Pathways to psychiatric care in Eastern Europe
- PMID: 15928365
- DOI: 10.1192/bjp.186.6.529
Pathways to psychiatric care in Eastern Europe
Abstract
Background: There has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources.
Aims: To improve understanding of prior care-seeking and treatment of new patients seen at mental health services.
Method: Pathways diagrams were drawn showing the routes of care-seeking for 50 new patients in eight centres. Patterns of care-seeking, durations and previous treatments were compared for ICD-10 diagnostic groups.
Results: The diagnoses varied according to the organisation of services. Major pathways included general practitioners, direct access and hospital doctors. General practitioners have a limited role as 'gatekeeper' in centres in Albania, Croatia, Macedonia, Romania and Serbia-Montenegro, and rarely prescribed treatment, except sedatives, for mental disorders.
Conclusions: Findings highlight areas that require attention if aspirations for community-oriented mental health care are to be realised, particularly integration of mental health into primary care.
Similar articles
-
Pathways to mental health care in Italy: results from a multicenter study.Int J Soc Psychiatry. 2014 Aug;60(5):508-13. doi: 10.1177/0020764013501648. Epub 2013 Sep 19. Int J Soc Psychiatry. 2014. PMID: 24051155
-
Community mental health centres initiated by the South-Eastern Europe Stability Pact: evaluation in seven countries.Community Ment Health J. 2012 Jun;48(3):352-62. doi: 10.1007/s10597-011-9417-6. Epub 2011 May 27. Community Ment Health J. 2012. PMID: 21617994
-
[The organization of mental health care in community].Lijec Vjesn. 2010 Jan-Feb;132(1-2):38-42. Lijec Vjesn. 2010. PMID: 20359159 Croatian.
-
Community mental health care in Botswana: approaches and opportunities.Int Nurs Rev. 2007 Jun;54(2):173-8. doi: 10.1111/j.1466-7657.2007.00525.x. Int Nurs Rev. 2007. PMID: 17492991 Review.
-
Use of specialty substance abuse and mental health services in adults with substance use disorders in the community.Drug Alcohol Depend. 2005 Jun 1;78(3):345-54. doi: 10.1016/j.drugalcdep.2004.12.003. Epub 2005 Jan 25. Drug Alcohol Depend. 2005. PMID: 15893166
Cited by
-
Mental health related stigma in Romania: systematic review and narrative synthesis.BMC Psychiatry. 2023 Sep 8;23(1):662. doi: 10.1186/s12888-023-05147-3. BMC Psychiatry. 2023. PMID: 37684591 Free PMC article.
-
Pathways to eating disorder care: A European multicenter study.Eur Psychiatry. 2023 Apr 24;66(1):e36. doi: 10.1192/j.eurpsy.2023.23. Eur Psychiatry. 2023. PMID: 37092677 Free PMC article.
-
Pathways to mental health care in Nepal: a 14-center nationwide study.Int J Ment Health Syst. 2021 Dec 20;15(1):85. doi: 10.1186/s13033-021-00509-4. Int J Ment Health Syst. 2021. PMID: 34930398 Free PMC article.
-
Predictors of help-seeking behaviour in people with mental health problems: a 3-year prospective community study.BMC Psychiatry. 2021 Sep 3;21(1):432. doi: 10.1186/s12888-021-03435-4. BMC Psychiatry. 2021. PMID: 34479537 Free PMC article.
-
Perception and barriers to the use of cognitive-behavioral therapy in the treatment of depression in primary healthcare centers and family medicine clinics in Saudi Arabia.J Family Community Med. 2021 May-Aug;28(2):77-84. doi: 10.4103/jfcm.JFCM_494_20. Epub 2021 May 8. J Family Community Med. 2021. PMID: 34194271 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
