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State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

Published online by Cambridge University Press:  02 January 2018

Dzmitry Krupchanka
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic, email dzmitry.krupchanka@nudz.cz
Petr Winkler
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic
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The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization's Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted.

Type
Special Paper
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2016

References

Dlouhy, M. (2014) Mental health policy in Eastern Europe: a comparative analysis of seven mental health systems. BMC Health Services Research, 14, 42.Google Scholar
Forsman, A. K., Ventus, D. B. J., van der Feltz-Cornelis, C. M., et al (2014) Public mental health research in Europe: a systematic mapping for the ROAMER project. European Journal of Public Health, 24, 955960.CrossRefGoogle ScholarPubMed
Füredi, J., Mohr, P., Swingler, D., et al (2006) Psychiatry in selected countries of Central and Eastern Europe: an overview of the current situation. Acta Psychiatrica Scandinavica, 114, 223231.Google Scholar
Lozano, R., Naghavi, M., Foreman, K., et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380, 20952128.Google Scholar
Saraceno, B., van Ommeren, M., Batniji, R., et al (2007) Barriers to improvement of mental health services in low-income and middle-income countries. Lancet, 370, 11641174.Google Scholar
Semrau, M., Barley, E. A., Law, A., et al (2011) Lessons learned in developing community mental health care in Europe. World Psychiatry, 10, 217225.CrossRefGoogle ScholarPubMed
Taylor Salisbury, T., Killaspy, H. & King, M. (2016) An international comparison of the deinstitutionalisation of mental health care: development and findings of the Mental Health Services Deinstitutionalisation Measure (MENDit). BMC Psychiatry, 16, 54. Available at http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4772656&tool=pmcentrez&rendertype=abstract (accessed 30 May 2016).Google Scholar
van Voren, R., Tomov, T., Keukens, R., et al (2007) Mental health policy and practice across Europe. In Mental Health Policy and Practice Across Europe (eds Knapp, M., et al), pp. 397425. Open University Press.Google Scholar
WHO (2011) Mental Health Atlas – 2011 country profiles. Available at http://www.who.int/mental_health/evidence/atlas/profiles/en/(accessed 11 February 2016).Google Scholar
WHO (2012) Suicide data. Available at http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/WHO (accessed 4 April 2015).Google Scholar
WHO (2014a) Global Status Report on Alcohol and Health 2014. Available at http://www.who.int/substance_abuse/publications/global_alcohol_report/en (accessed 4 April 2015).Google Scholar
WHO (2014b) Mental Health Atlas – 2014 country profiles. Available at http://www.who.int/mental_health/evidence/atlas/profiles-2014/en (accessed 11 February 2016).Google Scholar
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