Mentalno zdravlje i vezane javnozdravstvene politike i prakse – perspektiva djelatnika Nastavnog zavoda za javno zdravstvo “dr. Andrija Štampar”

master's thesis

• Title (english): Mental health and related public health policies and practices from the perspective of the Department of Mental Health and Addiction Prevention at Andrija Stampar Teaching Institute of Public Health employees
• Author: Anastazija Stupar
• Mentor: Tanja Bukovčan (mentor)
• Mentor: Tihana Rubić (mentor)
• Mentor: Branko Kolarić (mentor)
• Committee member: Sanja Potkonjak (predsjednik povjerenstva)
• Committee member: Tihana Rubić (član povjerenstva)
• Committee member: Tanja Bukovčan (član povjerenstva)
• Granter: University of Zagreb; Faculty of Humanities and Social Sciences; (Department of Ethnology and Cultural Anthropology); Zagreb
• Defense date and country: 2020-09-25, Croatia
• Scientific / art field, discipline and subdiscipline: HUMANISTIC SCIENCES; Ethnology and Anthropology; Anthropology

Abstract

Relevantne međunarodne smjernice i pristupne obaveze prema Europskoj uniji Hrvatsku obvezuju na posvećenost razvoju kapaciteta izvanbolničkog liječenja mentalnih bolesti. Služba za mentalno zdravlje i prevenciju ovisnosti Nastavnog zavoda za javno zdravstvo “dr. Andrija Štampar” primjer je učinkovite organizacije takve skrbi. Ovaj rad iznosi pregled postojećih politika mentalnog zdravlja u Hrvatskoj vezanih uz izvanbolničku skrb kroz analizu zakona, strateških i projektnih dokumenata i ukazuje na značajan nesrazmjer između navedenih politika i suvremenih kriterija za organizaciju skrbi za mentalno zdravlje unatoč postojanju preduvjeta za uvođenje potrebnih reformi. Pregled je poduprt stavovima i iskustvima djelatnika Službe kao nositelja izvanbolničke skrbi za mentalno zdravlje u Zagrebu. Njihova iskustva potvrđuju potrebu za širenjem kapaciteta sličnih modela skrbi, naglašavaju potrebu uvođenja tretmana u zajednici, ukazuju na pozitivne ishode i iskustva korisnika, te glavne prepreke uvođenju reformi postojećeg sustava kojim dominira bolničko liječenje pronalaze u nedostatku političke volje i otporu dijela psihijatrijske struke.

Abstract (english)

Relevant international guidelines and member state obligations to the European Union demand Croatia focuses on developing its capacity for outpatient treatment of mental disorders. The Department of Mental Health and Addiction Prevention at Andrija Štampar Teaching Institute of Public Health sets the example for an effective outpatient care model. This paper gives an overview of contemporary mental health policies in Croatia pertaining to outpatient service by analyzing the legal framework and strategic and project documentation. The analysis points to significant gaps between existing policies and modern criteria for organizing mental health services, despite the fact that a foundation for necessary reform exists. The overview is supported by the views and experiences of the Department employees, who are the principal carriers of outpatient care in Zagreb. They confirm the need to expand outpatient services, emphasize the necessity of developing community treatment capacities, and point to positive treatment outcomes and experiences of their patients. They locate the principal obstacles to reform in the lack of political will to introduce changes and opposition from a part of the psychiatric community.

• Keywords: mentalno zdravlje; medicinska antropologija; Nastavni zavod za javno zdravstvo dr. Andrija Štampar; zdravstvene politike; zakon o zdravstvenoj zaštiti; twinning projekt; služba za mentalno zdravlje i prevenciju ovisnosti
• Keywords (english): mental health; medical anthropology; Andrija Štampar Teaching Institute of Public Health; healthcare law; twinning project; Department of Mental Health and Addiction Prevention
• Language: croatian
• URN:NBN: urn:nbn:hr:131:194639
• Study programme: Title: Anthropology (double major); Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra antroplogije (magistar/magistra antroplogije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-09-28 12:32:38