Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
Mundt A.P. Rozas Serri E. Siebenförcher M. Alikaj V. Ismayilov F. Razvodovsky Y.E. Hasanovic M. Marinov P. Frančišković T. Cermakova P. Harro J. Sulaberidze L. Kalapos M.P. Assimov M. Nurmagambetova S. Ibishi N.F. Molchanova E. Taube M. Chihai J. Dedovic J. Gosek P. Tataru N. Golenkov A. Lecic-Tosevski D. Randjelovic D. Izakova L. Švab V. Vohidova M. Kerimi N. Sukhovii O. Priebe S.
August 2021Elsevier Ltd
The Lancet Regional Health - Europe
2021#7
Background: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period. Methods: We retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels. Findings: Primary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33•8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24•7%), residential facility beds (12•0%), and for prison populations (36•0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings. Interpretation: Most countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries. Funding: Agencia Nacional de Investigación y Desarrollo in Chile, grant scheme FONDECYT Regular, grant number 1190613.
Text of the article Перейти на текст статьи
Medical Faculty, Universidad Diego Portales, Santiago, Chile and Clínica Alemana, Medical Faculty, Universidad del Desarrollo, Av. Ejercito 233, Santiago, Chile
Medical Faculty, Universidad Diego Portales, Santiago, Chile Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile
Department of Psychiatry and Psychotherapy Campus Mitte, Charité Universitätsmedizin Berlin, Germany
Department of Neuroscience, Faculty of Medicine, Medical University, Tirana, Albania
Azerbaijan Medical University, Baku, Azerbaijan
Grodno State Medical University, Grodno, Belarus
Department of Psychiatry, University Clinical Centre Tuzla, Medical Faculty, University of Tuzla, Bosnia and Herzegovina
Association of Experts in Mental Health, Sofia, Bulgaria, Standing Committee for Professional Standards and By-Laws of the Bulgarian Psychiatric Association, Sofia, Bulgaria
Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
National Institute of Mental Health, Klecany, Czech Republic, Third Faculty of Medicine, Charles University Prague, Czech Republic, Second Faculty of Medicine, Charles University Prague, Czech Republic
North Estonia Medical Centre, Psychiatry Clinic, Tallinn, Chair of Neuropsychopharmacology, Institute of Chemistry, University of Tartu, Tartu, Estonia
Curatio International Foundation, Tbilisi, Georgia
Theoretical Biology Research Group, Budapest, Hungary
Department of Communication Skills of the Kazakh National Medical University, Almaty, Kazakhstan
Kazakhstan Republican Mental Health Center, Almaty, Kazakhstan
Clinic of Psychiatry, University Clinical Centre of Kosovo, Pristina, Kosovo
American University in Central Asia, Bishkek, Kyrgyzstan
Department of Psychiatry, Riga Stradins University, Riga, Latvia
Psychiatry, Narcology and Medical Psychology Department, State Medical and Pharmaceutical University Nicolae Testemitanu, Chisinau, Moldova
Forensic Psychiatry Unit - Special Psychiatric Hospital Kotor, Kotor, Montenegro
Institute of Psychiatry and Neurology • Department of Forensic Psychiatry, Warsow, Poland
Senior consultant psychiatrist, Forensic Psychiatry Hospital Stei, Romania
Psychiatry and Medical Psychology, Chuvash State University, Cheboksary, Russian Federation
Serbian Academy of Sciences and Arts, Belgrade, Serbia
Institute of Mental Health, Belgrade, Serbia
Department of Psychiatry, Comenius University in Bratislava, Bratislava, Slovakia
Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
National Project Officer UNODC, Tajikistan
Consultant, United Nations Office on Drugs and Crime (UNODC), Programme Office in Turkmenistan, Ashgabat, Turkmenistan
Center for Mental Health and Monitoring of Drugs and Alcohol MoH of Ukraine
Unit of Social and Community Psychiatry, Queen Mary University of London, UK, United Kingdom
Medical Faculty
Medical Faculty
Department of Psychiatry and Psychotherapy Campus Mitte
Department of Neuroscience
Azerbaijan Medical University
Grodno State Medical University
Department of Psychiatry
Association of Experts in Mental Health
Faculty of Health Studies
National Institute of Mental Health
North Estonia Medical Centre
Curatio International Foundation
Theoretical Biology Research Group
Department of Communication Skills of the Kazakh National Medical University
Kazakhstan Republican Mental Health Center
Clinic of Psychiatry
American University in Central Asia
Department of Psychiatry
Psychiatry
Forensic Psychiatry Unit - Special Psychiatric Hospital Kotor
Institute of Psychiatry and Neurology • Department of Forensic Psychiatry
Senior consultant psychiatrist
Psychiatry and Medical Psychology
Serbian Academy of Sciences and Arts
Institute of Mental Health
Department of Psychiatry
Medical Faculty
National Project Officer UNODC
Consultant
Center for Mental Health and Monitoring of Drugs and Alcohol MoH of Ukraine
Unit of Social and Community Psychiatry
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026