🇫🇮 Finland
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Finland shifts psychiatric care from hospitals to community services

By Aino Virtanen

Finland's Kymenlaakso region is restructuring psychiatric services by closing one hospital ward while expanding community-based care. The changes reflect nationwide shifts toward outpatient mental health treatment and include new hiring for health stations. Chief physician Ari Ronkainen confirms current patient numbers support reducing hospital capacity while maintaining crisis care capabilities.

Finland shifts psychiatric care from hospitals to community services

Kymenlaakso welfare district is implementing significant mental health service reforms that will close one psychiatric hospital ward while expanding outpatient care. Chief physician Ari Ronkainen confirmed the closure of a nine-bed adult psychiatric unit at Kuusankoski Hospital, reducing total capacity from 64 to 55 patient beds. The decision follows completed change negotiations and reflects Finland's nationwide transition toward community-based mental health treatment.

Ronkainen emphasized that current patient numbers justify the reduction, noting that on Tuesday morning, the hospital housed only 51 patients across all wards. Finland's mental health system has undergone substantial transformation this century, with hospital treatment demand decreasing as outpatient services improve. The physician explained that remaining wards maintain flexibility to accept various patient types despite their specialized focus areas.

The restructuring includes creating two new mental health and substance abuse worker positions at Kouvola health stations, increasing staffing from 14 to 16 professionals. Additionally, the region will hire a teaching nurse to develop substance abuse services across Kymenlaakso. These changes represent Finland's broader healthcare strategy emphasizing preventive and accessible community care over institutional treatment.

Finland's mental health reforms align with European Union healthcare efficiency directives promoting patient-centered community services. The Finnish Parliament has consistently supported shifting resources from expensive hospital care to more cost-effective outpatient models. This approach reflects Nordic welfare principles prioritizing early intervention and social integration.

Home hospital services demonstrate the practical implementation of this policy shift. Currently serving 26 patients throughout Kymenlaakso, these programs provide hospital-level psychiatric care in patients' homes through scheduled nurse visits. Ronkainen noted these patients would previously require full hospitalization, representing both improved patient experience and potential cost savings.

The reforms maintain comprehensive crisis care capabilities while expanding prevention services. The psychiatric hospital continues operating specialized wards for acute cases, and home hospital patients can immediately transfer to inpatient care if their condition deteriorates. New mobile service teams will combine expertise across geriatric psychiatry and home care, better utilizing staff specialization.

Finland's coalition government has prioritized mental health funding despite budget constraints, recognizing the economic impact of untreated mental illness. The Kymenlaakso changes reflect this national priority while adapting to regional needs. International observers note Finland's systematic approach to mental health reform offers lessons for other nations struggling with similar healthcare challenges.

Regional officials direct concerned residents to complete online symptom assessments at terapianavigaattori.fi before booking appointments through the Oma Kymenlaakso service or telephone helpline. This digital triage system represents Finland's innovative approach to managing healthcare demand while maintaining service quality.

The psychiatric service reorganization affects approximately 170,000 Kymenlaakso residents and may influence similar reforms in other Finnish regions. As Finland continues balancing fiscal responsibility with welfare state commitments, these mental health service changes will be closely monitored for both patient outcomes and economic efficiency.

Published: November 27, 2025

Tags: Finnish mental health servicesKymenlaakso healthcare reformspsychiatric care Finland