The care of people living with mental illness in the Hungarian social care system: The process of deinstitutionalization and the phenomenon of stigmatization

A. Ács, E. Molnár, G. Molnár, Z. Balogh
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引用次数: 4

Abstract

The aim of this study is to present a situation assessment within the framework of a comprehensive study of the social services for people with mental illness in Hungary. After setting the historical background, we describe in detail the current services, their anomalies, and the ongoing implementation of a strategy to deinstitutionalize them. We reviewed the related academic literature and systematically collected and elaborated upon legal documents, decisions, and data from national databases. We established that a paradigm shift is taking place in the social care of people with mental disorders in Hungary. The lack of human resources, the paternalistic, institution-centered attitude, the mass supply of social services in dilapidated buildings, and the stigmatization of patients are among the greatest problems. Cooperation between the health and social sectors is inadequate and, in the interests of patients, needs to be improved. Hungary needs a complex, integrated, health-and-social-care supply system for people living with mental illness, one that takes into account both personal needs and assistance to recovery. In the continuation of the deinstitutionalization process, emphasis should be placed on social sensitization.
匈牙利社会护理系统中对精神病患者的护理:去机构化进程和污名化现象
这项研究的目的是在对匈牙利精神疾病患者的社会服务进行全面研究的框架内提出一项情况评估。在设定了历史背景之后,我们详细描述了当前的服务,它们的异常情况,以及正在实施的将它们去机构化的策略。我们查阅了相关的学术文献,并系统地收集和阐述了法律文件、决定和国家数据库中的数据。我们确定,匈牙利对精神障碍患者的社会护理正在发生范式转变。人力资源的缺乏、家长式的、以机构为中心的态度、在破旧的建筑中大量提供社会服务以及对患者的污名化是其中最大的问题。卫生和社会部门之间的合作不足,为了病人的利益,需要加以改进。匈牙利需要为精神病患者建立一个复杂、综合的保健和社会保健供应系统,这个系统既要考虑到个人需要,也要考虑到对康复的帮助。在继续进行非机构化进程时,应强调提高社会敏感性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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15
审稿时长
34 weeks
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