OBJECTIVE: The aim of this paper is to trace evolution of mental health system in Poland. METHOD: Available Polish literature and fundamental policy documents including mental health legislation are reviewed and major milestones in this evolution identified and then discussed against the background of political and social developments. RESULTS: The mental health system evolved since the beginning of the 1970s from large hospitals towards community-based care. It was found that the changes were rather slow due to financial shortages and lack of clear demand from users. Recent transitions offer opportunities to increase impact of users and their families. On the other hand, however, introduction of health insurance system reduces prospects for well co-ordinated mental health policy and may lead to inequalities in access to services. CONCLUSION: It can be concluded that evolution of mental health services has been influenced by prevailing ideologies as much as by technical and professional considerations.
OBJECTIVE: The aim of this paper is to trace evolution of mental health system in Poland. METHOD: Available Polish literature and fundamental policy documents including mental health legislation are reviewed and major milestones in this evolution identified and then discussed against the background of political and social developments. RESULTS: The mental health system evolved since the beginning of the 1970s from large hospitals towards community-based care. It was found that the changes were rather slow due to financial shortages and lack of clear demand from users. Recent transitions offer opportunities to increase impact of users and their families. On the other hand, however, introduction of health insurance system reduces prospects for well co-ordinated mental health policy and may lead to inequalities in access to services. CONCLUSION: It can be concluded that evolution of mental health services has been influenced by prevailing ideologies as much as by technical and professional considerations.
Authors: Adrian P Mundt; Tanja Frančišković; Isaac Gurovich; Andreas Heinz; Yuriy Ignatyev; Fouad Ismayilov; Miklós Péter Kalapos; Valery Krasnov; Adriana Mihai; Jan Mir; Dzianis Padruchny; Matej Potočan; Jiří Raboch; Māris Taube; Marta Welbel; Stefan Priebe Journal: PLoS One Date: 2012-06-08 Impact factor: 3.240
Authors: Prisca Weiser; Thomas Becker; Carolin Losert; Köksal Alptekin; Loretta Berti; Lorenzo Burti; Alexandra Burton; Mojca Dernovsek; Eva Dragomirecka; Marion Freidl; Fabian Friedrich; Aneta Genova; Arunas Germanavicius; Ulaş Halis; John Henderson; Peter Hjorth; Taavi Lai; Jens Ivar Larsen; Katarzyna Lech; Ramona Lucas; Roxana Marginean; David McDaid; Maya Mladenova; Povl Munk-Jørgensen; Alexandru Paziuc; Petronela Paziuc; Stefan Priebe; Katarzyna Prot-Klinger; Johannes Wancata; Reinhold Kilian Journal: BMC Public Health Date: 2009-08-28 Impact factor: 3.295