COOPERATION BETWEEN SPECIALIZED MENTAL HEALTH SERVICES AND GENERAL PRACTITIONERS IN ARKHANGELSK COUNTY - THE «POMOR MODEL»

• Main Authors: REZVY GRIGORY, ANDREEVA ELENA, RYZHKOVA NADEZHDA, YASHKOVICH VERA, BELAYA ELENA, POPOV VLADIMIR, SØRLIE TORE
• Format: Text
• Language: unknown
• Published: Общественная организация "Чувашская ассоциация психиатров, наркологов, психотерапевтов, психологов" 2016
• Subjects: PSYCHIATRY,PRIMARY CARE,GENERAL PRACTITIONER,INTERNATIONAL COOPERATION,POMOR MODEL,ARKHANGELSK,RUSSIA,NORWAY,ПСИХИАТРИЯ,ПЕРВИЧНАЯ МЕДИЦИНСКАЯ ПОМОЩЬ,ВРАЧ ОБЩЕЙ ПРАКТИКИ,МЕЖДУНАРОДНОЕ СОТРУДНИЧЕСТВО,ПОМОРСКАЯ МОДЕЛЬ,АРХАНГЕЛЬСК,РОССИЯ,НОРВЕГИЯ; Arctic; Norway; Arkhangelsk; Kirkenes; North-Western Russia; Northern Norway; Архангельск*
• Online Access: http://cyberleninka.ru/article/n/cooperation-between-specialized-mental-health-services-and-general-practitioners-in-arkhangelsk-county-the-pomor-model; http://cyberleninka.ru/article_covers/16518468.png

The Kirkenes Declaration, which formalized Norwegian-Russian international cooperation in the Euro-Arctic Region, was signed in 1993. The Barents Health Program and collaboration on health between Northern Norway and North-Western Russia date back to the early 1990s. Currently, the Russian-Norwegian project is focusing improvement of mental health care in primary care in the Arkhangelsk County. The project is aiming to improve GPs’ diagnostic and treatment skills and to improve the cooperation between general practitioners (GPs) and specialists in psychiatry. The systemic aspect of the project has been realized by creation and implementation of an integrated model for cooperation between psychiatrists and GPs (the Pomor model). Consultative support from the specialists increases the competence of the GPs and improves the quality of care for patients with mental health problems. The experiences with the model were evaluated by a) qualitative interviews with the patients, b) diagnostic statistics from the primary health care center, and c) number of patients admitted from the district to the regional psychiatric hospital. Model development has been delayed by lack of cooperation traditions between the GPs and the specialized services, poorly developed financial reimbursement for working with psychiatric patients in primary care as well as lack of professional guidelines for diagnostic and therapeutic work in the primary health care system. However, high motivation among the participating health professionals, managers and active support and recommendation of the Minister of Health, have provided good progress in the project. The model is implemented and evaluated in other districts of the Arkhangelsk County.