Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov 12;8(1):1843288.
doi: 10.1080/20016689.2020.1843288.

Transitioning to community-based mental health service delivery: opportunities for Ukraine

Eleanor Quirke  1 , Orest Suvalo  2 , Oleksii Sukhovii  3 , York Zöllner  1
Affiliations

Transitioning to community-based mental health service delivery: opportunities for Ukraine

Eleanor Quirke et al. J Mark Access Health Policy. .

Abstract

Background and objectives: Ukraine's mental health system has been found to be inadequate and unresponsive to the needs of the population, in view of its emphasis on inpatient service delivery. This study sought to identify potential changes to the organization and financing of mental health services within the Ukrainian health system that would facilitate the delivery of mental health services in a community-based setting. Methodology: A systematic literature review was undertaken to identify organizational and financing features that have been successfully used to enable and incentivize the delivery of community-based mental health services in Central or Eastern European and/or former Soviet Union countries. Results: There was limited literature on the organizational and financing features that facilitate the delivery of community-based care. Key facilitators for transitioning from institution-based to community-based mental health service delivery include; a clear vision for community-based care, investment in the mental health system, and mechanisms that allow health funding to follow the patient through the health system. Conclusions: Ukraine should adopt strategic purchasing mechanisms to address inefficiency in the financing of its mental health system, and prioritize collaborative planning and delivery of mental health services. Ongoing reform of the Ukrainian health system provides momentum for instituting such changes.

Keywords: Mental health systems; Ukraine; community-based care.

PubMed Disclaimer

Conflict of interest statement

The opinions and views presented in this publication represent those of the authors and may not necessarily represent the views of the Ukrainian Catholic University, the Centre for Mental Health and Monitoring of Drugs and Alcohol Ministry of Health of Ukraine, Mental Health for Ukraine project team, the Mental Health for Ukraine project implementing consortia, the SDC, the Hamburg University of Applied Sciences nor the DAAD.

Figures

Figure 1.
Figure 1.
Psychiatric beds per 100,000 population
Figure 2.
Figure 2.
Narcological beds per 100,000 population
Figure 3.
Figure 3.
Network of facilities providing psychiatric care, by types of care
None
See this image and copyright information in PMC

References

    1. Vigo D, Thornicroft G, Atun R.. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3(2):171–15. - PubMed
    1. World Health Organization, editor . Mental health: new understanding, new hope. repr. Geneva: World Health Organization; 2002. p. 178. (The world health report).
    1. World Health Organization . Integrating mental health into primary care: a global perspective; 2008. Geneva: World Health Organization.
    1. Thornicroft G, Tansella M. Balancing community-based and hospital-based mental health care. World Psychiatry Off J World Psychiatr Assoc WPA. 2002. June;1(2):84–90. - PMC - PubMed
    1. Thornicroft G, Tansella M. Components of a modern mental health service: a pragmatic balance of community and hospital care: overview of systematic evidence. Br J Psychiatry. 2004;185(4):283–290. - PubMed

LinkOut - more resources