The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County

Rezvyy, Grigory; Øiesvold, Terje; Parniakov, Alexander; Ponomarev, Oleg; Lazurko, Olga; Olstad, Reidun

doi:10.1007/s00127-006-0141-4

Cited by 27 publications

(44 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general the community mental health services in Russia are concentrated in large cities and poorly developed in rural areas [6]. Arkhangelsk has vast rural areas, but only one outpatient clinic for treating substance use disorders.…”

Section: Discussionmentioning

confidence: 99%

“…An explanation could be that the overall medical treatment (by pills and injections) in the Russian clinic may be less staff intensive than the psychotherapeutic treatment that was carried out in both the Norwegian clinics. Concerning the difference in treatment methods, this may be due to cultural differences [6]. There was also a difference between the Norwegian clinics, according to the number of patients treated by each staff member (Table 4) through 1 year (28 in Tromsø and 41 in Bodø).…”

Section: Discussionmentioning

confidence: 99%

“…The mental health services in Norway are more differentiated and decentralised and more based on outpatient services than the Russian mental health services, which are largely hospital based as shown by Rezvyy et al [6]. Among other known differences between Russia and Norway is the legislation concerning treatment for drug abuse as the government in Russia does not allow the use of substitution therapy for drug users [7].…”

Section: Introductionmentioning

confidence: 99%

“…Citizens can go to other physicians (usually neurologists) who are assigned responsibility for psychiatric patients [6]. Narcological services also serve people anonymously if paid for by the patient [9].…”

Section: Introductionmentioning

confidence: 99%

“…Patients in need for specialised services in Russia may establish a direct contact with this service. In contrast, entry to official mental health services in Norway is made via the general practitioners [6]. In Norway, patients with substance use disorders are referred to specialised services in the psychiatric health care system.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

Dahl

Rezvyy

Bogdanov³

et al. 2017

International Journal of Circumpolar Health

Self Cite

View full text Add to dashboard Cite

Both in Norway and Russia a considerable portion of the population have substance use disorders. However, the knowledge about outpatient services treating substance use disorders in Norway and Russia is limited. This study will describe and compare outpatient clinics treating substance use disorders in Arkhangelsk in Northwest Russia and in Bodø and Tromsø in Northern Norway on availability, accessibility and treated prevalence (patients treated in one year). The managers (N=3) of the outpatient clinics (N=3) were interviewed with the European Service Mapping Schedule (ESMS) and the International Classification of Mental Health Care (ICMHC). The interviews were supplemented by e-mail and phone calls. The treatment in Arkhangelsk was mainly biologically oriented (medical), while a greater variety of methods was available in Bodø and Tromsø. The clinic in Russia was a drop-in clinic, while in Norway patients needed a referral to get an appointment in the clinic. Patients treated in Arkhangelsk (treated prevalence) was 1662, while in Bodø it was 233 and in Tromsø 220. The present study revealed great differences between the clinics involved in accessibility, availability and treated prevalence. Cultural traditions and budgeting of the mental health care system could explain some of the findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

Dahl

Rezvyy

Bogdanov³

et al. 2017

International Journal of Circumpolar Health

Self Cite

View full text Add to dashboard Cite

show abstract

How to select representative geographical areas in mental health service research

Priebe

Saidi

Kennedy

et al. 2008

Soc Psychiat Epidemiol

View full text Add to dashboard Cite

show abstract

Suicidality related to first-time admissions to psychiatric hospital

Øiesvold

Bakkejord

Hansen

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

Self Cite

View full text Add to dashboard Cite

BackgroundThe epidemiology of suicidality shows considerable variation across sites. However, one of the strongest predictors of suicide is a suicidal attempt. Knowledge of the epidemiology of suicidal ideas and attempts in the general population as well as in the health care system is of importance for designing preventive strategies. In this study, we will explore the role of the psychiatric hospital in suicide prevention by investigating treated incidence of suicidal ideation and attempt, and further, discern whether sociodemographic, clinical and service utilization factors differ between these two groups at admission.MethodsThe study was a prospective cohort study on treated incidence in a 1-year period and 12-month follow-up. The two psychiatric hospitals in northern Norway, serving a population of about 500,000 people, participated in the study. A total of 676 first-time admissions were retrospectively checked for suicidality at the time of admission. A study sample of 168 patients was found eligible for logistic regression analysis to elucidate the risk profiles of suicidal ideators versus suicidal attempters. GAF, HoNOS and SCL-90-R were used to assess symptomatology at baseline.Results52.2% of all patients admitted had suicidal ideas at admission and 19.7% had attempted suicide. In the study sample, there were no differences in risk profile between the two groups with regard to sociodemographic and clinical factors. Males who had made a suicide attempt were less likely to have been in contact with an out-patient clinic before the attempt. The rating scales not measuring suicidality directly showed no differences in symptomatology.ConclusionThe findings provide evidence for the importance of the psychiatric hospital in suicide prevention. About half of the admissions were related to suicidality and the similar risk profiles found in suicidal ideators and suicidal attempters indicate that it is the ideators who mostly need treatment that get admitted to the hospital, and should be evaluated and treated with equal concern as those who have attempted suicide.

show abstract

The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County

Cited by 27 publications

References 31 publications

Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

How to select representative geographical areas in mental health service research

Suicidality related to first-time admissions to psychiatric hospital

Contact Info

Product

Resources

About