Tags

Type your tag names separated by a space and hit enter

Mental health care of psychotraumatized persons in post-war Bosnia and Herzegovina--experiences from Tuzla Canton.
Psychiatr Danub. 2008 Dec; 20(4):474-84.PD

Abstract

BACKGROUND

Majority of Bosnia-Herzegovina (BH) residents were exposed to cumulative traumatic events during and after the (1992-1995) war, which demanded emergency organizing of psychosocial support as well as psychiatric-psychological treatment of psychotraumatized individuals.

OBJECTIVES

To describe organizing of psychosocial help during and after the BH war, institutional treatment of psychotraumatized in the frame of mental health service reform program with an overview on the model of psychosocial support and psychiatry-psychological treatment of psychotraumatized persons of Tuzla Canton region.

SUBJECTS AND METHODS

The retrospective analysis of functioning in the Department for traumatic stress disorders on the Psychiatry Clinic in Tuzla for the 1999-2003 period has been described in regard of number, gender, age and trauma related mental disorders of referred patients.

RESULTS

In the observed period, 8.329 of patients in the outpatient care program were included, 617 of inpatients were treated in the Clinic, while 301 of patients in the Partial hospitalization program were included. Mean +/- standard deviation of patients' age was 45+/-8.06 years. More psychotraumatized women (60.8%) were encompassed in the partial hospitalization program than in inpatients (23.9%) or outpatients (18.3%) care programs. In regard of trauma related mental disorders, majority outpatients had Posttraumatic stress disorder (PTSD) in co morbidity with other mental disorders (72.5%), PTSD was presented amongst the majority of inpatients (64.5%) and in partial hospitalization program there were (47.5%) patients with PTSD.

CONCLUSIONS

In the treatment of psychotraumatized persons, in the organizing of health care system schema in postwar Bosnia and Herzegovina, meaningful obstacles are presented still today on the both, social and political level, despite mental health service reform performed in Bosnia-Herzegovina. The stigmatization of mental health issues is an important problem in treatment of traumatized individuals especially among war veterans. The lack a single Center for psychotrauma in postwar BH shows absence of political will in BH to resolve the problem of war veterans with trauma related psychological disorders.

Authors+Show Affiliations

University Clinical Centre Tuzla, Trnovac b.b, 75000 Tuzla, Bosna and Herzegovina.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19011588

Citation

Avdibegović, Esmina, et al. "Mental Health Care of Psychotraumatized Persons in Post-war Bosnia and Herzegovina--experiences From Tuzla Canton." Psychiatria Danubina, vol. 20, no. 4, 2008, pp. 474-84.
Avdibegović E, Hasanović M, Selimbasić Z, et al. Mental health care of psychotraumatized persons in post-war Bosnia and Herzegovina--experiences from Tuzla Canton. Psychiatr Danub. 2008;20(4):474-84.
Avdibegović, E., Hasanović, M., Selimbasić, Z., Pajević, I., & Sinanović, O. (2008). Mental health care of psychotraumatized persons in post-war Bosnia and Herzegovina--experiences from Tuzla Canton. Psychiatria Danubina, 20(4), 474-84.
Avdibegović E, et al. Mental Health Care of Psychotraumatized Persons in Post-war Bosnia and Herzegovina--experiences From Tuzla Canton. Psychiatr Danub. 2008;20(4):474-84. PubMed PMID: 19011588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health care of psychotraumatized persons in post-war Bosnia and Herzegovina--experiences from Tuzla Canton. AU - Avdibegović,Esmina, AU - Hasanović,Mevludin, AU - Selimbasić,Zihnet, AU - Pajević,Izet, AU - Sinanović,Osman, PY - 2008/11/18/pubmed PY - 2009/1/13/medline PY - 2008/11/18/entrez SP - 474 EP - 84 JF - Psychiatria Danubina JO - Psychiatr Danub VL - 20 IS - 4 N2 - BACKGROUND: Majority of Bosnia-Herzegovina (BH) residents were exposed to cumulative traumatic events during and after the (1992-1995) war, which demanded emergency organizing of psychosocial support as well as psychiatric-psychological treatment of psychotraumatized individuals. OBJECTIVES: To describe organizing of psychosocial help during and after the BH war, institutional treatment of psychotraumatized in the frame of mental health service reform program with an overview on the model of psychosocial support and psychiatry-psychological treatment of psychotraumatized persons of Tuzla Canton region. SUBJECTS AND METHODS: The retrospective analysis of functioning in the Department for traumatic stress disorders on the Psychiatry Clinic in Tuzla for the 1999-2003 period has been described in regard of number, gender, age and trauma related mental disorders of referred patients. RESULTS: In the observed period, 8.329 of patients in the outpatient care program were included, 617 of inpatients were treated in the Clinic, while 301 of patients in the Partial hospitalization program were included. Mean +/- standard deviation of patients' age was 45+/-8.06 years. More psychotraumatized women (60.8%) were encompassed in the partial hospitalization program than in inpatients (23.9%) or outpatients (18.3%) care programs. In regard of trauma related mental disorders, majority outpatients had Posttraumatic stress disorder (PTSD) in co morbidity with other mental disorders (72.5%), PTSD was presented amongst the majority of inpatients (64.5%) and in partial hospitalization program there were (47.5%) patients with PTSD. CONCLUSIONS: In the treatment of psychotraumatized persons, in the organizing of health care system schema in postwar Bosnia and Herzegovina, meaningful obstacles are presented still today on the both, social and political level, despite mental health service reform performed in Bosnia-Herzegovina. The stigmatization of mental health issues is an important problem in treatment of traumatized individuals especially among war veterans. The lack a single Center for psychotrauma in postwar BH shows absence of political will in BH to resolve the problem of war veterans with trauma related psychological disorders. SN - 0353-5053 UR - https://www.unboundmedicine.com/medline/citation/19011588/Mental_health_care_of_psychotraumatized_persons_in_post_war_Bosnia_and_Herzegovina__experiences_from_Tuzla_Canton_ L2 - http://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol20_no4/dnb_vol20_no4_474.pdf DB - PRIME DP - Unbound Medicine ER -