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A blind spot on the global mental health map: a scoping review of 25 years' development of mental health care for people with severe mental illnesses in central and eastern Europe.
Winkler, Petr; Krupchanka, Dzmitry; Roberts, Tessa; Kondratova, Lucie; Machu, Vendula; Höschl, Cyril; Sartorius, Norman; Van Voren, Robert; Aizberg, Oleg; Bitter, Istvan; Cerga-Pashoja, Arlinda; Deljkovic, Azra; Fanaj, Naim; Germanavicius, Arunas; Hinkov, Hristo; Hovsepyan, Aram; Ismayilov, Fuad N; Ivezic, Sladana Strkalj; Jarema, Marek; Jordanova, Vesna; Kukic, Selma; Makhashvili, Nino; Sarotar, Brigita Novak; Plevachuk, Oksana; Smirnova, Daria; Voinescu, Bogdan Ioan; Vrublevska, Jelena; Thornicroft, Graham.
Afiliación
  • Winkler P; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Electronic address: petr.winkler@nudz.cz.
  • Krupchanka D; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Institute of Global Health, University of Geneva, Geneva, Switzer
  • Roberts T; Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Kondratova L; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic.
  • Machu V; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic.
  • Höschl C; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic.
  • Sartorius N; Association for the Improvement of Mental Health Programmes, Geneva, Switzerland.
  • Van Voren R; Ilia State University, Tbilisi, Georgia; Vytautas Magnus University, Kaunas, Lithuania; Human Rights in Mental Health-FGIP, Hilversum, Netherlands.
  • Aizberg O; Department of Psychiatry and Narcology, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus.
  • Bitter I; Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.
  • Cerga-Pashoja A; Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Deljkovic A; Mental Health Center, Health Care Center Pljevlja, Pljevlja, Montenegro.
  • Fanaj N; Mental Health Center, Prizren, Kosovo.
  • Germanavicius A; Clinic of Psychiatry, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
  • Hinkov H; National Center for Public Health and Analyses, Sofia, Bulgaria.
  • Hovsepyan A; Department of Psychiatry, Yerevan State Medical University, Yerevan, Armenia.
  • Ismayilov FN; Department of Psychiatry, Azerbaijan Medical University, Baku, Azerbaijan; National Mental Health Centre, Baku, Azerbaijan.
  • Ivezic SS; Croatian Medical Association, Zagreb, Croatia; Croatian Society for Clinical Psychiatry, Zagreb, Croatia.
  • Jarema M; 3rd Department of Psychiatry, Institute of Psychiatry and Neurology, Warszawa, Poland.
  • Jordanova V; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Kukic S; Mental Health Project in Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina.
  • Makhashvili N; Mental Health Resource Centre, Ilia State University, Tbilisi, Georgia; Foundation Global Initiative on Psychiatry-Tbilisi, Tbilisi, Georgia.
  • Sarotar BN; University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia; Department of Psychiatry, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
  • Plevachuk O; Department of Psychiatry, Psychology and Sexology, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
  • Smirnova D; Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia.
  • Voinescu BI; Department of Clinical Psychology and Psychotherapy, Babes-Bolyai University, Cluj-Napoca, Romania; Department of Forensic and Neurodevelopmental Science, King's College London, London, UK.
  • Vrublevska J; Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia.
  • Thornicroft G; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Lancet Psychiatry ; 4(8): 634-642, 2017 08.
Article en En | MEDLINE | ID: mdl-28495549
Just over 25 years have passed since the major sociopolitical changes in central and eastern Europe; our aim was to map and analyse the development of mental health-care practice for people with severe mental illnesses in this region since then. A scoping review was complemented by an expert survey in 24 countries. Mental health-care practice in the region differs greatly across as well as within individual countries. National policies often exist but reforms remain mostly in the realm of aspiration. Services are predominantly based in psychiatric hospitals. Decision making on resource allocation is not transparent, and full economic evaluations of complex interventions and rigorous epidemiological studies are lacking. Stigma seems to be higher than in other European countries, but consideration of human rights and user involvement are increasing. The region has seen respectable development, which happened because of grassroots initiatives supported by international organisations, rather than by systematic implementation of government policies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Trastornos Mentales / Servicios de Salud Mental Tipo de estudio: Diagnostic_studies / Qualitative_research / Systematic_reviews Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Lancet Psychiatry Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Trastornos Mentales / Servicios de Salud Mental Tipo de estudio: Diagnostic_studies / Qualitative_research / Systematic_reviews Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Lancet Psychiatry Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido