Programme no. 302-WS
Public Health
The price of increased productivity: does psychiatry work as tool for exclusion of the young?
Gisle Roksund*1, Harald Sundby*2, Elisabeth Swensen*3, Morten Laudal*4, Lotte Hvas*5, Björn Nilsson*6
1Klosterhagen legesenter,SKIEN,Norway, 2Kalvskinnet legesenter,Trondheim,Norway, 3Seljord helsesenter,Seljord,Norway, 4Brevik legesenter,Son,Norway, 5Almenmedicisnk Forskningsenhed,København,Denmark, 6 , ,Sweden
* = Presenting author

To increase the awareness among general practitoners of our role in helping young adults faced with difficulties getting or keeping work or dropping out of education. By using examples from Norway and other nordic countries, we want to stimulate reflections and debate regarding over- and underdiagnosis in this particularly vulnerable group of young people whose future can be substantially influenced by the way the doctor interprets his/her problems.

Background: Norway is one of the world’s richest countries, developed within a strong socialdemocratic political frame with public health care for all. We have observed an increase in psychiatric diagnoses in children and young adults. Many young people with disability pension have a main psychiatric diagnosis. Norway is ranked among the top nations regarding quality of life and among the top consumers of antidepressive medication. Our concern is the double betrayal: not only are these young adults excluded from contributing to society and to sustain themselves through work, they are also burdened with dubious diagnoses. We will use experiences from Norway as an example of an international challenge of overdiagnosis.
Content: The aim of the workshop is to
1) Address how GPs meet and deal with these problems.

2) Identify driving forces behind this diagnostic culture. We should not “blame the victim” when disability pensions are discussed as a problem, but discuss the different dilemmas that occur. The initiative behind this workshop is based on a strong belief in public health care and economic support of those who cannot sustain themselves. But every person also has a right and duty to contribute to society according to their abilities.

Method: Questions to be addressed in the discussion
Do we believe that the increase of psychiatric diagnoses among young people represent a true increase in the prevalence of psychiatric illness? Or is it a consequence of an individualized answer to an increasing demand of productivity in the working life?

Other considerations: We will present some thoughts, make a roleplay, and make generous time for discussion.