Organizational and legal measures to prevent psychosocial risks caused by the war in Ukraine
Abstract
The problem of the emergence of psychosocial risks among the population has become especially relevant in connection with the war in Ukraine. Therefore, there is a need for the development and implementation of effective measures to prevent such risks, to define guidelines for programme regulation in order to implement qualified psychological rehabilitation of the population.
The basic principles of providing psychosocial and psychiatric care to persons with mental disorders are analyzed. The Concept of the development of mental health care in Ukraine for the period until 2030 and the need to develop other mental health and psychosocial support programmes are characterized, their target orientations, advantages and disadvantages are determined. The application of an individual approach is justified depending on the categories of citizens who need help, since the degree and nature of the traumas experienced can differ significantly. It is emphasized that mental health reforms should be non-intrusive and organic to reduce coercion and support mental health service users to make their own decisions about treatment. The special needs of people with mental disorders, including combatants, displaced persons, children, women, and the elderly, are identified. An integrated approach is emphasized, which would include the use of social, psychological, and medical measures at different levels (state, regional, and local) for the most effective intervention, providing the necessary support and accompaniment at various stages.
The risks of the use of civilian firearms by the population of Ukraine in the context of the adoption by the Verkhovna Rada of Ukraine in the first reading of the draft Law of Ukraine “On the right to civilian firearms” are considered. It is emphasized the need to introduce a balanced permitting procedure in order to minimize risks against the background of the worsening situation in the field of mental health.
Taking into account the experience of European countries, the possibility of functioning of interdisciplinary teams in the field of mental health, which are a basic element of the mental health care system in the community, has been considered. Based on the analysis of shortcomings and problems that arise in the process of receiving psychosocial services, practical recommendations have been developed to prevent psychosocial risks caused by the war in Ukraine.
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References
Basiuk T., & Zakharchuk, M. (2021). Designing and Implementation of the Information System for Providing Recommendations to People with Mental Disorders. Information Systems and Network, 9, 44-52. https://doi.org/10.23939/sisn2021.09.044.
Blackmore, R., Boyle, J. A., Fazel, M., Ranasinha, S., Gray, K. M., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. Plos Medicine, 1. https://doi.org/10.1371/journal.pmed.1003337.
Budzyn, V. R. (2022). State Social and Humanitarian Policy to Restore the Mental Health of Citizens in the Current Context of Combating the Covid-19 Pandemic. Scientific Notes of Taurida V. I. Vernadsky University. Series: Public Administration, 33(1), 29–34. https://doi.org/10.32838/TNU-2663-6468/2022.1/06.
Gzhesiak, Ya., Zymomria, I., & Ilnytskyi, V. (Eds). (2018). Development of modern education and science: results, problems, prospects. Posvit.
Kilbourne, A., Beck, K., Spaeth-Rublee, B., Ramanuj, P., O’Brien, R. W., Tomoyasu, N., & Pincus, H. A. (2018). Measuring and improving the quality of mental health care: a global perspective. World Psychiatry, 17(1), 30-38. https://doi.org/10.1002/wps.20482.
Krizhik, K. S. (2020). Psychosocial and psychiatric care for people with mental disorders. Kyiv. http://ekmair.ukma.edu.ua/bitstream/handle/123456789/21569/Krizhik_Bakalavrska_robota.pdf?sequence=1&isAllowed=y.
Lashyn, O. I., Savytskyi, V. L., Kazmyrchuk, A. P., Danyk, Yu. H., & Mykhailyk, O. P. (2019). Method of ground areas transformation organizational structure of psychological and psychiatric aid troops – JOF (ATO) with PTSD. Ukrainian Journal of Military Medicine, 19(2), 93-103.
Nazarenko, I. I., Yakymets, V. M., Pechyborshch, V. P., Slabkiy, G. О., Іvanоv, V. І., & Polischuk, A. O. (2019). Problems of psychological rehabilitation of veterans of participants of anti-terrorist operation and military workers of the operation of joint forces in Ukraine (analytical review of literature). Ukraine. Nation’s Health, 1(54), 48-58.
Oldham, J. M. (2022). Gun Safety Revisited. Journal of Psychiatric Practice, 28(4), 273-274. https://doi.org/10.1097/PRA.0000000000000646.
Osukhovska, O. S., & Kovalenko, N. V. (2019) Basic principles of psychological and psychiatric care for internally displaced persons. Norwegian Journal of Development of the International Science, 62, 23-29.
Pinchuk, I. Ya. (2018). The model of the mental health care system in Ukraine: situational analysis, conceptualization and program-targeted approaches to reform. Organization of a Psychiatric Service, 24(2), 72-76.
Plakun, E. M. (2022). Verdict Overturned: Are We at Our Wit’s End? Journal of Psychiatric Practice, 28(4), 324-327. https://doi.org/10.1097/PRA.0000000000000643.
Simonson, J. (2014, August 21). When Soldiers Suffer from “Moral Injury”. MPR News. http://www.mprnews.org/story/2014/08/21/daily-circuit-moral-injury.
Steel, Z., Chey, T., & Silove, D. (2009). Association of Torture and Other Potentially Traumatic Events with Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement. A Systematic Review and Meta-analysis. JAMA, 302(5), 37‐49. https://doi.org/10.1001/jama.2009.1132.
Yasenchuk, Yu. (2018). Psychological rehabilitation of participants in an anti-terrorist operation. Humanitarium, 41(1), 168-178.
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