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Explore the main trends and financing of mental health care in Lithuania, including data on mental disorders, suicides, drug addiction, and the reform of in-patient and outpatient treatment. Learn about relevant mental health acts and programs, staffing in mental health centers, prescription coverage of psychotropics, and expenses related to in-patient psychiatric treatment.
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MENTAL HEALTH CARE REFORM IN LITHUANIA: THE MAIN TRENDS AND FINANCING Ona Davidonienė State Mental Health Centre
MENTAL DISORDERS IN LITHUANIA (per 100 000) Data of State Mental Health Centre of Lithuania
SUICIDES IN URBAN AND RURAL AREASIN LITHUANIA 1930-1940 AND 1980-2001(per 100 000)
GROWTH OF DRUG ADDICTION MORBIDITY INLITHUANIA(per 100 000) Data of State Mental Health Centre of Lithuania
MENTAL HEALTH CARE REFORM Pre-reform state Reform target In-patient treatment In-patient treatment Reform Outpatient treatment Outpatient treatment
MENTAL HEALTH ACTS AND PROGRAMMES • Mental Health Care Act (1995) (http://www.vpsc.lt). • (Amendments made in 2001). • Narcotic and Psychotropic Substances Control Act (1998) (http://www.vpsc.lt). • State Programme on Mental Disease Prevention (1999) (http://www.vpsc.lt). • National Drug Control and Drug Use Prevention Programme (approved in 1999). • State Alcohol Control Programme (approved in 1999).
MENTAL HEALTH CENTRES STAFF IN LITHUANIA Data of State Mental Health Centre of Lithuania
Schizophrenia, schizoaffective disorders (F20; F25) Amisulpride Clozapine Olanzapine Risperidone PRESCRIPTION COVERAGE OF PSYCHOTROPICS IN LITHUANIA 100 % coverage Flupentixol Fluphenazine Haloperidol Trifluoperazine Zuclopenthixol Lithium Trihexyphenidylum
Schizotypal and delusional disorders (F21 - F29) Amisulpride Olanzapine Risperidone 80 % coverage Haloperidol Fluphenazine Trifluoperazine Zuclopenthixol Flupentixol Citalopran Fluvoxamine Lithium Amitriptyline Paroxetine Trihexyphenidylum Fluoxetine Sertraline Moderate and severe affective disorders (F30.2; F31.1-F31.5; F32.1-F32.3; F33.1-F33.3) Citalopran Fluvoxamine Fluoxetine Amitriptyline Paroxetine Sertraline Haloperidol Trifluoperazine Lithium Mirtazapine Reboxetine Trihexyphenidylum Dementia (F00 (G30); F01-F03) Amitriptyline Donepezil Melperone Haloperidol Trifluoperazine Lithium Memantine Tiapridal Trihexyphenidylum
Organic psychotic disorders (F06) 50 % coverage Citalopram Fluoxetine Fluphenazine Fluvoxamine Haloperidol Mirtazapine Paroxetine Trifluoperazine Sertraline Lithium Trihexyphenidylum
EUROPE (NORTH AND SOUTH) – N5A ANTIPSYCHOTIC MARKET Source : IMS Health WinEI Q1/02 (Actual Exchange Rates) Countries and Panels included :- UK; HOLLAND; SWEDEN; POLAND; DENMARK; IRELAND; CZECH REP; GERMANY; FRANCE; SPAIN; ITALY; SWITZERLAND; AUSTRIA; GREECE; PORTUGAL; BELGIUM
NORTH AMERICA – N5A ANTIPSYCHOTIC MARKET Source : IMS Health WinEI Q1/02 (Actual Exchange Rates) Countries and Panels included :- USA; CANADA
ATYPICAL ANTIPSYCHOTICS PRESCRIPTION GROWTH OVER TIME *Market Definition = N5A1 Atypical Antipsychotics Markets = USA, UK, Canada, Netherlands, Germany, Italy, Japan Source : IMS Health MIDAS Dataview MAT Q1 2002
PRESCRIPTION MARKET SHARE VS. MAIN COMPETITORS *Market Definition = N5A1 Atypical Antipsychotics Source : IMS Health MIDAS Dataview MAT Q1 2002
IN-PATIENT PSYCHIATRIC TREATMENT IN LITHUANIA Data of State Mental Health Centre of Lithuania
TOTAL NUMBER OF BEDS IN MENTAL HOSPITALS IN LITHUANIA Data of State Mental Health Centre of Lithuania
NUMBER OF DISABLED DUE TO SCHIZOPHRENIA AND MENTAL RETARDATION IN LITHUANIA Data of State Mental Health Centre