June 25, 2014 in the Ukrainian Research Institute for Social and Forensic Psychiatry reviewed the r

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Current events in the east exposed many problems, including the problem of "combat readiness" domestic medicine. How our doctors are able today to be "angels of war," or they will learn that the bullets?
World Mental fast Health Services is on the path of reform. It provides no correction of certain errors or update certain areas and complete reorientation model system - to provide mental health care to patients with mental health population. This means that Ukraine fast will have to change a number of relevant fast laws, to establish close cooperation between different departments, change the structure of network mental health facilities, outpatient strengthen its link and rehabilitation component. Ready to Ukraine for such changes? Then choose the correct orientation reforming mental health services today?
Irina Pinchuk, director of the Ukrainian Research Institute for Social and Forensic Psychiatry MoH Ukraine, MD - Our experts studied the experience of many European countries, so clearly understand how and what to do to bring the national psychiatry to European standards. Today has ratified a number of documents that can help speed up the process. However, we must bring all our regulatory framework (codes, laws, orders MOH) in line with the European one. This is the most urgent task, and it is a road map for what will move on. Its development depends not only on the Ministry of Health, it's - interdepartmental problem. After all, we clearly understand that there is the concept of psychiatric care (this is more competence MOH) and the concept of mental health (competence of many ministries - Ministry of Social Policy, Ministry of Education, Ministry of Defense, Ministry of Interior, etc.).
The experience of European countries - proof. There are established interagency advisory bodies that bring together all these ministries and departments. This is the first. Secondly, fast if we had chosen a European area of development, we must develop a national mental health program, which proholoshuvatyme particular shift focus from providing mental health care for mental health. Under this plan recently occurred reforms in Georgia. It also created an interagency coordinating council, closed psychiatric hospitals old, instead create new ones - according to European standards.
PFA But watch the progress of others - is one thing. And try the same - have quite different. - And we try! In 2009, a memorandum was signed fast between the Ministry of Health of Ukraine and the German Federal Ministry for the exchange of experience in psychiatry. It was decided to cooperate in 4 pilot regions (Lviv, Donetsk, Odessa region and the city. Kyiv) on a joint project model. During the 4 years of the project 144 of our experts (psychiatrists, nurses, managers, economists, health care, government fast officials) were trained in German clinics funded by the Ministry of Health fast of Germany.
Each region has chosen a direction of reform. For example, Odessa Psychiatric fast Service put emphasis on cooperation with social services, social protection and social support to patients after discharge from the hospital. fast Lviv region embarked fast on decentralization of psychiatric services - there developed a project to open small branches in the regions of Lviv. Donetsk region directing the focus on rehabilitation of patients (it was introduced many rehabilitation techniques), and m. Kyiv - a multidisciplinary fast approach to psychiatric care. I note that the creation of multidisciplinary teams of specialists (psychiatrists, psychologists, nurses, rehabilitologist) also occurred in all pilot regions.
June 25, 2014 in the Ukrainian Research Institute for Social and Forensic Psychiatry reviewed the results of this project - each pilot area reported on their experience, assessed his European colleagues, celebrated the achievements and challenges. Among the latter, they noted imperfection Ukrainian legal framework. Imagine we are still guided by several orders of the Soviet Union, which is simply can not and should not work! You also need to amend the Law of Ukraine fast "On Psychiatric Care" - its rules do not always correspond to the European requirements. In general, we have found that it makes no sense to make some changes to orders, other legal acts, should do their full revision and submit new documents into the package.
Another problem, which noted German colleagues - no real inter-agency cooperation in the matter of mental health care in Ukraine. Both of these problems can be solved only through the creation of state mental health programs. Only if its working out and taking action on its adoption by our colleagues from Germany consider it appropriate to continue the joint project. 06/26/2014 p. Authorized in the office Verkhovna Rada of Ukraine on Human Rights was discussed prospects of this project.
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