Mental health reforms in post communist countries within the context of western experiences: the case of Georgia

Sadzaglishvili, Shorena (2015) Mental health reforms in post communist countries within the context of western experiences: the case of Georgia. Social Work Journal Mongolia , 8.

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This paper discusses the history of reforms and best practices in mental health care in western countires and their application to the former Soviet Union Country - Georgia. Mental health reforms face unique challenges in former Soviet Union countries because of the history of high rates of institutionalization, almost no community-based alternatives for persons with physical and mental disabilities, and their segregation and stigmatization from society and the nonexistence of social work institutions. Georgia began its mental health reforms in 2011. The National Health Care Strategy of Georgia highlights the importance of balancing between community-based and hospital-based mental health services. The process of deinstitutionalisation resulted in the closure of long-stay beds in the larger psychiatric institutions and the appearance of new structural units such as psychiatric units and child mental health divisions in general hospitals as well as introduction of modern mental health services such as an acute ward, a long-term treatment department, and an outpatient service, including a crisis intervention center with a mobile team. The lack of community treatment options for patients, an unequal distribution of mental health services across the country as well as inadequate numbers of social workers among mental health professionals are the main challenges in establishing a social model approach in the mental health settings in Georgia.

Item Type: Article
Subjects: H Social Sciences > HK Social Work
Divisions: Faculties/Schools > Faculty of Arts and Sciences
Depositing User: დოქტორი შორენა საძაგლიშვილი
Date Deposited: 04 Jan 2016 06:53
Last Modified: 30 Jun 2016 12:10

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