Tosevski D L, Pejuskovic B
Institute of Mental Health, School of Medicine, University of Belgrade, Serbia and Montenegro.
Eur Psychiatry. 2005 Oct;20 Suppl 2:S266-9. doi: 10.1016/s0924-9338(05)80171-3.
To describe principles and characteristics of mental health care in Belgrade.
Based on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.
Disastrous events in the country and the region caused an increase of mental and behavioral disorders for 13.5% in the last few years, thus making them the second largest public health problem (after cerebro-vascular diseases). The overall morbidity and mortality are on the rise. Intense acute and chronic stress, as well as the accumulated traumas caused significant psychological sequelae, especially to vulnerable people.
Whilst various issues of mental health care in Belgrade overlap with those in other European capitals, there are also some specific problems and features. Due to prolonged adversities, the health system has deteriorated and is facing specific challenges. However, the transformation of mental health services has been initiated, with a lot of positive movements, such as preparation of the National policy for mental health care as well as the Law for protection of mentally ill individuals.
描述贝尔格莱德心理健康护理的原则和特点。
基于现有数据，报告服务提供情况、服务领域专业人员数量、资金安排、护理途径、用户/护理人员参与情况及具体问题。
该国及该地区的灾难性事件导致过去几年精神和行为障碍增加了13.5%，使其成为第二大公共卫生问题（仅次于脑血管疾病）。总体发病率和死亡率呈上升趋势。强烈的急性和慢性压力以及累积的创伤造成了严重的心理后遗症，尤其是对弱势群体。
虽然贝尔格莱德心理健康护理的各种问题与其他欧洲首都的问题有重叠，但也存在一些具体问题和特点。由于长期的逆境，卫生系统已经恶化并面临特定挑战。然而，心理健康服务的转型已经启动，有许多积极的举措，如制定国家心理健康护理政策以及保护精神疾病患者的法律。
