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Evolution of the mental health care system in Poland[Note 1. This paper was read in a preliminary version at ...]
Author(s) -
Puzynski S.,
Moskalewicz J.
Publication year - 2001
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.2001.1040s2069.x
Subject(s) - mental health , legislation , ideology , politics , mental health care , economic shortage , health care , inequality , political science , economic growth , business , medicine , psychology , public relations , psychiatry , economics , law , mathematical analysis , linguistics , philosophy , mathematics , government (linguistics)
Objective: The aim of this paper is to trace evolution of mental health system in Poland. Method: Available Polish literature and fundamental policy documents including mental health legislation are reviewed and major milestones in this evolution identified and then discussed against the background of political and social developments. Results: The mental health system evolved since the beginning of the 1970s from large hospitals towards community‐based care. It was found that the changes were rather slow due to financial shortages and lack of clear demand from users. Recent transitions offer opportunities to increase impact of users and their families. On the other hand, however, introduction of health insurance system reduces prospects for well co‐ordinated mental health policy and may lead to inequalities in access to services. Conclusion: It can be concluded that evolution of mental health services has been influenced by prevailing ideologies as much as by technical and professional considerations.