Community Mental Health Centres Initiated by the South-Eastern Europe Stability Pact: Evaluation in Seven Countries
- 243 Downloads
Eight community mental health care centres (initiated by the South-Eastern Europe Stability Pact) in Albania, Bosnia-Herzegovina, Croatia, Macedonia, Moldova, Montenegro and Romania were evaluated. Characteristics of patients, patient reported outcomes and patient views of care were assessed in 305 psychiatric patients. Patient characteristics varied across centres, with most patients having long term psychotic disorders. Treatment satisfaction and therapeutic relationships were rated favourably. Subjective quality of life mean scores were rather low, with higher satisfaction with health and dissatisfaction with the financial and employment situation. Being unemployed was the only factor associated with poor quality of life and lower treatment satisfaction. Most developing centres target patients with persistent psychotic disorders. Care appears highly valued by the patients. The findings encourage establishing more centres in the region and call for employment schemes for people with mental illnesses.
KeywordsMental health care evaluation South-Eastern Europe Quality of life Treatment satisfaction Therapeutic relationship
The authors thank the managers and staff of the participating community mental health centres for their contribution to the study. We would also like to acknowledge the support of Ms Vesna Puratic and Ms Taida Kapetanovic from the SEE Mental Health Project Regional Office in Sarajevo, Bosnia and Herzegovina.
Conflict of interest
- Beecham, J., & Knapp, M. (2006). Costing psychiatric interventions. In G. Thornicroft (Ed.), Measuring mental health needs, 2nd ed. (pp). London: Gaskell.Google Scholar
- Gibert, N., Richards, A., Barkham, M. & Coles-Gale, R. (2003). Primary care mental health worker service: Evaluation report. Retrieved September 7, 2009, from http://www.psyc.leeds.ac.uk/ptrc/research/pcmhw.htm.
- Healthcare Commission. (2008). Survey of users of community mental health services. Retrieved from http://www.cqc.org.uk/_db/_documents/Full_2008_results_with_historical_comparisons.pdf.
- Jankovic Gavrilovic, J., Lecic Tosevski, D., Colovic, O., Dimic, S., Susic, V., Pejovic Milovancevic, M., et al. (2005). Association of postraumatic stress and quality of life in civilians after air attacks. Psihijatrija Danas, 37(2), 297–305.Google Scholar
- Priebe, S., Matanov, A., Jankovic Gavrilovic, J., McCrone, P., Ljubotina, D., Knezevic, G., et al. (2009). Consequences of untreated posttraumatic stress disorder following war in former Yugoslavia: Morbidity, subjective quality of life, and care costs. Croatian Medical Journal, 50, 465–475.PubMedCrossRefGoogle Scholar
- Priebe, S., McCabe, R., Bullenkamp, J., Hansson, L., Lauber, C., Martinez-Leal, R., et al. (2007). Structured patient-clinician communication and 1-year outcome in community mental health care: Cluster randomised controlled trial. British Journal of Psychiatry, 191, 420–426.PubMedCrossRefGoogle Scholar
- World Health Organisation (2008). Approaching Mental Health Care Reform Regionally: The mental health project for South-eastern Europe. Retrieved from http://www.euro.who.int/Document/E92163.pdf.