Some words about UPASome words about UPA

UPA is a non-governmental not-for-profit UPA is a non-governmental not-for-profit organizationorganization

UPA was organized in 1991UPA was organized in 1991 For today there are 16 regional branches For today there are 16 regional branches

within different regions and about 1000 within different regions and about 1000 psychiatrists are members of the UPApsychiatrists are members of the UPA

web-site web-site http://www.upa-psychiatry.org.ua

e-mail: e-mail: upa2@i.com.ua

Main sectors of daily Main sectors of daily activityactivity PublicationsPublications

Analytical activityAnalytical activity Professional DevelopmentProfessional Development Monitoring Political Abuse of Monitoring Political Abuse of

Psychiatry & Advocacy ActivitiesPsychiatry & Advocacy Activities Lobbying legislative changes in the Lobbying legislative changes in the

sphere of psychiatrysphere of psychiatry Cooperation with mass media, public Cooperation with mass media, public

and governmental officialsand governmental officials

Ukraine has:Ukraine has:

Law on Psychiatric Aid (2000)Law on Psychiatric Aid (2000) Clinical (treatment) protocols (2006), Clinical (treatment) protocols (2006),

which implementation is very often which implementation is very often impossible because of lack of financingimpossible because of lack of financing

Law on Rehabilitation of handicapped Law on Rehabilitation of handicapped people (2007), which includes people (2007), which includes rehabilitation services for people with rehabilitation services for people with mental health problemsmental health problems

Ukraine has no legislation on Ukraine has no legislation on health insurancehealth insurance

Ministry of Labor and Ministry of Labor and Social policy (MLSP) has:Social policy (MLSP) has:

149 psychoneurological 149 psychoneurological residentiresidentiaal l facilitiesfacilities

56 social institutions for children56 social institutions for children

Ministry of Health Care Ministry of Health Care (MHC) has:(MHC) has:

89 mental health hospitals, which 89 mental health hospitals, which render inpatient care for mentally ill render inpatient care for mentally ill personspersons

37 outpatient facilities (dispensaries), 37 outpatient facilities (dispensaries), 598 psychiatric consulting rooms, 128 598 psychiatric consulting rooms, 128 psychotherapeutic consulting rooms, 31 psychotherapeutic consulting rooms, 31 medical-labor workshops. Dispensaries medical-labor workshops. Dispensaries focus on the preventive treatment, focus on the preventive treatment, management of mental disorder and management of mental disorder and the clinical and social problems related the clinical and social problems related to it on an outpatient basisto it on an outpatient basis

GRAPH 1 MENTAL HEALTH EXPENDITURE AS A PROPORTION OF

TOTAL HEALTH EXPENDITURES

94%

6% All otherhealthexpenditures

Mentalhealthexpenditures

GRAPH 2 MENTAL HOSPITAL EXPENDITURE AS A PROPORTION OF TOTAL MENTAL

HEALTH EXPENDITURE

89%

11%Expendituresfor mentalhospitals

All othermental healthexpenditures

Ukrainian mental health Ukrainian mental health system is characterized by: system is characterized by:

The dominance of inpatient care over The dominance of inpatient care over community-based services community-based services

The low quality of services (clinical The low quality of services (clinical protocols are not observed because of protocols are not observed because of insufficient funding, poor living conditions insufficient funding, poor living conditions in mental hospitals etc.) in mental hospitals etc.)

Absence of outpatient supportive network Absence of outpatient supportive network (rehabilitation centers, self-help groups, (rehabilitation centers, self-help groups, half-way houses etc.) leads to rapid half-way houses etc.) leads to rapid disability of people with mental health disability of people with mental health problems, their isolation from community problems, their isolation from community social lifesocial life

Thank you very much for your attention!