reform of mental health services in moldova a project mandated by the swiss agency for development...
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Reform of Mental Health Services in Moldovaa project mandated by the Swiss Agency for Development and Cooperation
Victoria CondratLocal Project Manager
Trimbos Moldova, Private Institution
Title: Reform of Mental Health Services in Moldova
Duration Phase 1: 2014-2018
Consortium leader: Trimbos Institute (Netherlands Institute for Mental Health and Addiction), Netherlands
Consortium partners: Netherlands Institute for Health Services Research (NIVEL), Romanian League for Mental Health, Luzerne Psychiatrie (Switzerland)
Beneficiary country: Moldova
Project Implementation Unit: Private Institute “TRIMBOS MOLDOVA”
Project overview
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Improvement of wellbeing of mental health service
users through access to effective mental health services
at the community level, closer to their homes
Overall envisaged impact of the project
Men and women with mental health problems in 4 districts have equitable access to functional and sustainable community-based services (primary care, community based care, acute inpatient mental health services in district hospitals) according to their needs
Outcome 1. Access to services
Decision- and policy-makers in relevant sectors at national level and local stakeholders (local authorities, managers of institutions) in 4 project-districts, in close cooperation, implement integrated care for people with mental health problems and the new model of care in the community.
Outcome 2. Intersectorial cooperation
Outcome 3. Advocacy and awareness raising Policy- and decision-makers at national level and relevant stakeholders at local level in 4 project-districts (local authorities, managers and
professionals, as well as community members) are supportive of CBMHS and create an enabling environment for people with mental health problems and their caregivers, in order to exercise their rights.
Outcome 3. Advocacy and awareness raising
Mental health legislation and regulatory framework revised to enable services to function and mandate access to community-
based mental health care
Financial mechanisms are revised to ensure sustainable
functioning of the community-care model of mental health
services
Clinical guidelines for key conditions: depression, anxiety, schizophrenia, bipolar disorder,
alcohol addiction, autism, dementia
Curricula for medical (doctors and nurses) and non-medical
professionals (clinical psychologists and social workers)
revised and/or developed
Improved capacity and competences (training) of health professionals to
provide evidence-based mental health care in 4 project districts, and
nationwide
Functional community-based mental health services in 4 districts linking
primary (family practices), secondary (community mental health centres and (regional general hospitals) and tertiary
care (psychiatric hospitals)
Quality management system for mental health services developed and
tested in 4 project districts
Equitable access to functional and sustainable community-based services according to needs
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Intersectoral partnerships and resource pooling
Decision- and policy-makers in relevant sectors at national & local level in 4 project-districts work together to implement integrated community-based
care
Mechanisms for intersectoral cooperation for community-based mental health services
developed and implemented in the 4 districts
Professionals in 4 districts in the health and social sector have developed capacity to work
together as a joint multidisciplinary team providing services related to mental health
care
Enabling people with mental health problems and their caregivers
Relevant stakeholders are informed & enabled to play a facilitative role in implementing the new
model of care
Communication strategy and action plan on reducing stigmatization and discrimination
developed
Tools developed for providing service users and their care-givers with information about rights,
care standards and treatment optionsCommunity awareness and acceptance increased
Policy/decision-makers & key stakeholders at national & local level in 4 project-districts create an enabling environment for
people with mental health problems and their caregivers
10Target beneficiaries: Mental health service users in Moldova
NIVEL InstituteNetherlands
Romanian League for Mental HealthRomania
TRIMBOS INSTITUTE(consortium leader)
Luzerne Psychiatrie (Outpatient Services) Switzerland
SDC Moldova (Country Office)
Ministry of Health of the Republic of Moldova
Responsible for implementation of the National Mental Health Action Plan
INTERNATIONAL CONSORTIUM
Project Implementation Unit:
Private Institute Trimbos Moldova (non-profit
organisation) set up by Trimbos Netherlands
(Chisinau, Moldova)
Collaboration with local key stakeholders
Health Insurance Company
Ministry of Labour, Social Protection and Family
Mental health professionals
Primary care professionals
Universities and continuous education institutions (curricula)
+ Consultants (clinical experts, lead professors,
train-the-trainers)
Swiss Agency for Development and Cooperation (SDC)
(Switzerland’s international cooperation agency within the Federal Department of Foreign Affairs)
Memorandum of Understanding
+ GGZ Noord-Holland-Noord &
FIT Academy
Local authorities in 4 project districts
Capacity buildingStudy visit to the Netherlands: Moldovan decision-makers, with follow-up visit in November 2014
Training of Trainers in Moldova & Netherlands – 18 professionals (psychiatrists, psychologists, social assistants, nurses) are being trained to further increase capacities in Moldovan professionals (June-July 2015).
Organization of 5 local trainings for community-based mental health professionals (February, April and May 2015) and study visit to Netherlands (March 2015)
Legislation, policy and clinical guideline development
Working on analyzis and evaluation of existing MDA mental health legislation, norms and responsibilities
Synthesis of international evidence base for the multidisciplinary guidelines on depression and schizophrenia (March 2015)
Workshop with key stakeholders on adapting the evidence base for depression and schizophrenia to the Moldovan context (April 2015)
Work on development of clinical guidelines for depression & schizophrenia
Community Mental Health Centres (CMHCs) in 4 districts
Soroca, Orhei and Cimișlia: community centers have been renovated & furnished, the teams are starting their activity
Cahul: initial stage of development; the team is trained
• 2 extended TV appearances• 24 articles published in all major printed and online media in Moldova• 60 000+ views on Trimbos articles
COMMUNICATION & ANTI-STIGMA
THANK YOU!