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Implementation of mental health centres pilots in Poland since 2018: a chance to move towards community-based mental health services

Sagan, Anna, Kowalska-Bobko, Iwona, Biechowska, Daria, Rogala, Maciej and Gałazka-Sobotka, Małgorzata (2022) Implementation of mental health centres pilots in Poland since 2018: a chance to move towards community-based mental health services. International Journal of Environmental Research and Public Health, 19 (9). ISSN 1661-7827

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Identification Number: 10.3390/ijerph19095774

Abstract

Provision of mental health care in Poland has long been characterised by an overreliance on psychiatric hospitals and the underdevelopment of community care. The introduction of the first National Mental Health Protection Programme for 2011–2015, with the explicit goal to base provision of mental care on the community mental health centres, failed to achieve any tangible results. The ensuing critique led to the launch of the second National Mental Health Protection Programme for 2017–2022 and the establishment, from mid-2018 onwards, of 41 (33 in operation) mental health centres across Poland. These will be piloted until the end of 2022 but have already shown positive results in terms of access to non-stationary care and a small fall in hospitalisations. They have also performed well during the COVID-19 pandemic, allowing for a quick reorganization of care and continued provision of mental health services. Some of the key innovations of the new model include the introduction of recovery assistants (a new profession) and mental health coordinators (a new role); liaison with social assistance services; and a shift to budget financing. The key obstacles to the national rollout of mental health centres are the low financing of mental health care in Poland, which is among the lowest in Europe, and acute workforce shortages.

Item Type: Article
Official URL: https://www.mdpi.com/journal/ijerph
Additional Information: © 2022 The Authors
Divisions: Social Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 18 Jul 2022 15:42
Last Modified: 14 Jun 2024 19:18
URI: http://eprints.lse.ac.uk/id/eprint/115593

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