overall well-being and the effectiveness of treatment. The study stresses that focusing solely on short-term psychotherapy—common in Finland—ignores foundational social issues vital for genuine recovery. With recent reductions in social work services, there is concern that these complex social problems get overlooked, which may further hinder patient progress.

The research advocates for a more holistic approach to psychiatric treatment, emphasizing the crucial role of social work in alleviating social risks and supporting patient stability in everyday life. Recognizing and addressing these interconnected risks are essential steps toward improving mental health outcomes and fostering long-term recovery and resilience.