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Community Mental Health Journal

, Volume 48, Issue 3, pp 352–362 | Cite as

Community Mental Health Centres Initiated by the South-Eastern Europe Stability Pact: Evaluation in Seven Countries

  • Stefan PriebeEmail author
  • Aleksandra Matanov
  • Neli Demi
  • Joka Blagovcanin Simic
  • Sandra Jovanovic
  • Milena Gajic
  • Elizabeta Radonic
  • Stojan Bajraktarov
  • Larisa Boderscova
  • Monika Konatar
  • Raluca Nica
  • Matthijs Muijen
Original Paper

Abstract

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.

Keywords

Mental health care evaluation South-Eastern Europe Quality of life Treatment satisfaction Therapeutic relationship 

Notes

Acknowledgments

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

None.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Stefan Priebe
    • 1
    Email author
  • Aleksandra Matanov
    • 1
  • Neli Demi
    • 2
  • Joka Blagovcanin Simic
    • 3
  • Sandra Jovanovic
    • 4
  • Milena Gajic
    • 5
  • Elizabeta Radonic
    • 6
  • Stojan Bajraktarov
    • 7
  • Larisa Boderscova
    • 8
  • Monika Konatar
    • 9
  • Raluca Nica
    • 10
  • Matthijs Muijen
    • 11
  1. 1.Unit for Social and Community PsychiatryQueen Mary University of London, Newham Centre for Mental HealthLondonUK
  2. 2.WHO Country OfficeTiranaAlbania
  3. 3.University Clinic for Psychiatry, Clinical Centre Banja LukaBanja LukaBosnia and Herzegovina
  4. 4.Community Mental Health Centre MostarMostarBosnia and Herzegovina
  5. 5.Community Mental Health Centre PrnjavorPrnjavorBosnia and Herzegovina
  6. 6.Croatian Institute of Brain Research, School of MedicineUniversity of ZagrebZagrebCroatia
  7. 7.University Clinic of PsychiatrySkopjeMacedonia
  8. 8.NPO, Health Systems, FCHWHO Country OfficeChisinauRepublic of Moldova
  9. 9.Community Mental Health Centre KotorKotorMontenegro
  10. 10.Romanian League for Mental HealthBucharestRomania
  11. 11.WHO Regional Office for EuropeCopenhagenDenmark

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