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The European Journal of Public Health Advance Access originally published online on March 8, 2006
The European Journal of Public Health 2006 16(3):246-251; doi:10.1093/eurpub/cki092
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© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Conflict, Disaster, Homicide

Mental health reform in post-conflict areas: a policy analysis based on experiences in Bosnia Herzegovina and Kosovo

Albert K. De Vries1 and Niek S. Klazinga2

1 Ministry of Justice, The Hague, The Netherlands
2 Department of Social Medicine, Academic Medical Centre, University of Amsterdam, The Netherlands

Correspondence: Albert K. de Vries, Tweede Boomdwarsstraat 6-E, 1015 LK Amsterdam, The Netherlands, tel: +31 20 3206800, fax: +31 70 3703145, e-mail: albertodevries@yahoo.co.uk

Received June 15, 2004, accepted February 28, 2005

The first 150 words of the full text of this article appear below.

This policy analysis provides insight into the ongoing process of mental health reform and the difficulty of sustaining such reform in post-conflict areas. It is based on experiences in Bosnia Herzegovina and Kosovo in the former Yugoslavia.

This could be the first health policy analysis specifically on the subject of mental health reform in post-conflict areas.

Mental health reforms started in 1995 in Bosnia Herzegovina and in Kosovo in 1999, immediately following the end of armed conflict in these regions. As a result, there are now sufficient literature studies and experience available in both areas to make an initial evaluation and policy analysis.

Both areas were studied during various stages of the implementation of mental health reform, and because of this provided insight into the different phases of this ongoing process.

The insights provided by this study could have implications for things such as the development of strategies for improving . . . [Full Text of this Article]


   Materials and methods
 
Data collection
Key informant interviews
Data analysis
Strategies to increase reliability and reduce bias

   Results
 
In-depth explanation of figure 1
Summary of the most important results

   Discussion
 
Limitations of the method
Discussion on the role of foreign influence
Temporary, and chaotic overlapping of, mental health activities
Privatization and increasing access problems
Rapid, drastic decentralization and increasing access problems

   Conclusions
 

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