TY - JOUR
T1 - A blind spot on the global mental health map
T2 - a scoping review of 25 years' development of mental health care for people with severe mental illnesses in central and eastern Europe
AU - Winkler, Petr
AU - Krupchanka, Dzmitry
AU - Roberts, Tessa
AU - Kondratova, Lucie
AU - Machů, Vendula
AU - Höschl, Cyril
AU - Sartorius, Norman
AU - Van Voren, Robert
AU - Aizberg, Oleg
AU - Bitter, Istvan
AU - Cerga-Pashoja, Arlinda
AU - Deljkovic, Azra
AU - Fanaj, Naim
AU - Germanavicius, Arunas
AU - Hinkov, Hristo
AU - Hovsepyan, Aram
AU - Ismayilov, Fuad N.
AU - Ivezic, Sladana Strkalj
AU - Jarema, Marek
AU - Jordanova, Vesna
AU - Kukić, Selma
AU - Makhashvili, Nino
AU - Šarotar, Brigita Novak
AU - Plevachuk, Oksana
AU - Smirnova, Daria
AU - Voinescu, Bogdan Ioan
AU - Vrublevska, Jelena
AU - Thornicroft, Graham
N1 - Publisher Copyright:
© 2017 Elsevier Ltd
PY - 2017/8
Y1 - 2017/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85019017566&partnerID=8YFLogxK
U2 - 10.1016/S2215-0366(17)30135-9
DO - 10.1016/S2215-0366(17)30135-9
M3 - Review article
C2 - 28495549
AN - SCOPUS:85019017566
SN - 2215-0366
VL - 4
SP - 634
EP - 642
JO - The Lancet Psychiatry
JF - The Lancet Psychiatry
IS - 8
ER -