Update of the problems of psychosocial assistance to the population of Ukraine in the conditions of war
Keywords:
public policy, health care policy, health care institutions, psychosocial assistance, extreme life situation
Abstract
The article presents the scientific justification of the problems of psychosocial assistance to the population of Ukraine in war conditions, in particular, the results of the analysis of the state of organizational and legal support of institutions whose activities are aimed at psychosocial assistance to the population are presented, and also the basic needs of people who have fallen into an extreme life situation in psychosocial support
The low reliability of medical statistics regarding cases of morbidity and prevalence, in particular conditions related to psychosomatic disorders, was found. The annual growth of outpatient consumption of antidepressants was revealed, which became the main reasons for structural changes in the provision of mental health care to the population of Ukraine. In addition, it should be noted that the organizational and legal support of institutions whose activities are aimed at psychosocial assistance to the population needs further improvement. The first step has been taken - under the auspices of the President's wife Olena Zelenska, the creation of the "National Program of Mental Health and Psychosocial Support of the Population" has been initiated in Ukraine. The program, with the support of WHO specialists, will cover the issue of training and education of psychologists and psychotherapists, family doctors, social workers, and educators in rapid methods of psychological support for the population affected by hostilities and martial law.
The results of the assessment of the basic needs of persons caught in an extreme life situation in psychosocial support in the conditions of war are presented. The broader development of the system of providing psychosocial assistance to the population by multidisciplinary teams consisting of a psychiatrist, psychologist (practical, clinical, psychotherapist), social worker, rehabilitator, etc. is important. The coordination of integrated work in a multidisciplinary team is carried out by the specialist whose help is of primary importance at the current moment, depending on the patient's needs.
References
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20. Suvalo, O. (n.d.) Dopomoha u sferi psykhichnoho zdorovia. Dostupnist ta pereshkody [Help in the field of mental health. Accessibility and obstacles]. Instytut Psykhichnoho Zdorovia Ukrainskoho Katolytskoho Universytetu ¬– Institute of Mental Health of the Ukrainian Catholic University. ipz.org.ua Retrieved from: http://ipz.org.ua/dopomoha-v-oblasti-psykhichnohozdorovya/?fbclid=IwAR3GhEbt4B1Ofy8-t4MqxJ7GM3_Utp89BZf7VVPjawrv7MBKktJFs9RbUNY [in Ukrainian].
21. Psykhichne zdorovia na perekhidnomu etapi: rezultaty otsiniuvannia ta rekomendatsii dlia intehratsii okhorony psykhichnoho zdorovia v systemu pervynnoi medychnoi dopomohy ta hromadski platformy v Ukraini [Mental health in transition: evaluation results and recommendations for integrating mental health care into the primary health care system and community platforms in Ukraine] Mizhnarodnyi medychnyi korpus za pidtrymky Hrupy Svitovoho Banku – International Medical Corps with the support of the World Bank Group. documents1.worldbank.org Retrieved from: http://documents1.worldbank.org/curated/en/747231517553325438/pdf/120767- Ukrainian-PUBLIC-mental-health-UA.pdf [in Ukrainian].
22. Postanova Kabinetu Ministriv Ukrainy «Pro zatverdzhennia Poriadku provedennia psykholohichnoi reabilitatsii postrazhdalykh uchasnykiv Revoliutsii Hidnosti, uchasnykiv antyterorystychnoi operatsii ta osib, yaki zdiisniuvaly zakhody iz zabezpechennia natsionalnoi bezpeky i oborony, vidsichi i strymuvannia zbroinoi ahresii Rosiiskoi Federatsii u Donetskii ta Luhanskii oblastiakh» vid 27.12.2017 № 1057 [Resolution of the Cabinet of Ministers of Ukraine "On approval of the Procedure for conducting psychological rehabilitation of injured participants of the Revolution of Dignity, participants of the anti-terrorist operation and persons who carried out measures to ensure national security and defense, repulse and deter armed aggression of the Russian Federation in the Donetsk and Luhansk regions" dated 12.27.2017 №1057]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1057-2017-p#Text [in Ukrainian].
23. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. (2021). Lancet, 398, 1700-1712. DOI: https://doi.org/10.1016/S0140-6736(21)02143-7 [in English].
24. Zhovnirchyk, Y., Dolot, V. & Antonov, A. (2022). Osnovni napriamy transformatsii systemy publichnoho upravlinnia sferoiu okhorony zdorovia v Ukraini v umovakh voiennoho stanu ta zbroinoi ahresii rosiiskoi federatsii proty Ukrainy [The main directions of transformation of the system of public management in the field of health care in Ukraine in the conditions of martial law and armed aggression of the Russian Federation against Ukraine]. Publichne upravlinnia ta rehionalnyi rozvytok – Public administration and regional development, 16, 443-465. DOI: https://doi.org/10.34132/pard2022.16.08 [in Ukrainian].
2. Radysh, Ya.F., Bakhteieva T.D. & Bilynskoi, M.M. (Eds.). (2013). Derzhavne upravlinnia okhoronoiu zdorovia v Ukraini: geneza i perspektyvy rozvytku [State management of health care in Ukraine: genesis and development prospects]. Kyiv: NADU, p. 284 [in Ukrainian].
3. Yevropeiska Komisiia (2005). Zelena Knyha. Vdoskonalennia psykhichnoho zdorovia naselennia: Do stratehii psykhichnoho zdorovia dlia Yevropeiskoho Soiuzu vid 14 zhovtnia 2005r [Green Book. Improving the mental health of the population: Towards a mental health strategy for the European Union of October 14, 2005]. COM, p. 484 [in Ukrainian].
4. Kontseptsiia rozvytku okhorony psykhichnoho zdorovia v Ukraini na period do 2030 roku: Rozporiadzhenniam KMU 27 hrudnia 2017 roku № 1018-r [Concept of the development of mental health care in Ukraine for the period until 2030: Order of the CMU of December 27, 2017 №1018-r]. kmu.gov.ua. Retrieved from: https://www.kmu.gov.ua/npas/pro-shvalennya-koncepciyi-rozvit [in Ukrainian].
5. Kudermina, O.I. (2016). Chynnyky zdiisnennia psykholohichnoi dopomohy ta psykholohichnoi reabilitatsii uchasnykiv ATO v suchasnykh umovakh. Psykholohichna dopomoha osobam, yaki berut uchast v Antyterorystychnii operatsii [Factors of implementation of psychological assistance and psychological rehabilitation of ATO participants in modern conditions. Psychological assistance to persons participating in the Anti-terrorist operation]. Materialy Mizhnarodnoi naukovo-praktychnoi konferentsii – Materials of the International Scientific and Practical Conference. (pp. 21-25) Kyiv: Natsionalna akademiia vnutrishnikh sprav [in Ukrainian].
6. Lashkul, Z.V. & Bibik I.H. (2017). Analiz normatyvno-pravovoi bazy, shcho rehlamentuie robotu psykhiatrychnoi sluzhby Ukrainy [Analysis of the regulatory framework regulating the work of the psychiatric service of Ukraine]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy – Bulletin of social hygiene and health care organizations of Ukraine, 2(72), 4-7 [in Ukrainian].
7. Pokaznyky diialnosti psykhiatrychnykh zakladiv v Ukraini u 2021 r. [Performance indicators of psychiatric institutions in Ukraine in 2021]. Kyiv: MOZ Ukrainy, Tsentr medychnoi statystyky [in Ukrainian].
8. Khadzhyradieva, S. & Shevtsova, O. (2021). Efektyvnist realizatsii Yevropeiskykh prohram pidtrymky reformuvannia publichnoho upravlinnia v Ukraini [The effectiveness of the implementation of European programs to support the reform of public administration in Ukraine]. Publichne upravlinnia ta rehionalnyi rozvytok – Public administration and regional development, 13, 797-816 [in Ukrainian].
9. Tsentr hromadskoho zdorovia Ministerstva okhorony zdorovia Ukrainy [Public Health Center of the Ministry of Health of Ukraine]. phc.org.ua. Retrieved from: https://phc.org.ua/pages/filter/documentation [in Ukrainian].
10. Tsentr medychnoi statystyky MOZ Ukrainy [Center for Medical Statistics of the Ministry of Health of Ukraine]. phc.org.ua. Retrieved from: https://phc.org.ua/pages/filter/documentation [in Ukrainian].
11. Comprehensive Mental Health Action Plan 2013–2030 [Comprehensive Mental Health Action Plan 2013–2030]. www.who.int. Retrieved from: https://www.who.int/ publications/i/item/9789240031029 [in Ukrainian].
12. Khadzhyradieva, S., Slukhai, S. & Rachynskyi, A. (2020). Public Administration in Ukraine: Adjusting to European Standards. NISPAcee Journal of Public Administration and Policy, 8(1), 81-108 [in English].
13. Khadzhyradieva, S., Chernenko, N., Larina, N., Ruchkina, M. & Sakaliuk, O. (2020). Risks in public administration in the context of globalisation. International Journal of Criminology and Sociology, 9, 2921–2928 [in English].
14. The European Mental Health Action Plan 2013–2020. apps.who.int. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/175672/9789289050951-eng.pdf?sequence=3&isAllowed=y [in English].
15. Vasylieva, O.I., Slukhai, S.V., Khadzhyradieva, S.K., Klochko, A.A. & Pashkova, A.G. (2020). Ukrainian civil service: implementation of the public administration reform strategy in Ukraine. Journal of Advanced Research in Law and Economics, 11(4), 1439–1445 [in English].
16. Psykhichne zdorovia na perekhidnomu etapi: rezultaty otsiniuvannia ta rekomendatsii dlia intehratsii okhorony psykhichnoho zdorovia v systemu pervynnoi medychnoi dopomohy ta hromadski platformy v Ukraini [Mental health in transition: evaluation results and recommendations for integrating mental health care into primary care and community platforms in Ukraine]. ipz.org.ua. Retrieved from: http://ipz.org.ua/wp-content/uploads/2018/01/MH-report-for_INTERNET_All_ua.pdf [in Ukrainian].
17. Analiz zakonodavstva y polityky u sferi psykhichnoho zdorovia v Ukraini [Analysis of legislation and policy in the field of mental health in Ukraine]. (2021). www.mh4u.in.ua. Retrieved from: https://www.mh4u.in.ua/wp-content/uploads/2021/01/mh4u-mh-law-analysis-report-21122020-with-annexes.pdf [in Ukrainian].
18. Vsesvitnia orhanizatsiia okhorony zdorovia (2013). Kompleksnyi plan dii v haluzi okhorony psykhichnoho zdorovia na 2013-2020 roky [Comprehensive action plan in the field of mental health care for 2013-2020]. (N.p.) [in Ukrainian].
19. Bondarenko, N.B. (2018). Humanistychna paradyhma ta biopsykhosotsialnyi pidkhid yak bazovyi u sotsialnii pidtrymtsi osib Iz problemamy psykhichnoho zdorovi [Humanistic paradigm and biopsychosocial approach as basic in social support of people with mental health problems]. Zhurnal PhilArchive – PhilArchive Journal. Retrieved from: https://philarchive.org/archive/BONTHP-4 [in Ukrainian].
20. Suvalo, O. (n.d.) Dopomoha u sferi psykhichnoho zdorovia. Dostupnist ta pereshkody [Help in the field of mental health. Accessibility and obstacles]. Instytut Psykhichnoho Zdorovia Ukrainskoho Katolytskoho Universytetu ¬– Institute of Mental Health of the Ukrainian Catholic University. ipz.org.ua Retrieved from: http://ipz.org.ua/dopomoha-v-oblasti-psykhichnohozdorovya/?fbclid=IwAR3GhEbt4B1Ofy8-t4MqxJ7GM3_Utp89BZf7VVPjawrv7MBKktJFs9RbUNY [in Ukrainian].
21. Psykhichne zdorovia na perekhidnomu etapi: rezultaty otsiniuvannia ta rekomendatsii dlia intehratsii okhorony psykhichnoho zdorovia v systemu pervynnoi medychnoi dopomohy ta hromadski platformy v Ukraini [Mental health in transition: evaluation results and recommendations for integrating mental health care into the primary health care system and community platforms in Ukraine] Mizhnarodnyi medychnyi korpus za pidtrymky Hrupy Svitovoho Banku – International Medical Corps with the support of the World Bank Group. documents1.worldbank.org Retrieved from: http://documents1.worldbank.org/curated/en/747231517553325438/pdf/120767- Ukrainian-PUBLIC-mental-health-UA.pdf [in Ukrainian].
22. Postanova Kabinetu Ministriv Ukrainy «Pro zatverdzhennia Poriadku provedennia psykholohichnoi reabilitatsii postrazhdalykh uchasnykiv Revoliutsii Hidnosti, uchasnykiv antyterorystychnoi operatsii ta osib, yaki zdiisniuvaly zakhody iz zabezpechennia natsionalnoi bezpeky i oborony, vidsichi i strymuvannia zbroinoi ahresii Rosiiskoi Federatsii u Donetskii ta Luhanskii oblastiakh» vid 27.12.2017 № 1057 [Resolution of the Cabinet of Ministers of Ukraine "On approval of the Procedure for conducting psychological rehabilitation of injured participants of the Revolution of Dignity, participants of the anti-terrorist operation and persons who carried out measures to ensure national security and defense, repulse and deter armed aggression of the Russian Federation in the Donetsk and Luhansk regions" dated 12.27.2017 №1057]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1057-2017-p#Text [in Ukrainian].
23. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. (2021). Lancet, 398, 1700-1712. DOI: https://doi.org/10.1016/S0140-6736(21)02143-7 [in English].
24. Zhovnirchyk, Y., Dolot, V. & Antonov, A. (2022). Osnovni napriamy transformatsii systemy publichnoho upravlinnia sferoiu okhorony zdorovia v Ukraini v umovakh voiennoho stanu ta zbroinoi ahresii rosiiskoi federatsii proty Ukrainy [The main directions of transformation of the system of public management in the field of health care in Ukraine in the conditions of martial law and armed aggression of the Russian Federation against Ukraine]. Publichne upravlinnia ta rehionalnyi rozvytok – Public administration and regional development, 16, 443-465. DOI: https://doi.org/10.34132/pard2022.16.08 [in Ukrainian].
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Published
2023-04-03
How to Cite
Khadzhyradieva, S., & Todorova, M. (2023). Update of the problems of psychosocial assistance to the population of Ukraine in the conditions of war. Public Administration and Regional Development, (19), 199-219. https://doi.org/10.34132/pard2023.19.10
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