Changes in the provision of institutionalized mental health care in post-communist countries
General psychiatric and forensic psychiatric beds, supported housing and the prison population have been suggested as indicators of institutionalized mental health care. According to the Penrose hypothesis, decreasing psychiatric bed numbers may lead to increasing prison populations. The study aimed...
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| Veröffentlicht in: | PloS one 2012-06, Vol.7 (6), p.e38490-e38490 |
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| creator | Mundt, Adrian P Frančišković, Tanja Gurovich, Isaac Heinz, Andreas Ignatyev, Yuriy Ismayilov, Fouad Kalapos, Miklós Péter Krasnov, Valery Mihai, Adriana Mir, Jan Padruchny, Dzianis Potočan, Matej Raboch, Jiří Taube, Māris Welbel, Marta Priebe, Stefan |
| description | General psychiatric and forensic psychiatric beds, supported housing and the prison population have been suggested as indicators of institutionalized mental health care. According to the Penrose hypothesis, decreasing psychiatric bed numbers may lead to increasing prison populations. The study aimed to assess indicators of institutionalized mental health care in post-communist countries during the two decades following the political change, and to explore whether the data are consistent with the Penrose hypothesis in that historical context.
General psychiatric and forensic psychiatric bed numbers, supported housing capacities and the prison population rates were collected in Azerbaijan, Belarus, Croatia, Czech Republic, East Germany, Hungary, Kazakhstan, Latvia, Poland, Romania, Russia and Slovenia. Percentage change of indicators over the decades 1989-1999, 1999-2009 and the whole period of 1989-2009 and correlations between changes of different indicators were calculated. Between 1989 and 2009, the number of general psychiatric beds was reduced in all countries. The decrease ranged from -11% in Croatia to -51% in East Germany. In 2009, the bed numbers per 100,000 population ranged from 44.7 in Azerbaijan to 134.4 in Latvia. Forensic psychiatric bed numbers and supported housing capacities increased in most countries. From 1989-2009, trends in the prison population ranged from a decrease of -58% in East Germany to an increase of 43% in Belarus and Poland. Trends in different indicators of institutionalised care did not show statistically significant associations.
After the political changes in 1989, post-communist countries experienced a substantial reduction in general psychiatric hospital beds, which in some countries may have partly been compensated by an increase in supported housing capacities and more forensic psychiatric beds. Changes in the prison population are inconsistent. The findings do not support the Penrose hypothesis in that historical context as a general rule for most of the countries. |
| doi_str_mv | 10.1371/journal.pone.0038490 |
| format | Article |
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General psychiatric and forensic psychiatric bed numbers, supported housing capacities and the prison population rates were collected in Azerbaijan, Belarus, Croatia, Czech Republic, East Germany, Hungary, Kazakhstan, Latvia, Poland, Romania, Russia and Slovenia. Percentage change of indicators over the decades 1989-1999, 1999-2009 and the whole period of 1989-2009 and correlations between changes of different indicators were calculated. Between 1989 and 2009, the number of general psychiatric beds was reduced in all countries. The decrease ranged from -11% in Croatia to -51% in East Germany. In 2009, the bed numbers per 100,000 population ranged from 44.7 in Azerbaijan to 134.4 in Latvia. Forensic psychiatric bed numbers and supported housing capacities increased in most countries. From 1989-2009, trends in the prison population ranged from a decrease of -58% in East Germany to an increase of 43% in Belarus and Poland. Trends in different indicators of institutionalised care did not show statistically significant associations.
After the political changes in 1989, post-communist countries experienced a substantial reduction in general psychiatric hospital beds, which in some countries may have partly been compensated by an increase in supported housing capacities and more forensic psychiatric beds. Changes in the prison population are inconsistent. The findings do not support the Penrose hypothesis in that historical context as a general rule for most of the countries.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0038490</identifier><identifier>PMID: 22715387</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Azerbaijan ; Delivery of Health Care ; Dentistry ; Disability pensions ; Europe, Eastern ; Forensic engineering ; Forensic Psychiatry ; Forensic science ; Health care ; Health care policy ; Health services ; Hospitals ; Housing ; Hypotheses ; Indicators ; Institutionalization ; Medicine ; Mental disorders ; Mental health ; Mental health care ; Mental health services ; Political change ; Political Systems ; Population ; Population studies ; Prisoners ; Prisons ; Psychiatric hospitals ; Psychotherapy ; Public health ; Reforms ; Retrospective Studies ; Social and Behavioral Sciences ; Statistical analysis ; Trends</subject><ispartof>PloS one, 2012-06, Vol.7 (6), p.e38490-e38490</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Mundt et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Mundt et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6585de1f01425b48416d1c92c95589ad90a41ad1827e368aed0bbd04cb67015b3</citedby><cites>FETCH-LOGICAL-c692t-6585de1f01425b48416d1c92c95589ad90a41ad1827e368aed0bbd04cb67015b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3371010/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3371010/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22715387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mundt, Adrian P</creatorcontrib><creatorcontrib>Frančišković, Tanja</creatorcontrib><creatorcontrib>Gurovich, Isaac</creatorcontrib><creatorcontrib>Heinz, Andreas</creatorcontrib><creatorcontrib>Ignatyev, Yuriy</creatorcontrib><creatorcontrib>Ismayilov, Fouad</creatorcontrib><creatorcontrib>Kalapos, Miklós Péter</creatorcontrib><creatorcontrib>Krasnov, Valery</creatorcontrib><creatorcontrib>Mihai, Adriana</creatorcontrib><creatorcontrib>Mir, Jan</creatorcontrib><creatorcontrib>Padruchny, Dzianis</creatorcontrib><creatorcontrib>Potočan, Matej</creatorcontrib><creatorcontrib>Raboch, Jiří</creatorcontrib><creatorcontrib>Taube, Māris</creatorcontrib><creatorcontrib>Welbel, Marta</creatorcontrib><creatorcontrib>Priebe, Stefan</creatorcontrib><title>Changes in the provision of institutionalized mental health care in post-communist countries</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>General psychiatric and forensic psychiatric beds, supported housing and the prison population have been suggested as indicators of institutionalized mental health care. According to the Penrose hypothesis, decreasing psychiatric bed numbers may lead to increasing prison populations. The study aimed to assess indicators of institutionalized mental health care in post-communist countries during the two decades following the political change, and to explore whether the data are consistent with the Penrose hypothesis in that historical context.
General psychiatric and forensic psychiatric bed numbers, supported housing capacities and the prison population rates were collected in Azerbaijan, Belarus, Croatia, Czech Republic, East Germany, Hungary, Kazakhstan, Latvia, Poland, Romania, Russia and Slovenia. Percentage change of indicators over the decades 1989-1999, 1999-2009 and the whole period of 1989-2009 and correlations between changes of different indicators were calculated. Between 1989 and 2009, the number of general psychiatric beds was reduced in all countries. The decrease ranged from -11% in Croatia to -51% in East Germany. In 2009, the bed numbers per 100,000 population ranged from 44.7 in Azerbaijan to 134.4 in Latvia. Forensic psychiatric bed numbers and supported housing capacities increased in most countries. From 1989-2009, trends in the prison population ranged from a decrease of -58% in East Germany to an increase of 43% in Belarus and Poland. Trends in different indicators of institutionalised care did not show statistically significant associations.
After the political changes in 1989, post-communist countries experienced a substantial reduction in general psychiatric hospital beds, which in some countries may have partly been compensated by an increase in supported housing capacities and more forensic psychiatric beds. Changes in the prison population are inconsistent. The findings do not support the Penrose hypothesis in that historical context as a general rule for most of the countries.</description><subject>Azerbaijan</subject><subject>Delivery of Health Care</subject><subject>Dentistry</subject><subject>Disability pensions</subject><subject>Europe, Eastern</subject><subject>Forensic engineering</subject><subject>Forensic Psychiatry</subject><subject>Forensic science</subject><subject>Health care</subject><subject>Health care policy</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Housing</subject><subject>Hypotheses</subject><subject>Indicators</subject><subject>Institutionalization</subject><subject>Medicine</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Political change</subject><subject>Political Systems</subject><subject>Population</subject><subject>Population 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Péter</au><au>Krasnov, Valery</au><au>Mihai, Adriana</au><au>Mir, Jan</au><au>Padruchny, Dzianis</au><au>Potočan, Matej</au><au>Raboch, Jiří</au><au>Taube, Māris</au><au>Welbel, Marta</au><au>Priebe, Stefan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in the provision of institutionalized mental health care in post-communist countries</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-06-08</date><risdate>2012</risdate><volume>7</volume><issue>6</issue><spage>e38490</spage><epage>e38490</epage><pages>e38490-e38490</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>General psychiatric and forensic psychiatric beds, supported housing and the prison population have been suggested as indicators of institutionalized mental health care. According to the Penrose hypothesis, decreasing psychiatric bed numbers may lead to increasing prison populations. The study aimed to assess indicators of institutionalized mental health care in post-communist countries during the two decades following the political change, and to explore whether the data are consistent with the Penrose hypothesis in that historical context.
General psychiatric and forensic psychiatric bed numbers, supported housing capacities and the prison population rates were collected in Azerbaijan, Belarus, Croatia, Czech Republic, East Germany, Hungary, Kazakhstan, Latvia, Poland, Romania, Russia and Slovenia. Percentage change of indicators over the decades 1989-1999, 1999-2009 and the whole period of 1989-2009 and correlations between changes of different indicators were calculated. Between 1989 and 2009, the number of general psychiatric beds was reduced in all countries. The decrease ranged from -11% in Croatia to -51% in East Germany. In 2009, the bed numbers per 100,000 population ranged from 44.7 in Azerbaijan to 134.4 in Latvia. Forensic psychiatric bed numbers and supported housing capacities increased in most countries. From 1989-2009, trends in the prison population ranged from a decrease of -58% in East Germany to an increase of 43% in Belarus and Poland. Trends in different indicators of institutionalised care did not show statistically significant associations.
After the political changes in 1989, post-communist countries experienced a substantial reduction in general psychiatric hospital beds, which in some countries may have partly been compensated by an increase in supported housing capacities and more forensic psychiatric beds. Changes in the prison population are inconsistent. The findings do not support the Penrose hypothesis in that historical context as a general rule for most of the countries.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22715387</pmid><doi>10.1371/journal.pone.0038490</doi><tpages>e38490</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1325024389 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Azerbaijan Delivery of Health Care Dentistry Disability pensions Europe, Eastern Forensic engineering Forensic Psychiatry Forensic science Health care Health care policy Health services Hospitals Housing Hypotheses Indicators Institutionalization Medicine Mental disorders Mental health Mental health care Mental health services Political change Political Systems Population Population studies Prisoners Prisons Psychiatric hospitals Psychotherapy Public health Reforms Retrospective Studies Social and Behavioral Sciences Statistical analysis Trends |
| title | Changes in the provision of institutionalized mental health care in post-communist countries |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T00%3A45%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Changes%20in%20the%20provision%20of%20institutionalized%20mental%20health%20care%20in%20post-communist%20countries&rft.jtitle=PloS%20one&rft.au=Mundt,%20Adrian%20P&rft.date=2012-06-08&rft.volume=7&rft.issue=6&rft.spage=e38490&rft.epage=e38490&rft.pages=e38490-e38490&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0038490&rft_dat=%3Cgale_plos_%3EA477115254%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1325024389&rft_id=info:pmid/22715387&rft_galeid=A477115254&rft_doaj_id=oai_doaj_org_article_3908fa50f0dd42a2ad1a3c23bb75aae0&rfr_iscdi=true |