Table 1. Data from the WHO Mental Health Atlas 2011 and 2014 country profiles.
Belarus | Bulgaria* | Czech Republic | Hungary | Moldova | Poland | Romania | Russian Federation | Slovakia* | EE average | EU15 average | |
---|---|---|---|---|---|---|---|---|---|---|---|
General information | |||||||||||
% of the global burden of disease accounted for by neuropsychiatric disorders | 17.4%* | 21.2%* | 24.5%* | 24.7%* | 17.6%* | 24.1%* | 19.9%* | 15.6%* | 26%* | 21.22% | 29.96% |
Total health expenditure per capita (US$) | 463 | 421* | 1 367 | 1 056 | 263 | 895 | 504 | 957 | 903* | 758.8 | 4 382.5 |
Existence of mental health policy | No | Yes* | Yes | No | Yes | Yes | Yes | Yes | Yes* | 77% | 93% |
Involvement of service users and families in decision-making | None | Partial* | Partial | Partial | Partial | Partial | Partial | Partial | Partial* | None, 11%; partial, 89%; full, 0% | None, 0%; partial, 46.6%; full, 53.5% |
Resources for mental health | |||||||||||
Mental health spending per capita (US$) | 12.9 | NR | NA | 29.1 | 4.7 | NA | 36.3 | 10.2 | NR | 18.7 | 293.7 |
% of total health expenditure allocated to mental health | 2.8% | 3%** | 3%** | 2.8% | 1.8% | NR | 7.2% | 1.1% | 5%** | 3.3% | 7% |
Total no. of mental health workers per 100 000 | 44.2 | NR | NR | 50.3 | 65.2 | 40 | 36.3 | 48.7 | NR | 47.4 | 127.2 |
No. of psychiatrists per 100 000 | 7.6 | 6.7 | 11.8* | 6.5* | 5.9 | 5.1 | 5.9 | 11 | 11.5 | 8 | 14.1 |
Institutional care | |||||||||||
Total no. of in-patient care facilities in 2011 (per 100 000) | 14 (0.15) | 12 (0.16) | 19 (0.18) | 3 (0.03) | 3 (0.08) | 53 (0.14) | 39 (0.18) | 360 (0.26) | 9 (0.17) | 56.89 (0.15) | 73.62 (0.27) |
Total no. of beds in mental hospitals in 2011 (per 100 000) | 5610 (58.51) | 2705 (36.08) | 9540 (91.64) | 282 (2.83) | 2080 (58.17) | 15 014 (39.47) | 8107 (38.26) | 153 737 (109.53) | 1674 (30.93) | 22 083.22 (51.71) | 11 021.54 (44.72) |
No. of beds per mental hospital in 2011 | 400.7 | 225.4 | 502.1 | 94 | 693.3 | 283.3 | 207.8 | 427 | 186 | 335.5 | 198.2 |
Total no. of in-patient care facilities in 2014 (per 100 000) | 16 (0.17) | NR | 18 (0.17) | 0 | 3 (0.08) | 52 (0.13) | 35 (0.16) | 224 (0.15) | NR | 49.7 (0.12) | 102 (0.21) |
Total no. of beds in mental hospitals in 2014 (per 100 000) | 6301 (67.7) | 8850 (82.4) | 0 | 2070 (59.8) | 13 377 (35) | 10 950 (50.6) | 146 456 (102.8) | 28 439 (56.07) | 13 373.3 (36.61) | ||
No. of beds per mental hospital in 2014 | 393.8 | 491.7 | NA | 690 | 257.2 | 312.8 | 653.8 | 466.6 | 184.6 | ||
Changes (%) in total no. of in-patient care facilities 2011–14 (% per 100 000) | 14.3 (13.33) | NR | -5.2 (-5.56) | NR | 0 | -1.9 (-7.14) | -10.2 (-11.11) | -37.8 (-42.31) | NR | -12.6 (-18.1) | 38.5 (-23.31) |
Changes (%) in total no. of beds in mental hospitals 2014-11 (% per 100 000) | 12.3 (15.71) | -7.2 (-10.08) | -0.5 (2.80) | -10.9 (-11.33) | 35.1 (32.25) | -4.7 (-6.14) | 28.8 (8.42) | 21.3 (-18.13) | |||
Changes (%) in no. of beds per mental hospital 2014 versus 2011 | -1.7% | -2.1% | -0.5% | -9.2% | 50.5% | 53.1% | 39.1% | -6.8% |
Notes: EE – Eastern Europe; EU15 – 15 member states of the European Union before its enlargement in 2004 (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxemburg, The Netherlands, Portugal, Spain, Sweden, the UK); NR = not reported; NA = item not applicable; UN = information unavailable;
data from the WHO Mental Health Atlas 2011;
data from the WHO Mental Health Atlas 2005.