Provision of community-based mental health care, Latvia

Taube, Māris; Quentin, Wilm

doi:10.2471/blt.19.239913

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Mental care remains focused on inpatient care in Latvia and Lithuania [ 20 ]. World Health Organization data show [ 8 ] that the number of psihciatric hospital beds per 100,000 population was exceeding the EU average in both countries.…”

Section: Introductionmentioning

confidence: 99%

“…World Health Organization data show [ 8 ] that the number of psihciatric hospital beds per 100,000 population was exceeding the EU average in both countries. A recent analysis [ 20 ] shows that the move towards community-based mental health-care services has been slow in Latvia, and mental health-patients are still stigmatized on society. Mental health patients are often hospitalized not for medical but for social-psychological indications that could be treated at an outpatient level [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent analysis [ 20 ] shows that the move towards community-based mental health-care services has been slow in Latvia, and mental health-patients are still stigmatized on society. Mental health patients are often hospitalized not for medical but for social-psychological indications that could be treated at an outpatient level [ 20 ]. However, a pressure by international organizations stimulated local efforts to develop community-based mental health services.…”

Section: Introductionmentioning

confidence: 99%

“…However, a pressure by international organizations stimulated local efforts to develop community-based mental health services. Financial resources from large psychiatric hospitals were transferred to community-based clinics recently [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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The burden of mental health-related mortality in the Baltic States in 2007-2018

2022

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Background The problem of underestimating the burden of mental health-related mortality is widely discussed in the public health literature. Relevant scientific evidence from societies experiencing the largest burden of mental health mortality is important for better understanding global and national mental health challenges and improving policies. Three Baltic States - Estonia, Lithuania, and Latvia - are countries in the Central and Eastern European region that experienced post-soviet transition trauma and showed among the highest suicide and alcohol-related mortality rates in Europe. This study aimed to examine the change in the burden of mental health-related mortality in three Baltic States in the context of consistent growth in life expectancy in 2007-2018. Methods We calculated age-standardized years of life lost due to specific mental health-related causes of death in three Baltic countries from 2007 to 2018. Four mental health-related causes of death groups were analyzed: (i) all mental and behavioural disorders; (ii) intentional self-harm; (iii) main substance use-related causes of death; and (iv) external causes of death. The number of deaths came from the WHO Mortality Database; population exposures were extracted from the Human Mortality Database. Results We found that the proportion of age-standardized years of life lost due to mental disorders was relatively low in all three countries. It varied from 0.2% for females in Lithuania in 2009 to 2.4% for males in Estonia in 2007. However, the proportion of age-standardized years of life lost from self-harm and substance use remained high. In 2018, the proportion of age-standardized years of life lost due to self-harm was highest among males in Lithuania (4.1%) while the highest proportion due to substance use-related causes of death was among males in Estonia (7.3%). Conclusions Our findings indicate that the burden of mental health-related mortality remained high and showed divergent temporal changes across the three countries. In the context of the Baltic States and other post-soviet countries, fractions of various external causes of death and alcohol-related causes of death should be considered in assessing the total burden of mental health-related mortality.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The burden of mental health-related mortality in the Baltic States in 2007-2018

2022

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“…It positively affects reducing to utilize other services, reducing stigma, improving help-seeking attitudes, and promoting mental health [15][16][17]. Many Central and Eastern European countries have been working to develop CMHS [18]. In the 1960s and 1970s, the "deinstitutionalization" movement and the "biopsychosocial" model of medicine emerged in Europe and the United States.…”

Section: Introductionmentioning

confidence: 99%

Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study

Yang

et al. 2022

BMC Psychiatry

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Background Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by Community Mental Health Workers (CMHWs) are unclear. This study explores the difficulties and challenges in CMHS from the perspective of CMHWs. The results of this study may provide a practical basis for the training of CMHWs. Methods We carried out a qualitative study using an empirical phenomenological approach. Nine CMHWs were recruited from nine communities in Wuhan, Hubei Province, using purposive and snowball sampling. Face to face semi-structured in-depth interviews were conducted with them from December 27 to 28, 2019. Interview recordings were converted to text content by Nvivo 11.0 software and analyzed using Colaizzi’s phenomenological method. Results Three main themes were identified in this study: 1) Lack of role orientation leads to role ambiguity, 2) Failure to establish a therapeutic trust relationship with patients, and 3) Lack of communication and collaboration with various departments and peers. Seven sub themes were also identified. In these themes, CMHWs emphasized the importance of role clarity, therapeutic trusting relationships, and effective communication and coordination mechanisms. Conclusion Although China has made great efforts on the road to improving the quality of CMHS, several salient issues regarding CMHWs must be addressed to optimize the quality of services provided by CMHWs. Community mental health institutions should help CMHWs overcome these difficulties, by maximizing its value and promoting the development of CMHS.

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Mental health care in Eastern Europe and Central Asia: An analysis of needs and a call for greater investment

Hook

Bogdanov

2021

The Lancet Regional Health - Europe

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Provision of community-based mental health care, Latvia

Cited by 6 publications

References 4 publications

The burden of mental health-related mortality in the Baltic States in 2007-2018

The burden of mental health-related mortality in the Baltic States in 2007-2018

Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study

Mental health care in Eastern Europe and Central Asia: An analysis of needs and a call for greater investment

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