Health Ministry outlines long-term plans to localise psychiatric care
The country’s health minister, Miloslav Ludvík, has outlined ambitious long-term plans to reform Czech psychiatric care, placing new emphasis on community care. On Tuesday, the minister said that when it came to psychiatry, the Czech Republic needed to move towards the West: the plan is to create a new network of some 100 mental health centres serving patients locally.
The plan is to begin building a network of up to 100 centres that would help patients not far from their homes or within their districts. Not uprooting patients but providing them with treatment and support in familiar surroundings would likely be beneficial in many cases while ultimately costing the state less. The head of the National Institute of Mental Health, Cyril Höschl outlines how the new system would be different:
“This is something completely different than existing mental hospitals. We have those and they were the result of several decades of largely centralised healthcare. At the turn of the 19th and 20th century, the main aim was to bundle misbehaving and unruly patients away from towns.
“Changing the old model influenced by the Soviets began after 1989 and the World Health Organisation was one that recommended that care be set up in localities near patients… The fact is, there are a large number of patients who don’t deserve to be shut away.”
Building a network of some 100 facilities has been estimated as taking up to two decades and 15 centres will be tested in pilot projects. Once local mental health centres are operational, they could play a key role in helping patients suffering a first crisis or patients treated in the past, providing follow-up consultation and support. Cyril Höschl again:
The de-stigmatisation of mental illness is part and parcel of reforming psychiatric care, experts say, so that all parties involved – from lawmakers to members of the public understand what is at stake and what works. The hope is also to prepare people not to be alarmed when learning a mental health care centre may be opened in their town or neighbourhood, but to have an understanding of the help such facilities will provide and, ultimately, that they do not represent a risk.