ArticleThe Lancet regional health. Europe2021
Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transition of Mental Health Services from Institutional to Community-Based Care Abroad and Its Context for Slovenia-Advantages and Risks.International journal of environmental research and public health · 2025Pooled it
- Ethnic Disparities in Clinical Decision-Making for Rapid Tranquillisation in Adult Forensic Mental Health Inpatient Settings: A Qualitative Study.International journal of mental health nursing · 2026Article
- Indicators of psychiatric institutionalization in Southeast Asia between 1990 and 2024.The Lancet regional health. Southeast Asia · 2025Article
- Changes in the provision of psychiatric beds and incarceration in the Eastern Mediterranean Region from 1990 to 2022.Frontiers in psychiatry · 2025Article
- A multidisciplinary expert consensus on optimal acute adult psychiatric inpatient care in Hong Kong.Frontiers in public health · 2025Article
- Shifting the pendulum - but with checks and balances.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Indifferent minds, broken system: a critical examination of mental health care provision for Spain's incarcerated population with serious mental illnesses.Frontiers in psychiatry · 2024Article
- The potential of psychiatric outpatient centers to reduce the length of stay in inpatient facilities and the negative impact of COVID-19 on the availability of psychiatric services: the case of Latvia.Frontiers in health services · 2024Article
- Factors associated with the revolving door phenomenon in patients with schizophrenia: results from an acute psychiatric hospital in Romania.Frontiers in psychiatry · 2024Article
- The battle for mental well-being in Ukraine: mental health crisis and economic aspects of mental health services in wartime.International journal of mental health systems · 2023Review
- Imprisonment following discharge from mental health units: A developing trend in New Zealand.Frontiers in psychiatry · 2023Article
- Changes in rates of psychiatric beds and prison populations in sub-Saharan Africa from 1990 to 2020.Journal of global health · 2022Article
- The relationship between community public health, behavioral health service accessibility, and mass incarceration.BMC health services research · 2022Article
- Community-Based Mental Health Services in Azerbaijan: a Course Toward Development: Развитие внебольничной психиатрической службы Азербайджана.Consortium psychiatricum · 2022Article
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31 authors.
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Abstract
backgroundNumbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period.
methodsWe retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels.
findingsPrimary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33•8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24•7%), residential facility beds (12•0%), and for prison populations (36•0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings.
interpretationMost countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries.
fundingAgencia Nacional de Investigación y Desarrollo in Chile, grant scheme FONDECYT Regular, grant number 1190613.
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