Mental heath in republic of moldova: The way from in-patient to community-based care services

Abstract

Introduction

The history of mental health in Moldova has been centered on psychiatric institutions. Current reform goals are centered on the reduction in psychiatric hospital beds, shifting the focus towards outpatient therapy, where community mental health centers have a central role in coordinating recovery and social reintegration.

Objectives

to collect different data according guidance for establishing a situational analyses about Moldova.

Methodology

we elaborated a guidance with outline: the historical perspective:

– a. back a 5–10 years events/developments; epidemiologic data;

– b. the service delivery system;

– c. mental health system: laws/regulations, role of the government as well as civil organizations, mechanisms for data collection, monitoring of performance, costs, quality of care and outcomes;

– d. opportunities, barriers, and needed changes/innovations needed to address these.

Results

The current focus is on moving from a relatively centralized system towards a more community-based approach to psychiatric care and community supports, as well as deinstitutionalization and integration of mental health care with primary care. Besides over reliance on institutionalization, the Moldovan mental health care system faces other challenges, including access to care, workforce limitations, and stigma.

Conclusion

Looking forward, success in these efforts will require continued strong political will to bring domestic law, policies and practices into line with international standards in the field of human rights for persons with disabilities. By supporting deinstitutionalization and improving the accessibility of mainstream services, more people will have the opportunity for social inclusion and the ability to contribute to the communities’ social and economic growth.

Disclosure of interest

The author has not supplied his/her declaration of competing interest.