Widespread collapse, glimpses of revival: a scoping review of mental health policy and service development in Central Asia

Aliev, Akmal Alikhan; Roberts, Tessa; Magzumova, Shakhnoza; Пантелеева, Л. Р.; Yеshimbetova, Saida; Krupchanka, Dzmitry; Sartorius, Norman; Thornicroft, Graham; Winkler, Petr

doi:10.1007/s00127-021-02064-2

Cited by 14 publications

(9 citation statements)

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“…Public stigma together with institutionalization of mental health care might then function as vicious cycle, when the former reinforces the latter, and vice-versa. However, more evidence is needed to support such a hypothesis, and we recommend to assess the baseline levels of public stigma in countries that are currently about to deinstitutionalize their mental health care, especially those in central and eastern Europe and Central Asia [1,38]. We think that efforts to reform mental health care systems and anti-stigma programs should be considered together, because deinstitutionalization and improvements in quality and availability of mental health care services inevitably positively influence population perception of mental illnesses and their treatment; and vice versa, efforts to socially exclude people with mental health problems, for instance through institutionalization, inevitably negatively influence population perception of mental illnesses and their treatment.…”

Section: Discussionmentioning

confidence: 99%

“…A study focused on attitudes toward people with mental illnesses in Germany, Bratislava (Slovakia), and Novosibirsk (Russia) did not find significant differences in population attitudes across the three settings [3]. Another study comparing attitudes toward people with depression in Germany, Hungary, Ireland, and The communist regime, which prevailed in CEE in the second half of the 20th century, has profoundly influenced mental health care systems in the region [1,11]. Based on ideological reasons, the communist regime supported asylum-like psychiatric hospitals and excessively long (often life-time) hospitalizations of people with severe mental illnesses, encouraged stigmatizing attitudes, centralized decision making and prevented service users and families to take part in it, supported biologically oriented psychiatry, and discouraged a public mental health approach [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Another study comparing attitudes toward people with depression in Germany, Hungary, Ireland, and The communist regime, which prevailed in CEE in the second half of the 20th century, has profoundly influenced mental health care systems in the region [1,11]. Based on ideological reasons, the communist regime supported asylum-like psychiatric hospitals and excessively long (often life-time) hospitalizations of people with severe mental illnesses, encouraged stigmatizing attitudes, centralized decision making and prevented service users and families to take part in it, supported biologically oriented psychiatry, and discouraged a public mental health approach [11,12]. In the Czech Republic, several initial attempts to transform mental health care were pursued after the collapse of the communist regime in 1989; however, similar to other countries in the region, these attempts were not very successful [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Development of public stigma toward people with mental health problems in Czechia 2013–2019

et al. 2021

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BackgroundWe aimed to assess the changes in population attitudes and intended behavior towards people with mental health problems in Czechia between 2013/2014 and 2019; and to investigate the association between these and the exposure to the ongoing mental health care reform and one of its implementation projects focused on reducing stigma. MethodsWe analyzed data from three cross-sectional surveys representative of the Czech adult population. We used linear regression models to compare population attitudes (Community Attitudes Towards Mental Illness Scale) and desire for future contact with people with mental health problems (Reported and Intended Behaviour Scale) between the 2013/2014 baseline and the 2019 follow-up. In our 2019 sample, we employed linear regression models to assess the relationship between exposure to mental health care reform and nation-wide anti-stigma campaign, and population stigmatizing attitudes and intended behavior. We utilized a propensity score matching procedure to mitigate potential bias. Results

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of public stigma toward people with mental health problems in Czechia 2013–2019

et al. 2021

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“…Some scholars also put forward different views. Aliev et al ( 8 ) believe that women have a high rate of depression, which can be attributed in part to the reliance of women on trustworthy interpersonal relationships and the obligations brought about by such relationships. Therefore, women are less able to resist the loss of such support and will be affected when others in their own social network encounter adversity.…”

Section: Introductionmentioning

confidence: 99%

Effects of Social Capital and Leisure Participation on Self-Rated Health of Urban Residents in Southwest China

2021

Front. Public Health

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Background: Leisure provides opportunities for urban and rural residents to relax, recover their vitality, and improve their personal growth, development, and well-being. However, the impact of the leisure participation process, types, obstacles, participation motivation, and satisfaction on health is not very clear, especially the impact of leisure behavior on health, and is worthy of in-depth discussion.Objective: The objective of this study was to explore the impact of social capital and leisure participation on the self-rated health of urban residents in China so as to provide an important reference for national health promotion activities.Methods: the questionnaire on the relationship between social capital, leisure behavior, and self-rated health was compiled by ourselves. The residents participating in leisure and fitness in 25 residential fitness centers in Chengdu were investigated in the morning and evening, and the obtained data were processed by exploratory and confirmatory factor analysis.Results: (1) Social capital had no direct influence on leisure hindrance; leisure motivation and leisure participation had no direct influence on self-rated health. (2) Leisure satisfaction has a direct positive impact on self-rated health, while leisure hindrance has a significant negative impact on self-rated health. (3) Social capital has a direct positive impact on leisure satisfaction, and social capital has a direct positive impact on self-rated health. Leisure satisfaction plays an intermediary role in the path of social capital affecting self-rated health, and the intermediary force exceeds the direct impact of social capital on self-rated health.Conclusion: The effect of leisure satisfaction on self-rated health is higher than that of social capital, and it plays an intermediary role in the impact path of social capital on self-rated health. Therefore, how to make urban community residents with different backgrounds obtain leisure satisfaction through leisure activities is an important topic of national health promotion.

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“…The higher the score indicates a higher level of depression. (See Appendix I for the specific scoring criteria) [4] The evaluating results show that the score of 8 children under test exceeds 21 points (i. e., with the depression tendency), which represent as:…”

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Study on Prevention and Intervention Policy of Primary School Children with Depression in China

Yang

2022

L-E

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In recent years, the mental health problems of primary school children in China have become prominent, which are widely concerned by the government, academic circle, and many other sectors of society. This paper analyzes the psychological problems and causes of primary school children and points out some main psychological problems faced by primary school children, such as prominent depressive mood, serious anxiety. Based on this, it is proposed that the current situation of primary school children with depression in China is not optimistic. Through comparing the policy construction of mental health education in China and the United States as well as other developed countries, this paper compares and analyzes the differences existing in mental health education policies in primary schools between China, Europe, and the United States. Besides, it probes into the inspiration to mental health policy system in China and puts forward the reflection and countermeasures for the prevention and intervention policies of primary school children with depression in China, thus improving the professional methods for prevention and intervention of primary school children’s depression. At the same time, broadening the channels of prevention and intervention support for primary school children with depression, and establish an ecological system for this symptom, to provide a reference for the prevention and intervention policy of primary school children’s depression in China.

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Widespread collapse, glimpses of revival: a scoping review of mental health policy and service development in Central Asia

Cited by 14 publications

References 40 publications

Development of public stigma toward people with mental health problems in Czechia 2013–2019

Development of public stigma toward people with mental health problems in Czechia 2013–2019

Effects of Social Capital and Leisure Participation on Self-Rated Health of Urban Residents in Southwest China

Study on Prevention and Intervention Policy of Primary School Children with Depression in China

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