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作为正在进行的精神卫生改革的一部分,对波斯尼亚和黑塞哥维那社区精神卫生中心的评估。

Assessment of community mental health centres in Bosnia and Herzegovina as part of the ongoing mental health reform.

作者信息

Lagerkvist Bengt, Maglajlic R A, Puratic V, Susic A, Jacobsson Lars

机构信息

Umeå University.

出版信息

Med Arh. 2003;57(1):31-8.

PMID:12693344
Abstract

In summary it seems reasonable to state that around 5000 individual service users are visiting the CMHCs in Bosnia and Herzegovina during one week. Approximately 60% of them have mental health problems, around 25% come for non mental medical disorders and around 15% are healthy and come for check ups or certificates. The average CMHC cater for about 65,000 inhabitants with a staff of one psychiatrist, three nurses and 0.7 psychologist and social worker respectively. Most of them have training for tasks within mental health services. The progress of the mental health reform is positive with more CMHCs opened, and basically staffed with trained personnel. They offer a variety of services practiced with a modern strategy. Most personnel has changed their attitudes to mental health itself and the relevant service provision and hence devoted to implement the mental health reform. They would like to have more influence on decision making and present constructive suggestions for future service and policy improvements. The service users are almost all of them very satisfied with the service provided.

摘要

总之,可以合理地指出,在波斯尼亚和黑塞哥维那,每周约有5000名个人服务使用者前往社区精神卫生中心。其中约60%有心理健康问题,约25%因非精神类疾病前来,约15%身体健康,前来进行检查或获取证明。平均每个社区精神卫生中心为约6.5万居民提供服务,分别配备一名精神科医生、三名护士以及0.7名心理学家和社会工作者。他们中的大多数人都接受过心理健康服务相关任务的培训。心理健康改革进展积极,开设了更多的社区精神卫生中心,且基本配备了经过培训的人员。这些中心采用现代策略提供各种服务。大多数工作人员对心理健康本身及相关服务提供的态度已经转变,因此致力于实施心理健康改革。他们希望在决策方面有更大影响力,并为未来服务和政策的改进提出建设性建议。服务使用者几乎都对所提供的服务非常满意。

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