Deinstitutionalization of the Mental Health System: International Experience and Georgia
DOI:
https://doi.org/10.52340/healthecosoc.2024.08.02.11Keywords:
community-based care, deinstitutionalization, Mental healthAbstract
Introduction: According to the World Health Organization (WHO), more than a quarter of the world's population lives with mental health problems, but in many countries mental health services do not meet their needs. A particularly acute problem is the development of deinstitutionalization and community-based care. The aim of the study is to analyze the challenges of the deinstitutionalization process of mental health services. Methodology: A theoretical study of the issue was carried out and relevant literature was analyzed. Results: The success of the deinstitutionalization process depends on political will, social and economic factors, as well as the readiness of the health system. The WHO Mental Health Action Plan for 2023–2030 defines specific goals, including strengthening community-based care systems and increasing the effectiveness of mental health services. At the same time, it is important to implement legislative reforms and raise public awareness. Conclusion: Deinstitutionalization of mental health requires a long-term vision, strategic planning, and strong support at both the political and societal levels.
References
ზავრადაშვილი, ნ. (2021). ფსიქიკური ჯანმრთელობის სერვისების დეინსტიტუციონალიზაცია საერთაშორისო გამოცდილება და საქართველოს კონტექსტი. ადამიანის უფლებების სწავლებისა და მონიტორინგის ცენტრი. თბილისი.
Caritas Czech Republic. (2022). The deinstitutionalization of adults with disabilities in Georgia soon will come to an end. https://georgia.charita.cz/news/the-deinstitutionalization-of-adults-with-disabilities-in-georgia-soon-will-come-to-an-end/
Dunn, AA. (2011). Independent Assessment of the Deinstitutionalisation Process in Georgia. UNICEF.
Montenegro C, Irarrázaval Dominguez M, González Moller J, Thomas F, Urrutia Ortiz J. (2023). Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators. Cambridge Prisms: Global Mental Health. 10:e29. doi:10.1017/gmh.2023.18
Shen, G.C., Snowden, L.R. (2014). Institutionalization of deinstitutionalization: a cross-national analysis of mental health system reform. Int J Ment Health Syst 8, 47. https://doi.org/10.1186/1752-4458-8-47
WHO. (2022). World mental health report: transforming mental health for all. Geneva: World Health Organization. https://iris.who.int/bitstream/handle/10665/356119/9789240049338-eng.pdf
WHO. (2023). Deinstitutionalization of people with mental health conditions in the WHO South-East Asia Region. New Delhi: World Health Organization, Regional Office for South-East Asia; 2023
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ჟურნალი უზრუნველყოფს დაუყოვნებელ ღია წვდომას მის შინაარსზე იმ პრინციპით, რომ კვლევის შედეგების საჯაროდ ხელმისაწვდომობა ხელს უწყობს ცოდნის გლობალურ გაცვლას.
ჟურნალში გამოქვეყნებული სტატიები ვრცელდება Creative Commons Attribution 4.0 International (CC BY 4.0) ლიცენზიით. თქვენ უფლება გაქვთ გაავრცელოთ ან გამოიყენოთ მასალა ნებისმიერი (მათ შორის კომერციული) მიზნით, იმ პირობით, რომ მიუთითებთ ავტორ(ებ)ს და პირველწყაროს.
