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SM ISO690:2012 SHIELDS-ZEEMAN, Laura S., CHIHAI, Jana. Eight years of mental health reform in Moldova. In: All together for mental health: trauma and its prices for humanity, 12-15 octombrie 2023, Chişinău. 2023, p. 61. ISSN 2734 – 7443. |
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All together for mental health: trauma and its prices for humanity 2023 | ||||||
Conferința "All together for mental health: trauma and its prices for humanity" Chişinău, Moldova, 12-15 octombrie 2023 | ||||||
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CZU: [159.9.07+616.89-008-08](478) | ||||||
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Introduction: In 2014, Moldova initiated a transformative shift from a hospital-centric to community-based mental health system, aligning with the Ministry of Health's objectives. Facilitated by the MENSANA Project, funded by the Swiss Agency for Development and Cooperation and executed by the TRIMBOS Institute of Mental Health and Addiction in the Netherlands, the project advocates for progressive, responsive, and human rights-centric mental health policies. This comprehensive approach includes community mental health centers, primary care mental health support, and specialized inpatient care, emphasizing collaboration between health and social sectors. This brief introduction contextualizes the symposium's focus on the reform of mental health services in the Republic of Moldova amid broader developments in European mental health systems. Methodology: Evaluate the functionality of the new community mental health care model applied in Moldova from 2014 to 2022. Results derive from national clinical audits assessing criteria like recoveryoriented care, home visits, referral systems, and multidisciplinary team functionality, aligned with national legislation. Results: Over 8 years, the efficiency and functionality of Community Mental Health Centers (CMHCs) show continuous improvement, with significant progress observed in the 2022 audit compared to the initial assessment. Persistent challenges include human resources, infrastructure, and financing. Discussions: Insights from mental health service delivery lessons learned will inform discussions on Moldova's mental health system's future. Professionals and policymakers can extract valuable considerations for implementation in their respective contexts. |
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