"" | Quality improvement of the psychiatric services in Regional Mental Hospital in Arkhangelsk





Organizing committee of the Project and Lithuanian psychotherapeutists. April, 2005.

Quality improvement of the psychiatric services in Regional Mental Hospital in Arkhangelsk

The project is supported from the Health Co-operation Program in the Barents Euro-arctic Region - Norway

Since 1996 there has been collaboration between the University Hospital for Northern Norway and the University of Tromso on the Norwegian side and Arkhangelsk Regional Psychiatric Hospital and Northern State Medical University on the Russian side. All psychiatric hospitals in Northern Norway joined the collaboration in 2001. In the beginning the activity was concentrated upon network building and exploratory talks, but since 2001 the collaboration has developed into more definite areas.

The activities in the project has up to now been concentrated both upon increasing competence and attitudes of the professionals (scientific co-operation, seminars and educational programs) and improving the physical conditions for the patients.

The major goal of the project: to improve the quality of the psychiatric health care in Regional Mental Hospital in Arkhangelsk.

Subgoals of the project:

1. To improve the quality of treatment of schizophrenia.

Describe and analyse differences and similarities in the treatment of schizophrenia in the two countries. As schizophrenia is the most serious psychiatric disease, with heavy burden of suffering, discussion of treatment programs for these patients is considered a natural expansion of the project of improving treatment quality. There has been a common seminar with 6 Russian participants and participants on Norwegian side in October 2004 in Tromso. In October2005 is planned a seminar on treatment of schizophrenia with psychiatrists, psychologists and nurses from each country.

2. Improving milieu treatment.

This subgoal is divided into more specific aims:

2.1 To increase knowledge of group process and increase the use of groups as an integral part of acute psychiatric hospital treatment. Three Russian-speaking Lithuanian professionals conduct a training course in inpatient group therapy. 24 persons participated in the seminars during 2003-2004, and 24 new participants have begun a new course this year. The program consists of theory lectures, multi-professional small group sessions and large group sessions.

2.1. To increase the knowledge of milieu therapy by visit of Russian treatment staff to Norway. Such visits clearly supplement the teaching program. Learning of treatment principles in theory, getting supervision and guidance in those principles in their local hospital and watching the same principles in action in Norway, clearly give synergistic learning effects.

2.2. To improve physical standards in the acute wards. One out of 8 acute wards has been rebuilt, and rebuilding process will be continued.

2.3. To improve knowledge on evaluation of changes in mental health services. Evaluation of changes in mental services is not yet incorporated in everyday practice neither in Norway nor in Russia. A separate protocol for the evaluation project has been developed.

3. Support in the project development of communication network.

Tangible results:

The co-operation in this project has been developed for more than 4 years. The personal relationships that have developed during these years are strong, and each year the knowledge of the situation in both regions increases. This means that activities in the project can be directed towards the areas where improvements are needed in a more precise way. The planned activities in the areas mentioned will especially engage leaders both at the university level and clinical level on both sides of the border. The planned activities in milieu therapy will also engage ordinary staff members in addition to the leaders.
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