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Access to Mental Health Services Among Internally Displaced Persons in Ukraine: Results from a Nationwide Survey

Published online by Cambridge University Press:  23 March 2020

B. Roberts
Affiliation:
London School of Hygiene and Tropical Medicine, Health Services, London, United Kingdom
N. Makhashvili
Affiliation:
Global Initiative on Psychiatry, Tbilisi, Mental Health, Tbilisi, Georgia
J. Javakhishvili
Affiliation:
Global Initiative on Psychiatry, Tbilisi, Mental Health, Tbilisi, Georgia

Abstract

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Background

There are an estimated 1.4 million internally displaced persons (IDPs) in Ukraine as a result of the armed conflict in Ukraine.

Objectives

(i) Measure the burden of key mental disorders (PTSD, depression and anxiety); (ii) examine rates of utilization of health and psychosocial support services; (iii) examine the patterns of utilisation of services.

Methods

The study used a cross-sectional survey design and was conducted throughout Ukraine between March and May 2016 with 2203 IDPs aged 18 years and over. Time-location sampling was chosen as a probabilistic sampling method. Outcome measures were the PCL-5 for PTSD, the PHQ-9 for depression and the GAD-7 for anxiety. Descriptive and multivariate regression analyses were used.

Results

Of the 2203 respondents, 703 reported experiencing a mental health or emotional problem over the previous 12 months and were also screened positive with PTSD, depression or anxiety. Of these 703, 180 had sought care (with sources of care to be given in the presentation). Therefore, 523 respondents did not seek care, equating to an overall treatment gap of 74%, (74% for PTSD, 71% for depression and 70% for anxiety). Key reasons for not utilising treatment included preferring to use their own medications (n = 176); unaffordability of health services (n = 118) or medications (n = 140); poor understanding by health care providers (n = 123); poor quality of services (n = 78) and stigma/embarrassment (n = 41).

Conclusions

The findings support the need for a scaled-up, comprehensive and trauma informed response to provision of the mental health care of IDPs in Ukraine.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Mental health care
Copyright
Copyright © European Psychiatric Association 2017
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