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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2007

01-02-2007 | ORIGINAL PAPER

The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County

Authors: Grigory Rezvyy, MD, Terje Øiesvold, MD, PhD, Alexander Parniakov, MD, Oleg Ponomarev, MD, Olga Lazurko, MD, Reidun Olstad, MD, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2007

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Abstract

Background

There is virtually no readily accessible systematically recorded evidence on how the organization of mental health services in Europe’s largest country, Russia, may differ from other national systems. This study systematically compares the mental health services in Archangelsk County and Northern Norway using instruments developed for trans-cultural use.

Methods

The European Service Mapping Schedule (ESMS) and The International Classification of Mental Health Care (ICMHC) were used to describe: (i) resources, organisation and utilisation of the services; (ii) their decentralisation and differentiation; (iii) some interventions delivered by the mental health service units (n = 132) in both regions.

Results

The Norwegian services are more decentralised and differentiated, while the Russian services are largely hospital-based. The GPs are of considerable importance to the Norwegian services, functioning as gatekeepers-both centrally and peripherally. In contrast, the GP model is still poorly established in Archangelsk County. There are more units for long term stay in the Russian services than in Norway. General health care and taking over daily living activities are more organised in Archangelsk County, while psychopharmacological treatment and psychosocial interventions are more developed in Norway.

Conclusion

The study has revealed several differences in resources, organisation and utilisation of the mental health services between the two compared areas. The very large variations indicate that underlying local patterns of service delivering must be further investigated and taken into account in the planning of the services development.
Literature
1.
Thornicroft G, Tansella M (1999) The Mental health matrix. Cambridge University Press
2.
Johnson S, Zinkler M, Priebe S (2001) Mental health service provision in England. Acta psychiatr Scand 104 (Suppl. 410):47–55CrossRef
3.
Haug H-J, Rössler W (1999) Deinstitutionalization of psychiatric patients in central Europe. Eur Arch Psychiatry Clin Neurosci 249:115–122PubMedCrossRef
4.
Gater R, Jordanova V, Maric N, et al. (2005) Pathways to psychiatric care in Eastern Europe. Br J Psychiatry 186:529–535PubMedCrossRef
5.
Tomov T (2001) Mental health reforms in Eastern Europe. Acta psychiatr Scand 104 (Suppl. 410):21–26CrossRef
6.
Puras D, Germanavicius A, Povilaitis R, et al. (2004) Lithuania mental health country profile. Int Rev Psychiatry 16(1–2):117–125PubMedCrossRef
7.
Švab V, Tomori M (2002) Mental health services in Slovenia. Int J Social Psychiatry 48:177–188CrossRef
8.
World Health Organization (2005) Mental health declaration for Europe. WHO, Copenhagen
9.
World Health Organization (2005) Mental health action plan for Europe. WHO, Copenhagen
10.
Tansella M, Thornicroft G (1998) A conceptual framework for mental health services: the matrix model. Psychological Medicine 28:503–508PubMedCrossRef
11.
Johnson S, Kuhlmann R, et al. (2000) The European Service Mapping Schedule (ESMS): development of an instrument for the description and classification of the mental health services. Acta psychiatr Scand 102 (Suppl. 405):14–23CrossRef
12.
Salvador-Carulla L, Romero C, Martinez A, et al. (2000) Assessment instruments: standardization of the European Service Mapping Schedule (ESMS) in Spain. Acta Psychiatr Scand 102 (Suppl. 405):24–32CrossRef
13.
Becker T, Hülsmann S, Knudsen HC, et al. (2002) Provision of services for people with schizophrenia in five European regions. Soc Psychiatry Psychiatr Epidemiol 37:465–474PubMedCrossRef
14.
Brieger P, Wetzig F, Böcker FM, et al. (2003) Institutions and services of psychiatric care in Saxony-Anhalt: assessment with the European Service Mapping Schedule. European Psychiatry 18:145–147PubMedCrossRef
15.
Salvador-Carulla L, Tibaldi G, Johnson S, et al. (2005) Patterns of mental health services utilisation in Italy and Spain: an investigation using the European Service Mapping Schedule. Soc Psychiatry Psychiatr Epidemiol 40:149–159PubMedCrossRef
16.
De Jong A, (2000) Development of the International Classification of Mental Health Care (ICMHC). Acta psychiatr Scand 102 (Suppl. 405):8–13CrossRef
17.
Munizza C, Tibaldi G, Cesano S, et al. (2000) Mental health care in Piedmont: a description of its structure and components using a new technology for service assessment. Acta psychiatr Scand 102 (Suppl. 405):47–58CrossRef
18.
Gater R, Amaddeo F, Tansella M, Jackson G, Goldberg D (1995) A comparison of community-based care for schizophrenia in South Verona and South Manchester Br J Psychiatry 166:344–352PubMedCrossRef
19.
Amaddeo F, Gater R, Goldberg D, Tansella M (1995) Affective and neurotic disorders in community-based services: a comparative study in South Verona and South Manchester. Acta Psychiatr Scand 91:386–395PubMed
20.
21.
Poloshij B, Saposhnikova I (2000) Psychiatric reform in Russia. Acta Psychiatr Scand Suppl 104 (Suppl. 410):56–62
22.
Polubinskaya SV (2000) Reform in psychiatry in post-Soviet countries. Acta Psychiatr Scand 101:106–108CrossRef
23.
Collins IP (1995) A visit to St Petersburg: an experience of psychiatry in Russia. Psychiatric Bulletin 19:364–366
24.
Iastrebov VS (2001) Modern psychiatric service and criteria for the estimation of its activity. Zn Nevrol Psikhiatr Im S S Korsakova 101(3):29–36
25.
Yastrebov VS (2001) Protection of mental health – a priority task of the state and the society. Zn Nevrol Psikhiatr Im S S Korsakova 101(3):6–9
26.
Dolgov SA (1998) A new approach to analysis of quality of psychiatric hospital care. Zn Nevrol Psikhiatr Im S S Korsakova 8:39–41
27.
Yastrebov VS, Solokhina TA, Shevchenko LS, Rytik EG (1998) Psychiatry: management and cost efficiency. Zn Nevrol Psikhiatr Im S S Korsakova 1:5–9
28.
Kazakovtsev BA (1998) Network planning of psychiatric services and professional education in contemporary psychiatry. Zn Nevrol Psikhiatr Im S S Korsakova 2:41–44
29.
Hansen V, Øiesvold T (2004) Community psychiatry in the Sub-Arctic. Experiences with the shift from hospital-based to community-based psychiatric services in Northern Norway. Epidemiologia e Psichiatria Sociale 13:73–77PubMed
30.
Sørgaard K, Sandlund M, Heikkilä J, et al. (2003) Schizophrenia and contact with health and social services: A Nordic multi-centre study. Nord J Psychiatry 574:253–261CrossRef
31.
Holst H, Severinsson E (2003) A study of collaboration inpatient treatment between the community psychiatric health services and a psychiatric hospital in Norway. J Psychiatric Mental Health Nursing 10:650–658CrossRef
32.
Øiesvold T (1999) Psychiatric health care utilization. The Nordic comparative study on sectorized psychiatry. Thesis. Department group of psychiatry, University of Oslo. Division of psychiatry, Ullevål hospital. Nordland psychiatric hospital, Salten psychiatric centre. Bodø
33.
Ruud T (1996) Evaluering av psykiatriske helsetjenester: erfaringer og resultat fra en utprøving av noen metoder. Statens helsetilsyn. Delutredning 7. Oslo
34.
Kvamme OJ, Mainz J, Helin A, et al. (1998) Oversettele av spørreskjema. Nordisk Medicin 10:363–366
35.
36.
Goldberg D, Huxley P (1980) Mental illness in the community; the pathway to psychiatric care. Tavistock Publications, London
37.
Vidar Halsteinli (red) (2004) SAMDATA psykisk helsevern. Sektorrapport 2003. SINTEF Helse.: TAPIR UTTRYKK. Trondheim
38.
Kazakovtsev BA (2003) Modern forms of psychiatric care. Zn Nevrol Psikhiatr Im S S Korsakova 9:66–68
39.
Dmitrieva TB (2004) Social psychiatry as a priority trend in psychiatric science and practice. Vest Ross Akad Med Nauk 7:11–5
40.
Prokudin VN (2001) Psychotherapeutic service in general somatic hospital. Zn Nevrol Psikhiatr Im S S Korsakova 5:49–51
41.
Thornicroft G, Tansella M (2004) Components of a modern mental health service: a pragmatic balance of community and hospital care. Br J Psychiatry 1856:283–290CrossRef
42.
43.
Rese A, Balabanova N, Danishevski K, McKee M, Sheaff R (2005) Implementing general practice in Russia: getting beyond the first steps. BMJ 331:204–207PubMedCrossRef
44.
Nazarenko GI, Korkina MV, Elfimova EV (2004) Methodological aspects of psychiatric care for patients of general hospitals and outpatient clinics. Zn Nevrol Psikhiatr Im S S Korsakova 5:53–56
45.
Prokudin VN (2002) Psychiatric service in a general hospital. Zn Nevrol Psikhiatr Im S S Korsakova 2:63–67
46.
Smulevich AB, Syrkin AL, Kozyrev VN, Drobigev MU (2000) Psychopharmacology and organisation of psychiatric care in a general hospital. Clin Med 10:22–27
Metadata
Title
The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County
Authors
Grigory Rezvyy, MD
Terje Øiesvold, MD, PhD
Alexander Parniakov, MD
Oleg Ponomarev, MD
Olga Lazurko, MD
Reidun Olstad, MD, PhD
Publication date
01-02-2007
Publisher
D. Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2007
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0141-4

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