THEMATIC REPORT Transparency in the mental health system (original) (raw)

Factors That Influences Mental Health Policy In Albania

Mental health policy is a major challenge in every government engagement. Human wellbeing is threatened by mental health issue, and this is why it is necessary to position mental health as a health priority (WHO, 2001). The reduction of human and economic cost of mental health problems can be achieved by providing equitable and evidence-based mental healthcare and treatment. In Albania, the organization of mental health policy has experienced changes in the past half century, especially after the 90's. This was driven by political commitment at national and intergovernmental levels in response to the challenges posed by mental health problems. The purpose of this paper is to analyze, present factors, and circulates what affects and prepossess the adoption of new mental health policy. The methodology used for this paper was based on two main elements. The first was the analyzing of Albanian conceptual framework, which is derived from two grounded elements: policy content and health policy process. The second element involves data collection using semi-structured interview (12) with three levels of policy: policymakers, health policy administrator, and mental health care provider. Also, we consulted a wide range of electronic databases before underpinning the research with additional search. This search includes the scanning of a range of websites, reference lists of included studies, the legal mental health framework, and the respective documents. The activities stipulated in the First Component of the SouthEastern European Mental Health Project under the Stability Pact urged the process of a new mental health policy formulation and adoption of mental health legislation stressing human rights of patients. The WHO has influenced the whole mental health policy framework. They have instructed the National Policy Document for the Mental Health and the recpective action plans. In addition, they have supervised the impemention of this Documents and has trained mental health experts at all levels. Albanian policymaker are concerned with having an adequate map of mental health

Analysis of interventions and social work services in the Psychiatric Hospital “Sadik Dinci” Elbasan, Albania

2021

Recent changes, especially after the 90s in Albania, have marked an important turn in the whole health system and even more so in the field of mental health. With health services, policies and social services were implemented to people with mental health problems, and it in this form that there was a need to bridge these policies and services to beneficiaries, such as social workers in mental health. Now the social worker is one of the key persons in the multidisciplinary team whose purpose is to identify, diagnose, treat, plan and integrate these people into society. The study aims is to identify the support and role of social work in persons with mental health disorders at Psychiatric Hospital “Sadik Dinçi” Elbasan, Albania and in the supported housing in this city. Qualitative method was used for conducting the study, and semi-structured interview with a focus group of 4 social workers of this hospital, 2 social workers of Elbasan Community Mental Health Center and 4 day-care erg...

Mental Health Reform and Postsocialism in Albania

Albania’s mental health sector is shaped by global mental health reform efforts as well as by the general societal changes taking place in the country during the postsocialist period. An understanding of contextual challenges is crucial to the creation of effective mental health services and the promotion of public mental health in the country. I open this paper with a historical overview of the development of Western and socialist psychiatry in the Albanian context. I continue with an analysis of postsocialist mental health reform, a complex process in which local and international actors seek to transform the Albanian mental health sector from an institutional system characterized by isolation, stigma, and abuse, to one that embraces community-based services, consumer and caregiver empowerment. Finally, I present the impact of these processes on mental health institutions, family and community members, and consumers, drawing on 50 semi-structured interviews and 30+ hours of participant observation conducted in central and southeastern Albania (Elbasan, Korče, and Tirana) during the summer of 2013.

THE PROVISION OF MENTAL HEALTH PROTECTION SERVICES THROUGH THE PUBLIC AND CIVIL SECTORS IN THE REPUBLIC OF SERBIA

Mental health care reform is a long-term process and a key aspect of the development and progress of society as a whole. This paper aims to present an overview and analysis of mental health care services intended for adults within the public and civil sectors in the Republic of Serbia. The main method applied in this study is content analysis. The results show that certain services and measures to improve mental health care have been created and implemented, but many goals have not yet been achieved. The biggest challenges facing the provision of mental health care servicesalongside a lack of financial resourcesare discrepancies in regulations, the dominance of tertiary health services in providing treatment to people with mental health, a lack of services in the community, insufficient involvement of the civil sector, and weak intersectoral cooperation between different systems. Due to the lack of data transparency and comprehensive service registries, this paper presents a largealthough not comprehensivenumber of public, civil, and private sector mental health care services. Mental health care in the Republic of Serbia should in the future aim to overcome the gap between mental health policy and practice, promote deinstitutionalization, establish health and social services and support systems in the community, and search for protection models that will enable better social inclusion for people with mental health problems and the fulfillment of their social, economic, and all other human rights.

[Mental Health in primary care]

Santé mentale au Québec, 2009

Objective: To understand how the professionals of the Family Health Strategy develop their actions with people who need mental health care. Methods and Results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34-Opinion No.: 1,082,101/2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act.

Mental Health Legislation and Involuntary Hospitalization in the Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences, 2016

As psychiatrists, we are often obliged to provide non-consensual treatment. This institute comprises the rights of the patients with mental health disorders. The aim of this paper is to explain the contemporary mental health legislation in our country the Republic of Macedonia and the problems with the implementation of involuntary hospitalisation. This could be overcome with close cooperation between the judicial and health care system.

Implementation of first Croatian Law on Protection of Persons with Mental Disorders

Collegium antropologicum, 2005

The aim of this article was to examine Croatian psychiatric practice regarding involuntary hospitalization, after the Law on Protection of Persons with Mental Disorders became effective, on January 1, 1998. Data on the practice of involuntary hospitalizations of patients with mental disorders in Vrapce Psychiatric Hospital were collected from the medical records, for the years 1998 and 1999. Data regarding involuntary hospitalizations from other Croatian hospitals and departments were obtained from heads of psychiatric hospitals and departments for the first five months of 1998. The rate of involuntarily hospitalized patients in Vrapce Psychiatric Hospital rose significantly from 1998 to 1999 (p < 0.01). The rate of patients involuntarily hospitalized under section 21, subsection 3 rose significantly from 1998 to 1999 (p < 0.01), while rate of patients involuntarily hospitalized under section 22, subsection 1 decreased significantly in the same period (p < 0.01) in Vrapce P...

Involuntary Admission in Two Psychiatric Hospitals from Different Catchment Areas in Croatia Six Months After Implementation of the Law on Mental Health

Drustvena Istraživanja, 2000

The aim of the study was to investigate involuntary admissions in two psychiatric hospitals from different catchment areas in Croatia, six months after the Law on Mental Health was passed. Medical records were surveyed in the six-month period. The sample comprised 380 men and 335 women hospitalized voluntarily, and 48 men and 125 women hospitalized involuntarily. The results showed a higher prevalence of involuntary hospitalization in the Psychiatric Hospital Rab, in comparison to the University Department of the Psychiatric Hospital Vrap~e. Most patients from both hospitals had the final diagnosis of psychosis. Although there were some differences between the two hospitals regarding factors distinguishing involuntary from voluntary patients, the most consistent factor related to involuntary hospitalization was "being female". Requests for reprints should be sent to Vera Folnegovi}-[malc,