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Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis

BACKGROUND: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central A...

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Autores principales: Mundt, Adrian P, Rozas Serri, Enzo, Siebenförcher, Mathias, Alikaj, Valbona, Ismayilov, Fuad, Razvodovsky, Yury E, Hasanovic, Mevludin, Marinov, Petar, Frančišković, Tanja, Cermakova, Pavla, Harro, Jaanus, Sulaberidze, Lela, Kalapos, Miklós Péter, Assimov, Marat, Nurmagambetova, Saltanat, Ibishi, Nazmie F, Molchanova, Elena, Taube, Māris, Chihai, Jana, Dedovic, Jovo, Gosek, Paweł, Tataru, Nicoleta, Golenkov, Andrei, Lecic-Tosevski, Dusica, Randjelovic, Dunja, Izakova, Lubomira, Švab, Vesna, Vohidova, Mutabara, Kerimi, Nina, Sukhovii, Oleksii, Priebe, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454862/
https://www.ncbi.nlm.nih.gov/pubmed/34557842
http://dx.doi.org/10.1016/j.lanepe.2021.100137
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author Mundt, Adrian P
Rozas Serri, Enzo
Siebenförcher, Mathias
Alikaj, Valbona
Ismayilov, Fuad
Razvodovsky, Yury E
Hasanovic, Mevludin
Marinov, Petar
Frančišković, Tanja
Cermakova, Pavla
Harro, Jaanus
Sulaberidze, Lela
Kalapos, Miklós Péter
Assimov, Marat
Nurmagambetova, Saltanat
Ibishi, Nazmie F
Molchanova, Elena
Taube, Māris
Chihai, Jana
Dedovic, Jovo
Gosek, Paweł
Tataru, Nicoleta
Golenkov, Andrei
Lecic-Tosevski, Dusica
Randjelovic, Dunja
Izakova, Lubomira
Švab, Vesna
Vohidova, Mutabara
Kerimi, Nina
Sukhovii, Oleksii
Priebe, Stefan
author_facet Mundt, Adrian P
Rozas Serri, Enzo
Siebenförcher, Mathias
Alikaj, Valbona
Ismayilov, Fuad
Razvodovsky, Yury E
Hasanovic, Mevludin
Marinov, Petar
Frančišković, Tanja
Cermakova, Pavla
Harro, Jaanus
Sulaberidze, Lela
Kalapos, Miklós Péter
Assimov, Marat
Nurmagambetova, Saltanat
Ibishi, Nazmie F
Molchanova, Elena
Taube, Māris
Chihai, Jana
Dedovic, Jovo
Gosek, Paweł
Tataru, Nicoleta
Golenkov, Andrei
Lecic-Tosevski, Dusica
Randjelovic, Dunja
Izakova, Lubomira
Švab, Vesna
Vohidova, Mutabara
Kerimi, Nina
Sukhovii, Oleksii
Priebe, Stefan
author_sort Mundt, Adrian P
collection PubMed
description BACKGROUND: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period. METHODS: We retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels. FINDINGS: Primary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33•8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24•7%), residential facility beds (12•0%), and for prison populations (36•0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings. INTERPRETATION: Most countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries. FUNDING: Agencia Nacional de Investigación y Desarrollo in Chile, grant scheme FONDECYT Regular, grant number 1190613.
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spelling pubmed-84548622021-09-22 Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis Mundt, Adrian P Rozas Serri, Enzo Siebenförcher, Mathias Alikaj, Valbona Ismayilov, Fuad Razvodovsky, Yury E Hasanovic, Mevludin Marinov, Petar Frančišković, Tanja Cermakova, Pavla Harro, Jaanus Sulaberidze, Lela Kalapos, Miklós Péter Assimov, Marat Nurmagambetova, Saltanat Ibishi, Nazmie F Molchanova, Elena Taube, Māris Chihai, Jana Dedovic, Jovo Gosek, Paweł Tataru, Nicoleta Golenkov, Andrei Lecic-Tosevski, Dusica Randjelovic, Dunja Izakova, Lubomira Švab, Vesna Vohidova, Mutabara Kerimi, Nina Sukhovii, Oleksii Priebe, Stefan Lancet Reg Health Eur Research Paper BACKGROUND: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period. METHODS: We retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels. FINDINGS: Primary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33•8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24•7%), residential facility beds (12•0%), and for prison populations (36•0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings. INTERPRETATION: Most countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries. FUNDING: Agencia Nacional de Investigación y Desarrollo in Chile, grant scheme FONDECYT Regular, grant number 1190613. Elsevier 2021-06-05 /pmc/articles/PMC8454862/ /pubmed/34557842 http://dx.doi.org/10.1016/j.lanepe.2021.100137 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Mundt, Adrian P
Rozas Serri, Enzo
Siebenförcher, Mathias
Alikaj, Valbona
Ismayilov, Fuad
Razvodovsky, Yury E
Hasanovic, Mevludin
Marinov, Petar
Frančišković, Tanja
Cermakova, Pavla
Harro, Jaanus
Sulaberidze, Lela
Kalapos, Miklós Péter
Assimov, Marat
Nurmagambetova, Saltanat
Ibishi, Nazmie F
Molchanova, Elena
Taube, Māris
Chihai, Jana
Dedovic, Jovo
Gosek, Paweł
Tataru, Nicoleta
Golenkov, Andrei
Lecic-Tosevski, Dusica
Randjelovic, Dunja
Izakova, Lubomira
Švab, Vesna
Vohidova, Mutabara
Kerimi, Nina
Sukhovii, Oleksii
Priebe, Stefan
Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title_full Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title_fullStr Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title_full_unstemmed Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title_short Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
title_sort changes in national rates of psychiatric beds and incarceration in central eastern europe and central asia from 1990-2019: a retrospective database analysis
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454862/
https://www.ncbi.nlm.nih.gov/pubmed/34557842
http://dx.doi.org/10.1016/j.lanepe.2021.100137
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