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Mental Health in Europe

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Mental Health in Europe Mental Health in Europe Country reports from the WHO European Network on Mental Health 2001 ABSTRACT The Mental Health programme of the WHO Regional Office for Europe has, over the past three years, established a network of mental health professionals in the Member States, who have provided the necessary liaison between the Regional Adviser for Mental Health in the Regional Office and the mental health services in the countries. These counterparts have been officially nominated by their ministries of health and are often working in the ministry of health or are the most senior government mental health clinician. Following the first meeting of mental health counterparts which took place in Stockholm in January 2000, each country was asked to submit brief reports on the mental health situation in their respective countries, both in order to inform the Regional Adviser himself, and also as information to the other members of the network. This document is a collation of those reports which have been received over this two-year period; not all countries have contributed. The reports are not intended as rigorous documentation of the mental health problems and services, but more as impressionistic descriptions covering the situation in the countries. Keywords MENTAL HEALTH SERVICES – organization and administration MENTAL DISORDERS EVALUATION STUDIES HEALTH SURVEYS EUROPE © World Health Organization – 2001 All rights in this document are reserved by the WHO Regional Office for Europe. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language (but not for sale or for use in conjunction with commercial purposes) provided that full acknowledgement is given to the source. For the use of the WHO emblem, permission must be sought from the WHO Regional Office. Any translation should include the words: The translator of this document is responsible for the accuracy of the translation. The Regional Office would appreciate receiving three copies of any translation. Any views expressed by named authors are solely the responsibility of those authors. This document was text processed in Health Documentation Services WHO Regional Office for Europe, Copenhagen CONTENTS Page FOREWORD .............................................................................................................................................i ALBANIA ..................................................................................................................................................1 ANDORRA................................................................................................................................................4 ARMENIA .................................................................................................................................................6 AUSTRIA ..................................................................................................................................................8 BELARUS.................................................................................................................................................9 BOSNIA and HERZEGOVINA (REPUBLIC OF SRPSKA) ....................................................................12 BULGARIA .............................................................................................................................................14 CROATIA................................................................................................................................................18 CZECH REPUBLIC ................................................................................................................................20 DENMARK..............................................................................................................................................22 ESTONIA................................................................................................................................................24 FINLAND ................................................................................................................................................27 GERMANY .............................................................................................................................................30 GREECE ................................................................................................................................................33 HUNGARY..............................................................................................................................................36 ICELAND ................................................................................................................................................38 IRELAND ................................................................................................................................................40 ISRAEL...................................................................................................................................................44 KAZAKHSTAN........................................................................................................................................45 LATVIA ...................................................................................................................................................46 LITHUANIA.............................................................................................................................................49 LUXEMBOURG......................................................................................................................................52 NETHERLANDS.....................................................................................................................................54 NORWAY ...............................................................................................................................................57 POLAND.................................................................................................................................................60 PORTUGAL............................................................................................................................................64 REPUBLIC of MOLDOVA ......................................................................................................................66 ROMANIA...............................................................................................................................................68 RUSSIAN FEDERATION .......................................................................................................................71 SAN MARINO.........................................................................................................................................73 SLOVAKIA..............................................................................................................................................75 SLOVENIA..............................................................................................................................................79 SPAIN.....................................................................................................................................................82 SWEDEN................................................................................................................................................84 THE FORMER YUGOSLAV REPUBLIC of MACEDONIA.....................................................................87 UKRAINE................................................................................................................................................89 UNITED KINGDOM................................................................................................................................91 Annex I – List of national mental health counterparts as at November 2001 ........................................94 FOREWORD Country Reports from the WHO European Network on Mental Health Introduction During the past three years, the WHO Regional Office for Europe in Copenhagen, has established a network of mental health professionals in its Member States, who have provided the necessary liaison between the Regional Adviser for Mental Health in the Regional Office and the mental health services in the countries. In most cases these counterparts work as the mental health responsible in the ministry of health of the country, others are the most senior government professionals in the field of mental health. The Regional Adviser for Mental Health asked these counterparts to send him brief reports on the mental health situation in their respective countries, both for his own information as well as for the information of the others in the Network. These reports have been written over the last two years and are reproduced here. Guidelines were given about possible content. The ambition however was to obtain an impressionistic review describing the relevant efforts and shortcomings as experienced by the counterpart and not to make a standardized report. The issues that they were asked to address were: – intersectoral cooperation; – national mental health plans; – mental health legislation; – service provision; – deinstitutionalization and community care; and – multidisciplinary teamwork. In addition, the counterparts were asked to highlight a few points of greatest concern, as well as areas of progress. The reports are not intended to
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