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Psychiatry in Latvia: A journey through the past three centuries

机译:拉脱维亚的精神病学:过去三个世纪的历程

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Background: While there is close contact established between Latvia and the Nordic psychiatric community now, there are many pages of our history we have not had opportunity to share. The aim of this article is to highlight the most important facts of more than 200 years of history of psychiatry in Latvia. Results: The development of the psychiatric services in Latvia started with the building of an asylum-type establishment at the end of the 1700s. To address the increasing needs, psychiatric hospitals of various size and quality were gradually opened all over the country. Psychiatry as a field of science emerged in Latvia after the Declaration of Independence in 1918. Active and progressive development of services and the academic environment took place between the World Wars. During the Soviet regime, psychiatric services were rebuilt within the frameworks and guidelines of the existing system. Following the restoration of Independence in 1991, a number of rapid and positive changes took place. There was a gradual decrease in the number of hospital beds, outpatient services were developed and modern treatment methods were established. Policy documents in the field of mental health were developed and legislation improved. Active collaboration with other, particularly Scandinavian, countries was developed. Academic education continued and specialist training was provided following European standards. The role of the psychiatric professional organization was strengthened. Conclusions: Many positive changes in the mental healthcare in Latvia have taken place, but there are still some aspects to be addressed. The strengthening of our regional collaboration could be crucial for our future development.
机译:背景:虽然拉脱维亚和北欧精神病学界之间已经建立了密切的联系,但我们有很多我们没有机会分享的历史。本文的目的是强调拉脱维亚200多年的精神病学历史中最重要的事实。结果:拉脱维亚的精神科服务的发展始于1700年代末建立的避难所。为了满足不断增长的需求,全国各地逐渐开设了各种规模和质量的精神病医院。在1918年宣布独立后,拉脱维亚出现了精神病学这一科学领域。两次世界大战之间,服务业和学术环境得到了积极而逐步的发展。在苏维埃政权期间,在现有系统的框架和准则内重建了精神科服务。 1991年恢复独立之后,发生了许多迅速而积极的变化。病床数量逐渐减少,开发了门诊服务并建立了现代治疗方法。制定了精神卫生领域的政策文件,并完善了立法。与其他国家,特别是北欧国家的积极合作得到发展。继续进行学术教育,并按照欧洲标准提供了专业培训。精神科专业组织的作用得到加强。结论:拉脱维亚的精神卫生保健发生了许多积极的变化,但仍有一些方面需要解决。加强我们的区域合作对于我们未来的发展可能至关重要。

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