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Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
AP. Mundt, E. Rozas Serri, M. Siebenförcher, V. Alikaj, F. Ismayilov, YE. Razvodovsky, M. Hasanovic, P. Marinov, T. Frančišković, P. Cermakova, J. Harro, L. Sulaberidze, MP. Kalapos, M. Assimov, S. Nurmagambetova, NF. Ibishi, E. Molchanova, M....
Language English Country Great Britain
Document type Journal Article
NLK
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PubMed Central
from 2021
ROAD: Directory of Open Access Scholarly Resources
from 2020
- Publication type
- Journal Article MeSH
Background: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period. Methods: We retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels. Findings: Primary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33•8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24•7%), residential facility beds (12•0%), and for prison populations (36•0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings. Interpretation: Most countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries. Funding: Agencia Nacional de Investigación y Desarrollo in Chile, grant scheme FONDECYT Regular, grant number 1190613.
2nd Faculty of Medicine Charles University Prague Czech Republic
3rd Faculty of Medicine Charles University Prague Czech Republic
American University in Central Asia Bishkek Kyrgyzstan
Association of Experts in Mental Health Sofia Bulgaria
Azerbaijan Medical University Baku Azerbaijan
Center for Mental Health and Monitoring of Drugs and Alcohol MoH of Ukraine
Clinic of Psychiatry University Clinical Centre of Kosovo Pristina Kosovo
Curatio International Foundation Tbilisi Georgia
Department of Communication Skills of the Kazakh National Medical University Almaty Kazakhstan
Department of Neuroscience Faculty of Medicine Medical University Tirana Albania
Department of Psychiatry and Mental Health Hospital Clínico Universidad de Chile Santiago Chile
Department of Psychiatry and Psychotherapy Campus Mitte Charité Universitätsmedizin Berlin Germany
Department of Psychiatry Riga Stradin's University Riga Latvia
Faculty of Health Studies University of Rijeka Craotia
Forensic Psychiatry Unit Special Psychiatric Hospital Kotor Kotor Montenegro
Grodno State Medical University Grodno Belarus
Institute of Mental Health Belgrade Serbia
Institute of Psychiatry and Neurology • Department of Forensic Psychiatry Warsaw Poland
Kazakhstan Republican Mental Health Center Almaty Kazakhstan
Medical Faculty Universidad Diego Portales Santiago Chile
Medical Faculty University of Ljubljana Ljubljana Slovenia
National Institute of Mental Health Klecany Czech Republic
National Project Officer UNODC Tajikistan
Psychiatry and Medical Psychology Chuvash State University Cheboksary Russia
Senior consultant psychiatrist Psychiatry Ambulatory Clinic Oradea România
Serbian Academy of Sciences and Arts Belgrade Serbia
Sofia University St Kliment Ohridski Thrakian University St Zagora Bulgaria
Theoretical Biology Research Group Budapest Hungary
Unit of Social and Community Psychiatry Queen Mary University of London UK
References provided by Crossref.org
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