Some words about UPA UPA is a non-governmental not-for-profit organization UPA is a non-governmental not-for-profit organization UPA was organized in 1991 UPA was organized in 1991 For today there are 16 regional branches within different regions and about 1000 psychiatrists are members of the UPA For today there are 16 regional branches within different regions and about 1000 psychiatrists are members of the UPA web-site web-site

Main sectors of daily activity Publications Publications Analytical activity Analytical activity Professional Development Professional Development Monitoring Political Abuse of Psychiatry & Advocacy Activities Monitoring Political Abuse of Psychiatry & Advocacy Activities Lobbying legislative changes in the sphere of psychiatry Lobbying legislative changes in the sphere of psychiatry Cooperation with mass media, public and governmental officials Cooperation with mass media, public and governmental officials

Ukraine has: Law on Psychiatric Aid (2000) Law on Psychiatric Aid (2000) Clinical (treatment) protocols (2006), which implementation is very often impossible because of lack of financing Clinical (treatment) protocols (2006), which implementation is very often impossible because of lack of financing Law on Rehabilitation of handicapped people (2007), which includes rehabilitation services for people with mental health problems Law on Rehabilitation of handicapped people (2007), which includes rehabilitation services for people with mental health problems Ukraine has no legislation on health insurance Ukraine has no legislation on health insurance

Ministry of Labor and Social policy (MLSP) has: 149 psychoneurological residential facilities 149 psychoneurological residential facilities 56 social institutions for children 56 social institutions for children

Ministry of Health Care (MHC) has: 89 mental health hospitals, which render inpatient care for mentally ill persons 89 mental health hospitals, which render inpatient care for mentally ill persons 37 outpatient facilities (dispensaries), 598 psychiatric consulting rooms, 128 psychotherapeutic consulting rooms, 31 medical-labor workshops. Dispensaries focus on the preventive treatment, management of mental disorder and the clinical and social problems related to it on an outpatient basis 37 outpatient facilities (dispensaries), 598 psychiatric consulting rooms, 128 psychotherapeutic consulting rooms, 31 medical-labor workshops. Dispensaries focus on the preventive treatment, management of mental disorder and the clinical and social problems related to it on an outpatient basis

Ukrainian mental health system is characterized by: The dominance of inpatient care over community- based services The dominance of inpatient care over community- based services The low quality of services (clinical protocols are not observed because of insufficient funding, poor living conditions in mental hospitals etc.) The low quality of services (clinical protocols are not observed because of insufficient funding, poor living conditions in mental hospitals etc.) Absence of outpatient supportive network (rehabilitation centers, self-help groups, half-way houses etc.) leads to rapid disability of people with mental health problems, their isolation from community social life Absence of outpatient supportive network (rehabilitation centers, self-help groups, half-way houses etc.) leads to rapid disability of people with mental health problems, their isolation from community social life

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