Mental Health in Bosnia Herzegovina

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Mental Health in Bosnia Herzegovina

• Dr Jovic Stevan
• Assistant Minister

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(No Transcript)
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Council of Ministers
Ministry for Civil Affairs
Entities
Federation of BH
Republika Srpska
Ministry of Health and Social Welfare
Ministry of Health
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Health Policy in RS Main Strategic decisions

• Participation of communities and individuals in
  decision making process and implementation of
  health policy at all levels
• Improvement of inter-sectoral cooperation at all
  levels

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Main Objectives of Health Policy in RS

• Equity in health status of all social groups
• Health status improvement and improvement of
  equity in access to health protection (with
  emphasis on vulnerable groups)
• Reorientation of organization of health care
  towards prevention and improvement of the overall
  health protection
• Improvement in efficiency and of quality of
  health care

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Strategic Regulatory Framework

• Health Care Strategy till 2000.
• (Adopted by the Parliament)
• Strategic Plan for Health Care Reform and
  Reconstruction
• Adopted by the Government of RS
• Health Care Policy and Health Care Strategy till
  2010.
• Adopted by the Parliament in 2002

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Special Objectives of the StrategyObjective 4

• Till 2010, psychosocial status of population will
  improve and comprehensive and efficient services
  will be available to mental health patients

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Organization of PHC
Health Centers
Family Medicine Teams
Centers for Mental Health
Centers for Physical Rehabilitation
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Community Centers for Mental Health / 60,000
population

• Facilities
• Equipment
• Team
• Psychiatrist
• Psychologist
• Social worker
• Nurse

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Strengths

• Support from the central government
• Strong user associations
• International support
• Experience- Seven years of reform towards
  community based model
• Supportive legislation

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Weaknesses

• Poor intersectoral collaboration
• Insufficient allocation of resources
• Lack of support at the local level
• Resistance to change

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Opportunities

• Mobilization of media
• Additional legislation in mental health

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Threats

• The length of the reform process (loosing focus)
• Reducing funds
• Political instability and priority shifts

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Five Priority Areas

• Reform of curricula for mental health
  professionals
• Introducing additional mental health legislation
• Strengthening intersectoral collaboration
• Monitoring and evaluation system development
• Maintaining international support

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Issues

• Higher levels of health care
• General hospitals
• Clinical Centers
• Forensic psychiatric expertise
• Safe houses/shelters
• Hospitalization of chronically ill patients
• Anti Torture Committee (CPT) Council of Europe
  and human rights