MENTAL HEALTH CENTER: ARGUMENTATION OF CREATION AND FIRST RESULTS OF WORK

Authors

  • O. R. Bereziuk Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
  • O. O. Samchuk CNE “First Territorial Medical Union of Lviv”, Lviv, Ukraine
  • O. O. Filts Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
  • U. V. Krynytska-Bereziuk CNE “First Territorial Medical Union of Lviv”, Lviv, Ukraine
  • L. O. Samsonova CNE LRC “Lviv Regional Clinical Psychoneurological Dispensary”, Lviv, Ukraine
  • M. S. Kostetskyi Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
  • T. H. Gutor Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2023.4.14428

Keywords:

psychiatric service, multidisciplinary hospital, mental health center, health care

Abstract

Purpose: analysis of the work of Mental Health Center on the basis of the outpatient polyclinic center of CNE “First Territorial Medical Union of Lviv”.

Materials and Methods. An analysis of the work of the Mental Health Center on the basis of the outpatient polyclinic center of the First Territorial Medical Union of the St. Panteleimon Hospital of Lviv for the period from May 2022 to December 2023 was performed. A structural-logical method was used in compliance with the principles of systematicity and statistical method.

Results. The Mental Health Center is an important part of the UNBROKEN National Rehabilitation Center and consists of 12 psychotherapy rooms and a group therapy room. Today 47 specialists work in the Mental Health Center according to the staff list of the hospital. Each of the specialists works in a certain direction of psychotherapy: psychoanalysis, Gestalt therapy, various types of cognitive-behavioral therapy, in particular prolonged exposure therapy, EMDR therapy, body therapy, art therapy. Joint examinations of primary patients, consultations, clinical analyzes of complex cases, group and individual examinations and supervision are a mandatory condition of the treatment process. During the studied period, 2.187 patients applied to the Mental Health Center, who underwent 3.368 consultations. The vast majority of patients are military personnel, their families, or IDPs. Modern approaches to the psychotherapeutic treatment of trauma-related mental disorders have been implemented by the specialists of the Mental Health Center. The center uses: the KUTZ protocol and other EMDR protocols, prolonged exposure therapy, body-oriented therapy; a number of modern instrumental treatment methods, namely the Shift Wave vibrating chair for restoring sympathetic-parasympathetic balance, transcranial magnetic stimulation and neurofeedback.

Conclusions. The integration of Metal Health Centers into the structure of hospitals of different levels, outpatient polyclinic institutions will increase the probability of early detection of mental disorders in patients with psychosomatic symptoms and will contribute to reducing stigmatization. Other potential advantages of such a Center are the provision of services at the local level, the coverage by these services of those categories of the population that previously did not have access to psychiatric care, and the possibility of receiving moral and financial support by the patient from relatives and friends during the treatment process, and will also allow to compensate to a greater extent for the problem of professional psychological help for Ukrainians in need as a result of the war.

Author Biographies

O. R. Bereziuk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

is an assistant at the Department of Psychiatry and Psychotherapy of the Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University, a psychiatrist at the Saint Panteleimon Hospital of the CNE “First Territorial Medical Union of Lviv”

O. O. Samchuk, CNE “First Territorial Medical Union of Lviv”, Lviv, Ukraine

is the general director of the CNE “First Territorial Medical Union of Lviv”, assistant of the Department of Surgery and Transplantology of the Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University

O. O. Filts, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

DM (Medicine), Professor, Head of the Department of Psychiatry and Psychotherapy, Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University

U. V. Krynytska-Bereziuk, CNE “First Territorial Medical Union of Lviv”, Lviv, Ukraine

is a psychiatrist, psychotherapist, head of the Mental Health Center of St. Panteleimon Hospital of the CNE “First Territorial Medical Union of Lviv”

L. O. Samsonova, CNE LRC “Lviv Regional Clinical Psychoneurological Dispensary”, Lviv, Ukraine

is the head of inpatient department No. 2 of the CNE LRC “Lviv Regional Clinical Psychoneurological Dispensary”

M. S. Kostetskyi, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

is a 6th-year student of the medical faculty of Danylo Halytskyi Lviv National Medical University

T. H. Gutor, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

PhD (Medicine), Associate Professor, Head of the Department of Social Medicine, Economics and Health Care Organization of Danylo Halytsky Lviv National Medical University

References

Bibyk, I.H., & Kurochka, V.L. (2017). Reformuvannya psykhiatrychnoyi sluzhby ta yiyi modeli u sviti (ohlyad) [Reforming the psychiatric service and its model in the world (review)]. Novyny medytsyny ta farmatsiyi – News of medicine and pharmacy, 6(614). Retrieved from: http://www.mif-ua.com/archive/article/44689 [in Ukrainian].

Postanova Kabinetu Ministriv Ukrayiny Deyaki pytannya realizatsiyi prohramy derzhavnykh harantiy medychnoho obsluhovuvannya naselennya u 2023 rotsi vid 27 hrudnya 2022 r. № 1464: potochna redaktsiya vid 22.03.2023 [Resolution of the Cabinet of Ministers of Ukraine Some issues of implementation of the program of state guarantees of medical care of the population in 2023 dated December 27, 2022 No. 1464: current version dated March 22, 2023]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1464-2022-%D0%BF#Text [in Ukrainian].

Intervyu ministra okhorony zdorovya Ukrayiny Viktora Lyashka [Interview of the Minister of Health of Ukraine Viktor Lyashko]. Retrieved from: https://censor.net/ua/n3358151 [in Ukrainian].

Medinska, Yu. (2004). Dosvid roboty medychnoho psykholoha v umovakh psykhodynamichnoho psykhoterapevtychnoho statsionaru [Work experience of a medical psychologist in the conditions of a psychodynamic psychotherapy hospital]. Forum psykhiatriyi ta psykhoterapiyi – Forum of psychiatry and psychotherapy. (Special issue, 5). (pp. 16-20) [in Ukrainian].

(2017). Orhanizatsiya sluzhb okhorony psykhichnoho zdorovya. Klinichna nastanova, zasnovana na dokazakh [Organization of mental health care services. Evidence-based clinical practice]. Multydystsyplinarna robocha hrupa z opratsyuvannya medykotekhnolohichnykh dokumentiv zi standartyzatsiyi medychnoyi dopomohy na zasadakh dokazovoyi medytsyny z orhanizatsiyi sluzhb okhorony psykhichnoho zdorovya pid kerivn. Pinchuk I.YA. – Multidisciplinary working group for the development of medical technological documents on the standardization of medical care on the basis of evidence-based medicine on the organization of mental health care services under the leadership of Pinchuk I.Ya. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2019/11/akn_opz.pdf [in Ukrainian].

Rozporyadzhennya Kabinetu Ministriv Ukrayiny Pro skhvalennya Kontseptsiyi rozvytku okhorony psykhichnoho zdorovya v Ukrayini na period do 2030 roku vid 27 hrudnya 2017 r. № 1018-r [Decree of the Cabinet of Ministers of Ukraine On the approval of the Concept of the development of mental health care in Ukraine for the period until 2030 of December 27, 2017 No. 1018-r]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1018-2017-%D1%80#Text [in Ukrainian].

Prohrama medychnykh harantiy na 2023 rik [Program of medical guarantees for 2023]. NSZU – NHSU. Retrieved from: https://academy.nszu.gov.ua/course/view.php?id=194 [in Ukrainian].

Berezyuk, O.R., Samchuk, O.O., Filts, O.O., Gutor, T.G., Samsonova, L.O., Yevchenko, Yu.O., & Kostetskyi, M.S. (2022). Psykhiatrychne viddilennya u bahatoprofilniy likarni: dosvid stvorennya ta potreba dlya suchasnoyi systemy okhorony zdorovya Ukrayiny [Psychiatric department in a multidisciplinary hospital: creation experience and need for the modern healthcare system of Ukraine]. Visnyk sotsialnoyi hihiyeny ta orhanizatsiyi okhorony zdorovya Ukrayiny – Herald of social hygiene and health care organization of Ukraine, 2, 46-52. DOI 10.11603/1681-2786.2022.2.13307 [in Ukrainian].

(2022). Psykhichne zdorovya ta stavlennya ukrayintsiv do psykholohichnoyi dopomohy pid chas viyny [Mental health and the attitude of Ukrainians to psychological help during the war]. Gradus. Retrieved from: https://gradus.app/documents/308/Gradus_Research___Mental_Health_Report_short_version.pdf [in Ukrainian].

Filts, O.O. (2003). Pershyy dosvid orhanizatsiyi psykhodynamichnoho psykhoterapevtychnoho statsionaru v Ukrayini [The first experience of organizing a psychodynamic psychotherapy hospital in Ukraine]. Forum psykhiatriyi ta psykhoterapiyi – Forum of psychiatry and psychotherapy. (Special issue, 4). (pp. 3-7) [in Ukrainian].

Published

2024-02-13

How to Cite

Bereziuk, O. R., Samchuk, O. O., Filts, O. O., Krynytska-Bereziuk, U. V., Samsonova, L. O., Kostetskyi, M. S., & Gutor, T. H. (2024). MENTAL HEALTH CENTER: ARGUMENTATION OF CREATION AND FIRST RESULTS OF WORK . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4), 60–66. https://doi.org/10.11603/1681-2786.2023.4.14428

Issue

Section

Organization of medical care