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Journal article

Advocacy project in Central Europe

KLEIN Judith
Journal article citation:
Breakthrough, 2(1), 1998, pp.19-25.

Reports on the Central European Mental Disability Advocacy Project (CEMDAP), whose mission is to promote the inclusion of people with both developmental disabilities and mental health problems. CEMDAP provides direct funding and support for non-governmental organisations.

Journal article Full text available online for free

Pathways to psychiatric care in Eastern Europe

GATER Richard, et al
Journal article citation:
British Journal of Psychiatry, 186(6), June 2005, pp.529-535.
Royal College of Psychiatrists

There has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources. The aim was to improve understanding of prior care-seeking and treatment of new patients seen at mental health services. Pathways diagrams were drawn showing the routes of care-seeking for 50 new patients in eight centres. Patterns of care-seeking, durations and previous treatments were compared for ICD-10 diagnostic groups.  The diagnoses varied according to the organisation of services. Major pathways included general practitioners, direct access and hospital doctors. General practitioners have a limited role as ‘gatekeeper’ in centres in Albania, Croatia, Macedonia, Romania and Serbia-Montenegro, and rarely prescribed treatment, except sedatives, for mental disorders.  Findings highlight areas that require attention if aspirations for community-oriented mental health care are to be realised, particularly integration of mental health into primary care.

Journal article

Group-based strategies employed in the wartime and post-war treatment of psychological trauma: experience from the war in Croatia

Journal article citation:
Clinical Social Work Journal, 40(4), 2012, pp.421-428.
Place of publication:
New York

The authors served as psychiatrists during the recent war in Croatia, 1991–1995. From the onset of this armed conflict in the former Yugoslavia, their group provided mental health and psychiatric care to waves of refugees, displaced persons, soldiers and former prisoners of war. Such care was also provided to civilians living under the threat of warfare. In this endeavor, the Croatian health service received considerable assistance from international non-governmental organisations. Since the war, professionals in the mental health field have continued to provide help, support and various kinds of treatment to people suffering from post-traumatic stress disorder, coping difficulties and personality changes. Four regional psychotrauma centres (RPCs) have been established in Croatia, together with a network of counseling centres set up as governmental agencies. The Regional Psychotrauma Center of Split (southern Croatia) that serves war veterans and their families will be described herein. Research data is presented and discussed. (Publisher abstract)

Journal article

Mental health consequences in men exposed to sexual abuse during the war in Croatia and Bosnia

Journal article citation:
Journal of Interpersonal Violence, 25(2), February 2010, pp.191-203.

There are many studies exploring different categories of rape and the impacts they have on the individuals and society. These studies usually emphasise men as the perpetrators, and women as the victims. This research project concentrates on the sexual abuse of men during the war in Croatia and Bosnia and Herzegovina, and presents detailed information from 60 victims of such crimes. Aiming to define key attributes of sexual abuse of men in war as well as consequences it had on the victims, this study uses a method of structured interview, where the statement of each victim was recorded. Victims were generally exposed to physical torture of their genitals, psycho-sexual torture and physical abuse, and reported that the most common symptoms of traumatic reactions were: sleep disturbances; concentration difficulties; night-mares and flashbacks; feelings of hopelessness; and different physical stress symptoms such as constant headaches, profuse sweating, and tachycardia. In addition to rape and sexual abuse, most of the victims were heavily beaten. The authors conclude that the number of sexually abused men during the war must have been much higher than reported, but regrettably no new study was authorised by the Croatian Ministry of Health.

Journal article

Empowering the people

JACKSON Catherine
Journal article citation:
Mental Health and Learning Disabilities Care, 3(2), October 1999, pp.42-45.

Mental health service users in the emerging democracies of eastern and central Europe are beginning to make their voices heard. This article looks at self-advocacy and user organisations from former Communist countries, including Hungary, Bulgaria, Croatia and Bosnia/Herzegovena.

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