scholarly journals The Development of Mental Health Policies in the Czech Republic and Slovak Republic since 1989

2016 ◽  
Vol 10 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Karolína Dobiášová ◽  
Eva Tušková ◽  
Pavla Hanušová ◽  
Olga Angelovská ◽  
Monika Ježková
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Czech Republic ◽  
Mental Health Care ◽  
Slovak Republic ◽  
Institutional Care ◽  
Institutional Setting ◽  
The Czech Republic ◽  
Health Care Policies ◽  
Key Events

Abstract The article aims to describe the key events in the development of mental health care policies after 1990 in the two countries and identify the main reasons for stagnation or incremental changes to the institutional setting in the field of mental health care. The process of mental health care reform is explained using the framework of historical institutionalism. The explanation shows that the lack of political interest in combination with the tradition of institutional care resulted in poor availability of psychiatric care, outdated network of inpatient facilities and critical lack of community care facilities in both countries. Even though Slovak Republic adopted national programme at the governmental level, it still struggles with its implementation. The ongoing reform attempt in the Czech Republic may bring some change, thanks to a new approach towards strategic governance of the mental health care system and the mechanism of layering that the promoters of the reform use.

scholarly journals S226. DEVELOPMENT OF EARLY DETECTION AND EARLY INTERVENTION SERVICES WITHIN PSYCHIATRIC CARE IN THE CZECH REPUBLIC

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S125-S125
Author(s):  
Monika Dvorakova ◽  
Lucie Kondratova
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Czech Republic ◽  
Early Intervention ◽  
Early Detection ◽  
Mental Health Care ◽  
Psychiatric Care ◽  
Early Recognition ◽  
Prodromal Symptoms ◽  
The Czech Republic

Abstract Background Early Detection (ED) and Early Intervention (EI) are specialized services aiming at early diagnosis and early treatment of psychosis. There are evidence-based effects of ED and EI services that cannot be overlooked, such as early recognition of prodromal symptoms, preventing the adverse effects of untreated psychosis, lowering the risk of hospitalization, and therefore it has become part of the ongoing mental health care reform in the Czech Republic. Methods A total of 12 mental health professionals were trained in order to provide specialised ED and EI services within three regions in the Czech Republic – Prague 8, Pilsen and Blansko. All people aged 16 to 60 years who live in a predefined catchment area and are (a) at risk of developing psychosis, (b) in the first episode of psychosis or (c) are treated with psychosis for less than 3 years, are eligible for the service. Standardised assessment tools are being used for clients’ assessment (GAF, HoNOS, PANSS and CAARMS). Results Three multidisciplinary ED and EI teams were established in 2019 in the Czech Republic. Psychiatrist, psychologist, nurse and social worker are involved in each team. Presented data will describe psychosocial interventions and detection activities from 1/4/2019 to 1/4/2020. Discussion The psychiatric care system in the Czech Republic is predominantly built on large psychiatric institutions and there is a lack of community mental health services. Since the hospitalization is usually the first contact with mental health care services, there is a high potential of ED and EI services to prevent admission and readmission to the psychiatric hospital through early recognition of prodromal symptoms and reduction of the duration of untreated psychosis.

scholarly journals Expenditures on Mental Health Care in the Czech Republic in 2015

2019 ◽  
Vol 91 (1) ◽  
pp. 113-125 ◽  
Author(s):  
Hana M. Broulikova ◽  
Martin Dlouhy ◽  
Petr Winkler
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Czech Republic ◽  
Mental Health Care ◽  
Health Care Expenditures ◽  
Current Effort ◽  
The Czech Republic ◽  
Mental Health Care System ◽  
Service Production ◽  
Health Accounts

AbstractExpenditures on mental health care in the Czech Republic are not being published regularly, yet they are indispensable for evaluation of the ongoing reform of Czech mental health care. The main objective of this study is to estimate the size of these expenditures in 2015 and make a comparison with the last available figures from the year 2006. The estimation is based on an OECD methodology of health accounts, which structures health care expenditures according to health care functions, provider industries, and payers. The expenditures are further decomposed according to diagnoses, and inputs used in service production. The amount spent on mental health care in 2015 reached more than 13.7 billion Czech korunas (EUR 501.6 million), which represented 4.08% of the total health care expenditures. This ratio is almost identical with the 2006 share (4.14%). There are no significant changes in the relative expenditures on mental health care and in the structure of service provision. The Czech mental health care system remains largely hospital based with most of all mental health care expenditures being spent on inpatient care. Future developments in the expenditures will indicate the success of the current effort to deinstitutionalise mental health care.

Mental Health Care Gap: The Case of the Slovak Republic

2019 ◽  
Vol 46 (6) ◽  
pp. 753-759
Author(s):  
Alexandra Brazinova ◽  
Jozef Hasto ◽  
Itzhak Levav ◽  
Soumitra Pathare
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Slovak Republic ◽  
Care Gap

Rereading Rosenhan

2017 ◽  
Vol 28 (1) ◽  
pp. 38-50
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Diagnosis ◽  
Institutional Care ◽  
Care Needs ◽  
Current Crisis ◽  
A Value ◽  
Psychiatric Institutions ◽  
The 1960S

Rosenhan’s pseudopatient experiment is one of the most famous psychological studies or experiments that has ever been conducted. The experiment took place at the end of a period in the 1960s which saw the intellectual base of psychiatry and psychiatric institutions challenged. There were two parts of the experiment. The first looked at the process of the psychiatric diagnosis; the second examined the experience of patients’ on the wards. Rosenhan argued that psychiatric diagnosis is not consistently reliable and it has to be viewed as situationally and culturally specific. This is the finding that is most consistently highlighted from the work. However, this article argues that the other elements to Rosenhan’s challenge to institutionalized psychiatric care—that diagnosis is a label that shapes subsequent perceptions of behavior and that psychiatric institutions are depersonalizing—have often been overlooked. Given the current crisis in mental health-care provision, it is argued that this critique of institutional care needs to be revisited. There is a danger that failings in current mental health provision will lead to calls for a shift in the focus toward institutionalized provision of care. The lessons of Rosenhan can be used not only to counter this but also as a basis for a value-informed approach to the provision of institutionalized mental health care.

scholarly journals Value of schizophrenia treatment II: Decision modelling for developing early detection and early intervention services in the Czech Republic

2018 ◽  
Vol 53 ◽  
pp. 116-122 ◽  
Author(s):  
Petr Winkler ◽  
Hana Marie Broulíková ◽  
Lucie Kondrátová ◽  
Martin Knapp ◽  
Paul Arteel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Czech Republic ◽  
Early Intervention ◽  
Early Detection ◽  
Cost Savings ◽  
Potential Cost ◽  
The Czech Republic ◽  
Early Intervention Services ◽  
Intervention Services

Abstract:Background:Positive findings on early detection and early intervention services have been consistently reported from many different countries. The aim of this study, conducted within the European Brain Council project “The Value of Treatment”, was to estimate costs and the potential cost- savings associated with adopting these services within the context of the Czech mental health care reform.Methods:Czech epidemiological data, probabilities derived from meta-analyses, and data on costs of mental health services in the Czech Republic were used to populate a decision analytical model. From the health care and societal perspectives, costs associated with health care services and productivity lost were taken into account. One-way sensitivity analyses were conducted to explore the uncertainty around the key parameters.Results:It was estimated that annual costs associated with care as usual for people with the first episode of psychosis were as high as 46 million Euro in the Czech Republic 2016. These annual costs could be reduced by 25% if ED services were adopted, 33% if EI services were adopted, and 40% if both, ED and EI services, were adopted in the country. Cost-savings would be generated due to decreased hospitalisations and better employment outcomes in people with psychoses.Conclusions:Adopting early detection and early intervention services in mental health systems based on psychiatric hospitals and with limited access to acute and community care could generate considerable cost- savings. Although the results of this modelling study needs to be taken with caution, early detection and early intervention services are recommended for multi-centre pilot testing accompanied by full economic evaluation in the region of Central and Eastern Europe.

scholarly journals Characteristics Associated With Presence of Pediatric Mental Health Care Policies in Emergency Departments

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Robyn A. Cree ◽  
Marvin So ◽  
Jessica Franks ◽  
Rachel Richards ◽  
Rebecca Leeb ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Emergency Departments ◽  
Care Policies ◽  
Health Care Policies ◽  
Pediatric Mental Health

Mental health care in Prague

2005 ◽  
Vol 20 (S2) ◽  
pp. s289-s293 ◽  
Author(s):  
J. Raboch ◽  
B. Wenigova ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Psychiatric Care ◽  
Data Service ◽  
The Czech Republic ◽  
Mental Disturbances ◽  
Institutional Model ◽  
Psychiatric Department

AbstractAimTo describe principles and characteristics of mental health care in Prague.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsMental health care in Prague has a special position in the Czech Republic. Prague has the longest tradition of psychiatrictreatment including the German Psychiatric Department of the Charles University. The density of services is higher, there are more extrainstitutional facilities and acute beds are located in general hospitals.DiscussionWhilst various issues of mental health care in Prague overlap with those in other European capitals, there also are some specific problems and features. After substantial political changes in early 90s, the prevailing institutional model of psychiatric care has started to be changed according to the Concept of Psychiatric Care prepared by the Czech Psychiatric Association and approved by the Ministry of Health. However, stigma connected with mental disturbances is still present and there are not enough financial resources and will to put these plans rapidly into the practice.

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