Mental health care in Belgrade--challenges and solutions.
OBJECTIVE
To describe principles and characteristics of mental health care in Belgrade.


METHODS
Based on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.


RESULTS
Disastrous events in the country and the region caused an increase of mental and behavioral disorders for 13.5% in the last few years, thus making them the second largest public health problem (after cerebro-vascular diseases). The overall morbidity and mortality are on the rise. Intense acute and chronic stress, as well as the accumulated traumas caused significant psychological sequelae, especially to vulnerable people.


CONCLUSIONS
Whilst various issues of mental health care in Belgrade overlap with those in other European capitals, there are also some specific problems and features. Due to prolonged adversities, the health system has deteriorated and is facing specific challenges. However, the transformation of mental health services has been initiated, with a lot of positive movements, such as preparation of the National policy for mental health care as well as the Law for protection of mentally ill individuals.
Tosevski
D L
DL
Institute of Mental Health, School of Medicine, University of Belgrade, Serbia and Montenegro. dusica.lecictosevski@eunet.yu
Pejuskovic
B
B
D002391:Catchment Area, Health / Q000706:statistics & numerical data*; D002947:Cities; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D004190:Disasters; D019538:Health Care Surveys; D006291:Health Policy / Q000639:trends; D006801:Humans; D001523:Mental Disorders / Q000191:economics / Q000453:epidemiology / Q000628:therapy*; D013405:Suicide / Q000706:statistics & numerical data; D019037:Urban Health Services / Q000458:organization & administration*; D015022:Yugoslavia / Q000453:epidemiology