Home Page   -   Åditorial Board   -   Instructions to autors   -   Archive   -   Contact   -   Journal's Indexing UA   EN


Last issue

¹ 1 (110), 2024


Support

Edition of the journal is supported partially by the grant of the Fogarty International Center (FIC) of the National Institute of Health and Illinois University, Chicago.

JOURNAL

ISSN 2077-7477 (Print)
ISSN 2077-7485 (Online)

A journal "Dovkillia ta zdorovia" (Environment & Health) publishes the articles on the problems in the field of medical ecology, hygiene, health protection and ecological safety.

Founder of the Journal:
State Institution "O.M. Marzeiev Institute for Hygiene and Medical Ecology of the National Academy of Medical Sciences of Ukraine"

Frequency of publication:
quarterly

Environment & HealthISSN: 2077-7477 eISSN: 2077-7485
No: 1 (106)   -   MARCH, 2023   -   Pages: 10-18
To the question of readiness of the medical and preventive institutions to protect the mental health of the population of Ukraine, which suffered as result of military operations
Chorna V.V.1
1 National Pirogov Memorial Medical University, Vinnytsya

SUMMÀRY:
Objective: The article carried out a predictive hygienic assessment of the state of mental health of the Ukrainian population, analyzed the incidence of mental disorders in the pre-war period of 2018-2020, determined the level of readiness of domestic medical institutions to protect the mental health of the Ukrainian population, suffered as a result of hostilities, and provision of medical personnel.
A retrospective analysis of the stay conditions of patients and the state of intrahospital comfort in stationary premises in the pre-war period was carried out and the experience of European countries on this issue was studied.
The purpose of the work: on the basis of a retrospective analysis of the incidence rates of the Ukrainian population with mental disorders, to make a forecast of the readiness of domestic medical institutions’ (DMI) state to organize mass psychiatric and psychological assistance to the population that suffered as a result of hostilities.

Methods: In the course of the analysis, statistical materials of the Ministry of Health of Ukraine for the period 2018-2020 were used regarding the incidence of mental and behavioral disorders and the provision of medical institutions with medical personnel, data from Form ¹ 18 of the Ministry of Health of Ukraine «Report on the work on monitoring environmental factors affecting the health of the population» for the period 2014-2021.

Results: It was found that men for the period 2018-2020 more sought help and were treated in psychiatric hospitals over the years from 67.2% to 65.3%, and were also treated in psychiatric day hospitals 57.3% to 59.4%. At the same time, women during the same period were treated on an outpatient basis from 78.9 to 81.0%, respectively, while less were treated in psychiatric hospitals - 32.8 to 34.7%. Non-compliance with the regulatory requirements of state sanitary rules ¹ 173-96, state building norms V.2.5.-28: 2018 «Natural and artificial lighting» was determined, where the largest share was in 2017 - 11.8% and in 2019 - 10.7% , and the lowest non-compliance rates were noted in 2015 - 3.4% and in 2018 - 3.78%. The largest share of microclimate inconsistency in healthcare facilities was 11.3% in 2015 and 12.9% in 2016, and 3.2% in 2014, 4.4% in 2020, 2021 - 4.2%.
The non-compliance with the regulatory requirements of state sanitary rules ¹. 173-96, state building norms V.2.5.-28:2018 "Natural and artificial lighting" was determined, where the largest share was in 2017 11.8%, in 2019 - 10, 7%, and the lowest non-compliance rates were noted in 2015 3.4%, in 2018 - 3.78%. The largest share of microclimate inconsistency in healthcare facilities was 11.3% in 2015 and 12.9% in 2016, and 3.2% in 2014, 4.4% in 2020 and 2021 - 4.2%.

Conclusions: In connection with the ongoing large-scale armed aggression of the Russian Federation and the introduction of martial law in Ukraine, according to the conclusions of the Ministry of Health of Ukraine, a large-scale increase in the incidence of mental disorders among the country’s population can be expected, which will lead to an increase in the burden on psychiatric treatment and preventive institutions, which are only partially ready for a qualitative solution of problems. To ensure the readiness of domestic medical institutions to protect the mental health of the population of Ukraine, it is recommended to create a network of Centers for socio-psychological assistance / counseling, which will be staffed by psychologists, social workers and open psychiatric departments, day hospitals, outpatient clinics based on general hospitals.

KEYWORDS:
war, mental health, the incidence of mental disorders, environmental factors, medical personnel
REFERENCES:
1. Pro vvedennia voiennoho stanu v Ukraini / Ukaz Prezydenta Ukrainy vid 24 liutoho 2022 roku ¹ 64/2022 [About Introduction of Martial Law in Ukraine: Presidential Decree of Ukraine dated February 24, 2022 ¹ 64/2022]. URL : https://www.president.gov.ua/documents/642022-41397
2. Viina v Ukraini i yii naslidky dlia psykhichnoho zdorovia natsii [The War in Ukraine and its Consequences for Mental Health of Nation]. Holos Ukrainy. 2022 (8 chervnia). URL: http://www.golos.com.ua/article/361064
3. Chorna V.V. Determinatsiia psykhichnoho zdorovia naselennia Ukrainy ta krain YeS [Determination of Mental Health of Population from Ukraine and EU Countries]. Dovkillia ta zdorovia (Environment&Health). 2020 ; 2 (95). Ñ. 47-53. DOI : https://doi.org/10.32402/dovkil2020.02.047
4. Pro utvorennia Mizhvidomchoi koordynatsiinoi rady z pytan okhorony zdorovia ta nadannia psykholohichnoi dopomohy osobam, yaki postrazhdaly vnaslidok zbroinoi ahresii Rosiiskoi Federatsii proty Ukrainy : Postanova Kabinetu Ministriv Ukrainy vid 7 travnia 2022 ¹ 539 [About Formation of the Interdepartmental Coordinating Council for Health Care and Provision of Psychological Assistance to Persons which Affected by the Armed Aggression of the Russian Federation against Ukraine: Decree of the Cabinet of Ministers of Ukraine dated May 7, 2022 ¹ 539]. (in Ukrainian). URL : https://zakon.rada.gov.ua/laws/show/539-2022-%D0%BF#Text
5. Kontseptsiia rozvytku okhorony psykhichnoho zdorovia v Ukraini na period do 2030 roku [The Concept of Development of Mental Health Care in Ukraine for the Period until 2030]. URL : https://zakon.rada.gov.ua/laws/show/1018-2017-%D1%80#Text
6. Mental Health in Transition: Evaluation Results and Recommendations for the Integration of Mental Health into the Primary Care System and Community Platforms in Ukraine. International Medical Corps with the support of the World Bank Group. URL : https://documents1.worldbank.org/curated/en/747231517553325438/pdf/120767-Ukrainian-PUBLIC-mental-health-UA.pdf
7. Patient Safety Standards, Materials and Systems Guidelines (24 Edition). Recommended by the New York State Office of Mental Health. 2020. URL : https://omh.ny.gov/omhweb/patient_safety_standards/guide.pdf
8. Design Guidance for Psychiatric Intensive Care Units. Low Secure Units (NAPICU) Design in Mental Health Network. 2017. URL : https://napicu.org.uk/wp-content/uploads/2017/05/Design-Guidance-for-Psychiatric-Intensive-Care-Units-2017.pdf
9. Prokofieva L. Psykholohichna model PTSR ta osoblyvosti korektsii v umovakh voiennoho stanu [Psychological Model of PTSD and Features of Correction in Conditions of Martial Law]. Naukovyi visnyk Izmailskoho derzhavnoho humanitarnoho universytetu. Seriia: Istorychni nauky. 2022 ; 57 : 110-120. https://doi.org/10.31909/26168774.2022-(57)-13
10. Deriabina A. The Mental Health of the Ukrainian Nation as a Driving Force for Economic Growth. Mental Health: Global Challenges Journal. 2021 ; 4 (2). DOI : https://doi.org/10.32437/mhgcj.121
11. Ekspertnyi komitet VPA shchodo kryzy psykhichnoho zdorovia v Ukraini. Kontseptualna zapyska [Expert Committee of the WPA about Mental Health Crisis in Ukraine. Concept Note]. World Psychiatric Association. June 2020; 20 p. (in Ukrainian). URL : https://www.gip-global.org/files/ukraine-policy-brief-final-ua.pdf
12. Shafranskyi V.V. and Dudnyk S.V. Psykhichne zdorovia naselennia Ukrainy: stan, problemy ta shliakhy vyrishennia [Mental Health of Ukrainian Population: State, Problems and Solutions]. Ukraina. Zdorovia natsii. 2016 ; 3 (39) : 12-18 (in Ukrainian).
13. Korolchuk O.L. Okhorona psykhichnoho zdorovia v umovakh vvedennia ATO [Protection of Mental Health in the Conditions of Introduction of ATO]. Investytsii: praktyka ta osvita. 2016 ; 18 : 96-109 (in Ukrainian).
14. Chorna V.V., Makhniuk V.M., Chaika H.V. and Kovaliv M.O. Obgruntuvannia sanitarno-epidemiolohichnoi skladovoi do novoi redaktsii derzhavnykh budivelnykh norm Ukrainy «Zaklady okhorony zdorovia» shchodo proektuvannia psykhiatrychnykh likaren z urakhuvanniam mizhnarodnoho dosvidu [Justification of the Sanitary-Epidemiological Component to the New Edition of the State Building Standards of Ukraine "Health Care Institutions" Regarding the Design of Psychiatric Hospitals Taking into Account International Experience]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2021 ; 25 (1) : 118-125. (in Ukrainian). DOI : https://doi.org/10.31393/reports-vnmedical-2021-25(1)-22
15. Chorna V.V., Serheta I.V. and Khliestova S.S. Okhorona psykhichnoho zdorovia Ukrainy ta psykhiatrychna dopomoha [Mental Health Care of Ukraine and Psychiatric Care]. International Scientific Innovations ³n Human Life : Conf. Materials (May 11-13, 2022, Manchester, GB). P.157-165 (in Ukrainian).
16. Boonluksiri P., Tumviriykul H., Arora R. and Umthond N. Community-Based Learning Enhances Doctor Retention. Edus Health (Abingdon). 2018 ; 31(2) : 114-118. DOI : https://doi.org/10.4103/efh.EfH_153_17
17. Chorna V.V. and Shevchuk A.M. The Current State of Mental Health in the XXI Century in the Context of Health Care Reform. European Vector of Development of the Modern Scientific Researches: Collective Monograph. Riga, Latvia: Baltija Publishing, 2021. Ð. 1-21. DOI : https://doi.org/10.30525/978-9934-26-077-3-1
18. Borysova Yu.V. Mistse sotsialnoi roboty v systemi psykholohichnoi reabilitatsii uchasnykiv boiovykh dii [The Place of Social Work in the System of Psychological Rehabilitation of Combatants]. Perspektyvy ta innovatsii nauky. 2022 ; 7 (12) : 532-541. (in Ukrainian). DOI : https://doi.org/10.52058/2786-4952-2022-7(2)-532-541
19. Bocheliuk V.I., Panov M.S. and Spytska L.V. Psykhosomatychni rozlady: Suchasnyi stan problemy [Psychosomatic Disorders: the Current State of the Problem]. Perspektyvy ta innovatsii nauky. 2022 ; 7 (12) : 542-552. DOI : https://doi.org/10.52058/2786-4952-2022-7(2)-542-552
20. Fossey M., Godier-McBar L., Guthrie T.A., Trigwell P., Smith C.J. and House A.O. Understanding Liaison Psychiatry Commissioning: An Observational Study. Mental Health Review Journal. 2020 ; 25 (4) : 301-316. DOI : https://doi.org/10.1108/MHRJ-03-2020-0016
21. Guthrie E., Romeu D., Czoski-Murray C., Relton S., Walker A., Trigwell P. et al. Experiences of People Seen in an Acute Hospital Setting by a Liaison Mental Health Service: Responses from an Online Survey. BMC Health Serv Res. 2021 ; 21. 1050. DOI : https://doi.org/10.1186/s12913-021-06974-4
Designed by: IPH NAMSU © Environment & Health, 2006-2024. All rights reserved.
Use of text and graphic materials of the site is allowed only upon written permission of the editoral board.