Evolution of the mental health care system in Poland

Pużyński, S; Moskalewicz, Jacek

doi:10.1034/j.1600-0447.2001.1040s2069.x

Cited by 14 publications

(13 citation statements)

References 3 publications

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“…In‐patient services Treatment of the mentally ill in the region traditionally took place primarily in large mental institutions; hospitalization represented the principal form of psychiatric care (6–18). After WWII, the focus of psychiatric care moved to general hospital settings and many psychiatric wards were subsequently opened.…”

Section: Resultsmentioning

confidence: 99%

Psychiatry in selected countries of Central and Eastern Europe: an overview of the current situation

Füredi¹,

Mohr

Swingler

et al. 2006

Acta Psychiatr Scand

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Section: Resultsmentioning

confidence: 99%

Psychiatry in selected countries of Central and Eastern Europe: an overview of the current situation

Füredi¹,

Mohr

Swingler

et al. 2006

Acta Psychiatr Scand

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“…For example in Poland, mental health service provision developed more similarly to worldwide trends: between 1970 and 1990, before the political change, psychiatric bed numbers were reduced by about 20% [28]. After the political change of 1989, all CEEC underwent important reforms of mental health care provision including the reduction of psychiatric hospital beds, reforms of mental health legislation and transformation of the reimbursement systems [29].…”

Section: Introductionmentioning

confidence: 99%

Changes in the Provision of Institutionalized Mental Health Care in Post-Communist Countries

et al. 2012

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BackgroundGeneral psychiatric and forensic psychiatric beds, supported housing and the prison population have been suggested as indicators of institutionalized mental health care. According to the Penrose hypothesis, decreasing psychiatric bed numbers may lead to increasing prison populations. The study aimed to assess indicators of institutionalized mental health care in post-communist countries during the two decades following the political change, and to explore whether the data are consistent with the Penrose hypothesis in that historical context.Methodology/Principal FindingsGeneral psychiatric and forensic psychiatric bed numbers, supported housing capacities and the prison population rates were collected in Azerbaijan, Belarus, Croatia, Czech Republic, East Germany, Hungary, Kazakhstan, Latvia, Poland, Romania, Russia and Slovenia. Percentage change of indicators over the decades 1989–1999, 1999–2009 and the whole period of 1989–2009 and correlations between changes of different indicators were calculated. Between 1989 and 2009, the number of general psychiatric beds was reduced in all countries. The decrease ranged from −11% in Croatia to −51% in East Germany. In 2009, the bed numbers per 100,000 population ranged from 44.7 in Azerbaijan to 134.4 in Latvia. Forensic psychiatric bed numbers and supported housing capacities increased in most countries. From 1989–2009, trends in the prison population ranged from a decrease of −58% in East Germany to an increase of 43% in Belarus and Poland. Trends in different indicators of institutionalised care did not show statistically significant associations.Conclusions/SignificanceAfter the political changes in 1989, post-communist countries experienced a substantial reduction in general psychiatric hospital beds, which in some countries may have partly been compensated by an increase in supported housing capacities and more forensic psychiatric beds. Changes in the prison population are inconsistent. The findings do not support the Penrose hypothesis in that historical context as a general rule for most of the countries.

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“…Tomov [28] described the quality of services in these countries before the break-up of the Soviet Union, and pointed out the conceptual changes that needed to be addressed in order to develop mental health services in these countries. The mental health systems in Russia (LM) [29] and Poland [30] had been scrutinized and it was concluded that deinstitutionalization, as a concept, needed to be promoted in the community, and that consumer participation had to be increased in service delivery and policy development. Ethical considerations for patient management also needed to be strengthened.…”

Section: The Backgroundmentioning

confidence: 99%