Evidence map›Paper›PMID 33738529›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Widespread collapse, glimpses of revival: a scoping review of mental health policy and service development in Central Asia.

Akmal-Alikhan Aliev, Tessa Roberts, Shakhnoza Magzumova, Liliia Panteleeva, Saida Yeshimbetova, Dzmitry Krupchanka, Norman Sartorius, Graham Thornicroft, Petr Winkler

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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  10. Mental health plans and policies across the WHO European region.Global mental health (Cambridge, England) · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Development of public stigma toward people with mental health problems in Czechia 2013-2019.European psychiatry : the journal of the Association of European Psychiatrists · 2021
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Akmal-Alikhan AlievDepartment of Public Mental Health, National Institute of Mental Health, Topolová 748, 256 01, Klecany, Czech Republic.
Tessa RobertsHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Shakhnoza MagzumovaDepartment of Psychiatry and Narcology, Tashkent Medical Academy, Tashkent, Uzbekistan.
Liliia PanteleevaDepartment of Medical Psychology, Psychiatry and Psychotherapy, Kyrgyz-Russian Slavic University Named After B. N. Yeltsin, Bishkek, Chuy Province, Kyrgyzstan.
Saida YeshimbetovaDepartment of Psychiatry, Narcology and Neurology, Kazakh-Russian Medical University, Almaty, Kazakhstan.
Dzmitry KrupchankaDepartment of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland.
Norman SartoriusAssociation for the Improvement of Mental Health Programmes, CH, Geneva, Switzerland.
Graham ThornicroftCentre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Petr WinklerDepartment of Public Mental Health, National Institute of Mental Health, Topolová 748, 256 01, Klecany, Czech Republic. petr.winkler@nudz.cz.ORCID http://orcid.org/0000-0002-7244-0051

Funding

Medical Research Council MR/R023697/1Medical Research Council MR/S001255/1World Health Organization 001
6 · The paper itself

Abstract

purposeWe aimed to map evidence on the development of mental health care in Central Asia after 1991.

methodWe conducted a scoping review complemented by an expert review. We searched five databases for peer-reviewed journal articles and conducted grey literature searching. The reference lists of included articles were screened for additional relevant publications.

resultsWe included 53 articles (Kazakhstan: 13, Kyrgyzstan: 14, Tajikistan: 10, Uzbekistan: 9, Turkmenistan: 2, Multinational: 5). Only 9 were published in internationally recognised journals. In the 1990's mental health services collapsed following a sharp decline in funding, and historically popular folk services re-emerged as an alternative. Currently, modernised mental health policies exist but remain largely unimplemented due to lack of investment and low prioritisation by governments. Psychiatric treatment is still concentrated in hospitals, and community-based and psycho-social services are almost entirely unavailable. Stigma is reportedly high throughout the region, psychiatric myths are widespread, and societal awareness of human rights is low. With the exception of Kyrgyzstan, user involvement is virtually absent. After many years of stagnation, however, political interest in mental health is beginning to show, along with some promising service developments.

conclusionsThere is a substantial knowledge gap in the region. Informed decision-making and collaboration with stakeholders is necessary to facilitate future reform implementation.

Indexed as

Health PolicyHumansKazakhstanKyrgyzstanTajikistanTurkmenistanUzbekistanCentral AsiaDeinstitutionalizationMental health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.