Logo do repositório
 
Publicação

Mental health in Central and Eastern Europe

2025-10Recensão Acesso aberto
Ver registo simples
dc.contributor.authorWinkler, Petr
dc.contributor.authorGuerrero, Zoe
dc.contributor.authorKågström, Anna
dc.contributor.authorPetrášová, Michaela
dc.contributor.authorPashoja, Arlinda Cerga
dc.contributor.authorQirjako, Gentiana
dc.contributor.authorHristakeva, Valentina
dc.contributor.authorGermanov, Dimitar
dc.contributor.authorKuzman, Martina Rojnic
dc.contributor.authorKuharić, Dina Bošnjak
dc.contributor.authorHavlíková, Lucie
dc.contributor.authorEek, Herman
dc.contributor.authorMaron, Eduard
dc.contributor.authorŐri, Dorottya
dc.contributor.authorWernigg, Róbert
dc.contributor.authorFanaj, Naim
dc.contributor.authorKrasniqi, Elona
dc.contributor.authorSile, Liene
dc.contributor.authorBrinkmane, Klinta
dc.contributor.authorLevickaitė, Karilė
dc.contributor.authorGrigaitė, Ugnė
dc.contributor.authorGrigaite, Ugne
dc.contributor.authorManusheva, Nensi
dc.contributor.authorKalpak, Gjorgji
dc.contributor.authorIvanovic, Iva
dc.contributor.authorChihai, Jana
dc.contributor.authorMihaela, Belous
dc.contributor.authorGondek, Tomasz M.
dc.contributor.authorTodzia-Kornaś, Agata
dc.contributor.authorMihai, Adriana
dc.contributor.authorMolnar, Rebeca Isabela
dc.contributor.authorLetovancová, Katarína Molnárová
dc.contributor.authorKopcová, Elena
dc.contributor.authorSuvalo, Orest
dc.contributor.authorKhudoba, Oleksandra
dc.contributor.authorIsmayilova, Jamila
dc.contributor.authorMuradova, Gunel
dc.contributor.authorMakhashvili, Nino
dc.contributor.authorDumbadze, Mishiko
dc.contributor.authorPanteleeva, Liliia
dc.contributor.authorPopkov, Mikhail
dc.contributor.authorAl Tayara, Lynn
dc.contributor.authorvan Voren, Robert
dc.contributor.authorThornicroft, Graham
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblElsevier
dc.date.accessioned2025-12-05T21:15:42Z
dc.date.available2025-12-05T21:15:42Z
dc.date.issued2025-10
dc.descriptionFunding Information: We would like to thank all interviewees across 19 countries who contributed to country reports. Funding: The study described is from the project \u201CResearch of Excellence on Digital Technologies and Wellbeing CZ.02.01.01/00/22_008/0004583\u201D which is co-financed by the European Union. Funding Information: There are promising examples of efforts to integrate these services into a broader mental health care system. In Slovakia, for instance, the Central Office for Labor, Social Affairs and Family is implementing a project financed by the European Social Fund aimed at establishing 46 family counselling centres across the country. These centres are intended to operate with multidisciplinary teams and provide psychological support to individuals, couples, and families. However, the project has not yet been fully implemented. Funding Information: Funding: The study described is from the project \u201CResearch of Excellence on Digital Technologies and Wellbeing CZ.02.01.01/00/22_008/0004583\u201D which is co-financed by the European Union. Publisher Copyright: © 2025 The Author(s)
dc.description.abstractThe post-communist WHO European region, often called Central and Eastern Europe (CEE), includes 28 countries with over 770 million people. Mental health systems remain shaped by the communist legacy of centralized institutions, a narrow biomedical focus, and neglect of social and psychological dimensions. Chronic underfunding persists, further strained by shrinking civic space in some countries and the war in Ukraine. Substantial progress has been made in the past decade, with modernization and rights-based approaches gaining ground. Yet reforms face entrenched barriers: underinvestment disproportionate to the burden; pervasive stigma, weak advocacy, and limited involvement of people with lived experience; dominance of institutional care over prevention, promotion, and community services; reliance on donor-driven projects that falter once funding ends; and human resource problems. Governance is often unstable, with low prioritization, clientelism, and personal biases undermining reforms. Research and data remain scarce, leaving systems unevaluated and vulnerable to reversal. Poor decision-making compounds these barriers: systemic missteps, driven by limited expertise, weak evidence, and personal biases, prevent resources from achieving the best possible outcomes. To move forward, CEE must integrate health, social, and education systems, secure sustainable crisis services, strengthen professional skills, involve people with lived experience, expand public mental health expertise, and, above all, commit greater and more transparent investment, closer to western European levels, if resilient and effective systems are to be built.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent834558
dc.identifier.doi10.1016/j.lanepe.2025.101464
dc.identifier.issn2666-7762
dc.identifier.otherPURE: 136236899
dc.identifier.otherPURE UUID: 51de0eb1-7d2c-4b86-8d71-2898f51e17f0
dc.identifier.otherScopus: 105021853843
dc.identifier.urihttp://hdl.handle.net/10362/191554
dc.identifier.urlhttps://www.scopus.com/pages/publications/105021853843
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCentral and Eastern Europe
dc.subjectChildren and young people
dc.subjectCommon mental disorders
dc.subjectEarly detection
dc.subjectEarly intervention
dc.subjectMental health
dc.subjectMigrants
dc.subjectPost-communist Europe
dc.subjectPrevention
dc.subjectPromotion
dc.subjectInternal Medicine
dc.subjectOncology
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleMental health in Central and Eastern Europeen
dc.title.subtitlea comprehensive analysisen
dc.typereview
degois.publication.titleThe Lancet Regional Health - Europe
degois.publication.volume57
dspace.entity.typePublication
person.familyNameGrigaite
person.givenNameUgne
person.identifier.ciencia-idCE1F-CB48-426A
person.identifier.orcid0000-0003-0767-9071
rcaap.rightsopenAccess
relation.isAuthorOfPublicationb264b490-227d-409a-9384-8a69ca955e48
relation.isAuthorOfPublication.latestForDiscoveryb264b490-227d-409a-9384-8a69ca955e48

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
1-s2.0-S266677622500256X-main.pdf
Tamanho:
815 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS - Artigos em revista internacional com arbitragem científica