-
Je něco špatně v tomto záznamu ?
Widespread collapse, glimpses of revival: a scoping review of mental health policy and service development in Central Asia
AA. Aliev, T. Roberts, S. Magzumova, L. Panteleeva, S. Yeshimbetova, D. Krupchanka, N. Sartorius, G. Thornicroft, P. Winkler
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, přehledy
Grantová podpora
001
World Health Organization - International
Medline Complete (EBSCOhost) od 1998-01-01 do Před 1 rokem
Health & Medicine (ProQuest) od 1997-01-01 do Před 1 rokem
Psychology Database (ProQuest) od 1997-01-01 do Před 1 rokem
Public Health Database (ProQuest) od 1997-01-01 do Před 1 rokem
Odkazy
PubMed
33738529
DOI
10.1007/s00127-021-02064-2
Knihovny.cz E-zdroje
- MeSH
- lidé MeSH
- zdravotní politika * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Kazachstán MeSH
- Kyrgyzstán MeSH
- Tádžikistán MeSH
- Turkmenistán MeSH
- Uzbekistán MeSH
PURPOSE: We aimed to map evidence on the development of mental health care in Central Asia after 1991. METHOD: We conducted a scoping review complemented by an expert review. We searched five databases for peer-reviewed journal articles and conducted grey literature searching. The reference lists of included articles were screened for additional relevant publications. RESULTS: We included 53 articles (Kazakhstan: 13, Kyrgyzstan: 14, Tajikistan: 10, Uzbekistan: 9, Turkmenistan: 2, Multinational: 5). Only 9 were published in internationally recognised journals. In the 1990's mental health services collapsed following a sharp decline in funding, and historically popular folk services re-emerged as an alternative. Currently, modernised mental health policies exist but remain largely unimplemented due to lack of investment and low prioritisation by governments. Psychiatric treatment is still concentrated in hospitals, and community-based and psycho-social services are almost entirely unavailable. Stigma is reportedly high throughout the region, psychiatric myths are widespread, and societal awareness of human rights is low. With the exception of Kyrgyzstan, user involvement is virtually absent. After many years of stagnation, however, political interest in mental health is beginning to show, along with some promising service developments. CONCLUSIONS: There is a substantial knowledge gap in the region. Informed decision-making and collaboration with stakeholders is necessary to facilitate future reform implementation.
Association for the Improvement of Mental Health Programmes CH Geneva Switzerland
Centre for Society and Mental Health King's College London London UK
Department of Mental Health and Substance Use World Health Organization Geneva Switzerland
Department of Psychiatry and Narcology Tashkent Medical Academy Tashkent Uzbekistan
Department of Psychiatry Narcology and Neurology Kazakh Russian Medical University Almaty Kazakhstan
- 000
- 00000naa a2200000 a 4500
- 001
- bmc21025274
- 003
- CZ-PrNML
- 005
- 20211026133953.0
- 007
- ta
- 008
- 211013s2021 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1007/s00127-021-02064-2 $2 doi
- 035 __
- $a (PubMed)33738529
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Aliev, Akmal-Alikhan $u Department of Public Mental Health, National Institute of Mental Health, Topolová 748, 256 01, Klecany, Czech Republic
- 245 10
- $a Widespread collapse, glimpses of revival: a scoping review of mental health policy and service development in Central Asia / $c AA. Aliev, T. Roberts, S. Magzumova, L. Panteleeva, S. Yeshimbetova, D. Krupchanka, N. Sartorius, G. Thornicroft, P. Winkler
- 520 9_
- $a PURPOSE: We aimed to map evidence on the development of mental health care in Central Asia after 1991. METHOD: We conducted a scoping review complemented by an expert review. We searched five databases for peer-reviewed journal articles and conducted grey literature searching. The reference lists of included articles were screened for additional relevant publications. RESULTS: We included 53 articles (Kazakhstan: 13, Kyrgyzstan: 14, Tajikistan: 10, Uzbekistan: 9, Turkmenistan: 2, Multinational: 5). Only 9 were published in internationally recognised journals. In the 1990's mental health services collapsed following a sharp decline in funding, and historically popular folk services re-emerged as an alternative. Currently, modernised mental health policies exist but remain largely unimplemented due to lack of investment and low prioritisation by governments. Psychiatric treatment is still concentrated in hospitals, and community-based and psycho-social services are almost entirely unavailable. Stigma is reportedly high throughout the region, psychiatric myths are widespread, and societal awareness of human rights is low. With the exception of Kyrgyzstan, user involvement is virtually absent. After many years of stagnation, however, political interest in mental health is beginning to show, along with some promising service developments. CONCLUSIONS: There is a substantial knowledge gap in the region. Informed decision-making and collaboration with stakeholders is necessary to facilitate future reform implementation.
- 650 12
- $a zdravotní politika $7 D006291
- 650 _2
- $a lidé $7 D006801
- 651 _2
- $a Kazachstán $7 D007623
- 651 _2
- $a Kyrgyzstán $x epidemiologie $7 D007707
- 651 _2
- $a Tádžikistán $7 D013620
- 651 _2
- $a Turkmenistán $7 D014423
- 651 _2
- $a Uzbekistán $7 D014610
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a přehledy $7 D016454
- 700 1_
- $a Roberts, Tessa $u Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK $u Centre for Society and Mental Health, King's College London, London, UK
- 700 1_
- $a Magzumova, Shakhnoza $u Department of Psychiatry and Narcology, Tashkent Medical Academy, Tashkent, Uzbekistan
- 700 1_
- $a Panteleeva, Liliia $u Department of Medical Psychology, Psychiatry and Psychotherapy, Kyrgyz-Russian Slavic University Named After B. N. Yeltsin, Bishkek, Chuy Province, Kyrgyzstan
- 700 1_
- $a Yeshimbetova, Saida $u Department of Psychiatry, Narcology and Neurology, Kazakh-Russian Medical University, Almaty, Kazakhstan
- 700 1_
- $a Krupchanka, Dzmitry $u Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland
- 700 1_
- $a Sartorius, Norman $u Association for the Improvement of Mental Health Programmes, CH, Geneva, Switzerland
- 700 1_
- $a Thornicroft, Graham $u Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- 700 1_
- $a Winkler, Petr $u Department of Public Mental Health, National Institute of Mental Health, Topolová 748, 256 01, Klecany, Czech Republic. petr.winkler@nudz.cz $u Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. petr.winkler@nudz.cz
- 773 0_
- $w MED00004389 $t Social psychiatry and psychiatric epidemiology $x 1433-9285 $g Roč. 56, č. 8 (2021), s. 1329-1340
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/33738529 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20211013 $b ABA008
- 991 __
- $a 20211026133959 $b ABA008
- 999 __
- $a ok $b bmc $g 1714362 $s 1145781
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2021 $b 56 $c 8 $d 1329-1340 $e 20210318 $i 1433-9285 $m Social psychiatry and psychiatric epidemiology $n Soc Psychiatry Psychiatr Epidemol $x MED00004389
- GRA __
- $a 001 $p World Health Organization $2 International
- LZP __
- $a Pubmed-20211013