Evidence map›Paper›PMID 40980815›Full record

ArticleThe Lancet regional health. Europe2025

Clinical and functioning outcomes during the establishment phase of Ukraine's community mental health teams: a descriptive analysis.

Alisa Ladyk-Bryzghalova, Charles Zemp, Marjolaine Rivest-Beauregard, Oleksii Kostiuchenkov, Alison Schafer, Ben Adams, Dan Chisholm, Philip Hyland, Mel Ó Súird, Katerina Drakos and 3 more

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Article in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Alisa Ladyk-BryzghalovaWHO Country Office in Ukraine, Kyiv, Ukraine.
Charles ZempTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
Marjolaine Rivest-BeauregardDepartment of Psychiatry, McGill University, Montréal, Canada.
Oleksii KostiuchenkovWHO Country Office in Ukraine, Kyiv, Ukraine.
Alison SchaferDepartment of Mental Health, Brain Health, and Substance Use, WHO, Geneva, Switzerland.
Ben AdamsDepartment of Mental Health, Brain Health, and Substance Use, WHO, Geneva, Switzerland.
Dan ChisholmDepartment of Mental Health, Brain Health, and Substance Use, WHO, Geneva, Switzerland.
Philip HylandDepartment of Psychology, Maynooth University, Maynooth, Ireland.
Mel Ó SúirdTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
Katerina DrakosTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
Iryna MykychakCoordination Center for Mental Health under the Cabinet of Ministers of Ukraine, Kyiv, Ukraine.
Jarno HabichtWHO Country Office in Ukraine, Kyiv, Ukraine.
Frédérique VallièresTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Ukraine's nationwide Community Mental Health Teams (CMHTs) programme is key to Ukraine's ongoing mental healthcare reform. No studies to date, however, have reported on the impact of Ukrainian CMHTs on service user clinical recovery. This study has two aims: (i) describe Methods: 947 CMHT service users enrolled between April-December 2021 were assessed on clinical outcomes using the Clinical Global Improvement scale (CGI) and functional outcomes using WHO's Disability Assessment Schedule (WHODAS 2·0). Chi-square and Wilcoxon signed-rank tests were used to assess changes in CGI and WHODAS scores, respectively, at the fifth (or fourth) follow-up CMHT visit. Hierarchical multinomial logistic regression and hierarchical multiple linear regression identified predictors of clinical and functional improvement, respectively. Findings: Most service users were male, unemployed, and diagnosed with schizophrenia spectrum disorders. Among service users with available outcome data at both CMHT intake and the fifth (or fourth) follow-up visit, a significant decrease in disability scores was observed (Median Interpretation: We found positive results associated with enrolment in Ukraine's CMHTs. Recommendations for future research and improvements to the CMHT programming are provided. Funding: Funded as part of the World Health Organization's Special Initiative for Mental Health.

Indexed as

Clinical recoveryCommunity mental health teamsMental healthcare reformSevere mental illnessUkraine

Identifiers

PMID40980815
PMCPMC12446188

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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.