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The Development of Mental Health Policies in the Czech Republic and Slovak Republic since 1989

Author

Listed:
  • Dobiášová Karolína

    (Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic)

  • Tušková Eva

    (Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic)

  • Hanušová Pavla

    (Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic)

  • Angelovská Olga

    (Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic)

  • Ježková Monika

    (Faculty of Economics and Administration, Masaryk University, Brno, Czech Republic)

Abstract

The article aims to describe the key events in the development of mental health care policies after 1990 in the two countries and identify the main reasons for stagnation or incremental changes to the institutional setting in the field of mental health care. The process of mental health care reform is explained using the framework of historical institutionalism. The explanation shows that the lack of political interest in combination with the tradition of institutional care resulted in poor availability of psychiatric care, outdated network of inpatient facilities and critical lack of community care facilities in both countries. Even though Slovak Republic adopted national programme at the governmental level, it still struggles with its implementation. The ongoing reform attempt in the Czech Republic may bring some change, thanks to a new approach towards strategic governance of the mental health care system and the mechanism of layering that the promoters of the reform use.

Suggested Citation

  • Dobiášová Karolína & Tušková Eva & Hanušová Pavla & Angelovská Olga & Ježková Monika, 2016. "The Development of Mental Health Policies in the Czech Republic and Slovak Republic since 1989," Central European Journal of Public Policy, Sciendo, vol. 10(1), pages 35-46, May.
    • Handle: RePEc:vrs:cejopp:v:10:y:2016:i:1:p:35-46:n:4
    DOI: 10.1515/cejpp-2016-0022
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    References listed on IDEAS

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    1. Colin Hay & Daniel Wincott, 1998. "Structure, Agency and Historical Institutionalism," Political Studies, Political Studies Association, vol. 46(5), pages 951-957, December.
    2. Ellen M. Immergut, 1998. "The Theoretical Core of the New Institutionalism," Politics & Society, , vol. 26(1), pages 5-34, March.
    3. Pierson, Paul, 2000. "Increasing Returns, Path Dependence, and the Study of Politics," American Political Science Review, Cambridge University Press, vol. 94(2), pages 251-267, June.
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    Cited by:

    1. Hudson Christopher G. & Dragomirecka Eva, 2019. "Decision Making in Psychiatric Reform: A Case Study of the Czech Experience," Central European Journal of Public Policy, Sciendo, vol. 13(2), pages 15-27, December.

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