PSYCHIATRY IN SCANDINAVIA
Working as a Psychiatrist in Sweden
The number of practising psychiatrists in Sweden has increased by nearly 30% between 1995-2009; however, the profession has suffered from serious recruitment difficulties. The Swedish National Board of Health and Welfare estimated that about 5-10% of the population requires psychiatric treatment, but only 3-4% seek psychiatric care. Among patients who receive psychiatric care, approximately 47% are treated with psychopharmacology, 13% are treated with psychotherapy and 40% receive both treatments.
There are still challenges facing Swedish psychiatry: Reduction in waiting times for psychiatric care, broader accessibility of evidence-based treatment methods for all groups of psychiatric patients both in rural and urban areas
As a psychiatrist in
Working as a Psychiatrist in Norway
Psychiatric treatment occurs either at a mental hospital, the District Psychiatric Center (DPS), in the Municipal Service or privately. The trend in recent years has been to avoid institution if possible. Integration into the community has been the main objective. The Coordination Reform emphasises increasing responsibility on municipalities and correspondingly less on hospital and specialist health services.
The organisation and the framework for the psychiatry profession in the Norwegian healthcare system
Doctors, and in Norway also psychologists, are the only ones who have
In Norway, psychiatric care is based on mental health policy guidelines, which state that care should be preventive and given based on the users perspective. Further, it should be focused on voluntary treatment, and services shall promote independence, improved living conditions, quality of life and participation in ordinary life.
Working as a Psychiatrist in Denmark
Denmark is currently experiencing a shortage of psychiatrists with up to 25% of specialist posts vacant, and the National Board of Health estimates that this percentage will increase until 2020.
In Denmark, psychiatric treatment includes biological, psychotherapeutic and psychosocial treatment methods. The weighting of the different methods depends on the individual patient’s problem, but all three play a role and are coordinated in the final treatment plan. A basic principle is to offer the treatment that is effective and least interfering with the patient’s integrity and existence.
Danish psychiatry has gone through profound changes over the past two to three decades, reducing inpatient-based treatment and increasing outpatient treatment markedly. The number of patients treated has almost doubled, and the diagnostic profile has broadened, now including a substantial number of common mental disorders, in particular depression and anxiety. Furthermore, ‘new’ diagnostic groups are represented in the treatment statistics with steeply increasing incidences, e.g. attention deficit hyperactivity disorder (ADHD) and eating disorders, especially in the outpatient part of the statistics. Over the same 30 years, the number of available beds has decreased by 60-70%; however, as the length of stay of inpatients has declined markedly, the departments are still able to treat a high number of patients. The financial budgeting of psychiatry is not increasing equivalently to the somatic specialities, thus handicapping development in psychiatry.
Action has been taken to increase research activity in psychiatry. This is facilitated by an increasing interest among medical students and young graduate physicians attracted by the neuropsychiatric paradigm, which is rapidly implemented in Danish psychiatry.
As a psychiatrist working in Denmark, you will have more time for patients, enabling you to help them better, says one of our relocated psychiatrists in his testimonial. Another one of our psychiatrists emphasises the good balance between professionalism and a friendly working environment.