Table 1
The assessment item referring to the Mental Health and Psychosocial Support in Emergency Setting (MHPSS) in Inter-agency Standing Committee (IASC) and their answers by mental health workers at Ternopil National Medical University (TNMU).
| The assessment item referring to the IASC-MHPSS and answers | ||
| Type of information | Including | Answer |
| Experience of the emergency |
| Due to the war, emergency psychiatric care has changed, as most hospitals have been partially restructured and loaded with wounded. Assistance in acute mental conditions is provided immediately inpatient, outpatient or using the possibilities of telemedicine. |
| Mental health and psychosocial problem |
| post-traumatic stress disorder, anxiety, panic reaction, psychogenic agitation, sleep disorder, stupor, acute psychotic condition |
| sleep problems, inability to perform routine activities | |
| internal migration, loss of places of living, loss of job, death of family members and friends, difficulties in educational area | |
| N/A | |
| Existing sources of psychosocial well-being and mental health |
| volunteer psychological centers, community crisis centers |
| personal psychotherapists, self psychological education, social and family support | |
| N/A | |
Table 2
The assessment item referring to the World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS) and their answers by mental health workers at TNMU.
| Item 2.10.3 | Availability of medicines in mental health outpatient facilities | Answer |
| DEFINITION | Proportion of mental health outpatient facilities in which at least one psychotropic medicine of each therapeutic category (antipsychotic, antidepressant, mood stabilizer, anxiolytic and antiepileptic medicines) is available in the facility or in a nearby pharmacy all year long. | |
| MEASURE | Proportion: UN = unknown; NA = not applicable | 0/1 |
| NUMERATOR | Number of mental health outpatient facilities in which at least one psychotropic medicine of each therapeutic category is available in the facility or in a nearby pharmacy | |
| DENOMINATOR | Total number of mental health outpatient facilities (#) | |
| Item 4.1.4 | Staff working in or for mental health outpatient facilities | Answer |
| DEFINITION | Number of full-time or part-time mental health professionals working in or for mental health outpatient facilities | |
| MEASURE | Number of mental health professionals: 1. Psychiatrists 2. Other medical doctors. not specialized in psychiatry. 3. Nurses 4. Psychologists, social workers, and occupational therapists 5. Other health or mental health workers Number; UN = unknown | 12 (Ternopil) 0 9 3 0 |
| NOTES | Include mental health staff working in government-administered outpatient facilities, NGO outpatient facilities and for-profit mental health outpatient facilities. Exclude professionals engaged exclusively in private practice. | |
| *83 (for the whole Ternopil region, including Ternopil). only 70 are occupied as of today | ||
| Item 4.1.5 | Staff working in community-based psychiatric inpatient units | Answer |
| DEFINITION | Number of full-time or part-time mental health professionals working in community-based psychiatric inpatient units per bed | |
| MEASURE | Number of mental health professionals: 1. Psychiatrists 2. Other medical doctors. not specialized in psychiatry. 3. Nurses 4. Psychologists, social Markers, and occupational therapists 5. Other health or mental health Markers Number of mental health professionals per bed; UN = unknown; NA = not applicable | 0.04 0.04 0.4 0.006 |
| NUMERATOR | Number of mental health professionals | 61 |
| DENOMINATOR | Number of beds in community-based psychiatric inpatient units (#) | 630 |
| Item 2.9.1 | Availability of psychosocial interventions in mental hospitals | Answer |
| DEFINITION | Percentage of patients who received one or more psychosocial interventions in mental hospitals in the Iasi year | D = the majority (51 – 80%) |
| MEASURE | A = none (0%) B = a few (1 – 20%) C = some (21 – 50%) D = the majority (51 – 80%) E = all or almost all (81 – 100%) UN = unknown; NA = not applicable | |
| Item 2.9.1 | Availability of psychosocial interventions in mental hospitals | Answer |
| NOTES | Psychosocial intervention sessions should last a minimum of 20 minutes to be counted for this item. Examples of psychosocial treatments include psychotherapy, provision of social support, counselling, rehabilitation activities, interpersonal and social skills training, and psychoeducational treatments. Do not include intake interviews, assessment, and follow-up psychopharmacology appointments as psychosocial interventions. | |
| Item 2.9.3 | Availability of psychosocial interventions in mental health outpatient facilities | Answer |
| DEFINITION | Percentage of users who received one or more psychosocial intervention in mental health outpatient facilities in the last year | D – the majority (51–80%) |
| MEASURE | A = none (0%) B = a few (1 – 20%) C = some(21 – 50%) D = the majority (51 – 80%) E = all or almost all (81 – 100%) UN = unknown; NA = not applicable | |
| NOTES | Psychosocial intervention sessions should last a minimum of 20 minutes to be counted for this item. Examples of psychosocial treatments include psychotherapy, provision of social support, counselling, rehabilitation activities, interpersonal and social skills training, and psychoeducational treatments. Do not include intake interviews, assessment, and follow-up psychopharmacology appointments as psychosocial interventions. | |
| Item 2.10.1 | Availability of medicines in mental hospitals | Answer |
| DEFINITION | Proportion of mental hospitals in which at least one psychotropic medicine of each therapeutic category (antipsychotic, antidepressant, mood stabilizer, anxiolytic and antiepileptic medicines) is available in the facility all year long | |
| MEASURE | Proportion; UN = unknown; NA = not applicable | 0/1 |
| NUMERATOR | Number of mental hospitals in which at least one psychotropic medicine of each therapeutic category is available | |
| DENOMINATOR | Total number of mental hospitals (#) | |
| NOTES | Include mental health staff working in government-administered community-based psychiatric inpatient units, NGO community- based psychiatric inpatient units and for-profit communitybased psychiatric inpatient units. Exclude professionals engaged exclusively in private practice. | |
| Item 4.1.6 | Staff working in mental hospitals | Answer |
| DEFINITION | Number of full-time or part-time mental health professionals per mental hospital bed | |
| MEASURE | Number of mental health professionals: | |
| 1. Psychiatrists 2. Other medical doctors, not specialized in psychiatry. 3. Nurses 4. Psychologists, social workers, and occupational therapists 5. Other health or mental health workers Proportion: UN = unknown: NA = not applicable | 29 per 630 beds 31 per 630 beds 257 per 630 beds 4 per 630 beds | |
| NUMERATOR | Number of mental health professionals | |
| DENOMINATOR | Number of mental hospital beds (#) | |
| NOTES | Include mental health staff working in government-administered mental hospitals, NGO mental hospitals and for-profit mental hospitals. Exclude professionals engaged exclusively in private practice. | |
| Item 6.2.2 | Proportion of health research that is on mental health | Answer |
| DEFINITION | Proportion of indexed publications that are on mental health in the last five years | |
| MEASURE | Proportion; UN = unknown | 4/189 |
| NUMERATOR | Total number of mental health publications on the country or region in the last five years as identified on PubMed | 4 |
| DENOMINATOR | Total number of health publications on the country or region in the last five years as identified on PubMed | 6 |
| NOTES |
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