Towards community psychiatry. The effects of the implementation of the pilotage of the CZP in Wrocław, with particular emphasis on non-medical forms of therapy and support.
More details
Hide details
Sociology, University of Wrocław, Polska
Submission date: 2023-06-28
Final revision date: 2024-01-14
Acceptance date: 2024-01-30
Online publication date: 2024-03-12
Publication date: 2024-03-12
Corresponding author
Wojciech Skiba   

Sociology, University of Wrocław, Koszarowa, 51-149, Wrocław, Polska
This article deals with the issue of paradigm shift in an important area of health policy, which is the mental health care system. Despite the beginning of changes towards the transformation of the model of care, from one based on solutions characteristic for the asylum model, to community psychiatry already in 1996, through the adoption of the Mental Health Protection Act, and then subsequent National Mental Health Protection Programs, in practice, until 2018 no comprehensive real attempts have been made to transform this system and move away from the dominance of hospital treatment in favor of solutions characteristic of community treatment. The preparation and commencement of pilot projects under the program for the preparation of social innovations financed by the European Union was the first systemic attempt to develop solutions that fully meet the European standards of deinstitutionalization of support and treatment of people with mental problems and diseases, and to fully implement these models in practice along with integration with existing solutions in under the public health insurance system.
A program of integrated health, social and social activities in the recovery process of people with mental illness. Deployment model, part 1: Description, vol. 2: Procedures, Wrocławskie Centrum Zdrowia – Independent Public Healthcare Institution, [2017], rezultaty/deinstytucjonalizacja-w-psychiatrii/.
Balicki, M. (2020). Analysis of the provided psychiatric health care services in the first pilot period, the Pilotage Office,.
Chow, S. & Piebe, W. (2013). Understanding psychiatric institutionalization: A conceptual review, BMC Psychiatry,13, pp. 169–182.
Botti,J. & Hagdorn, T. (2014). Rehabilitation pays off. Benchmarking project results, Rehabilitation – value for societies in Europe.
Cook, J. & Copeland, M. & Floyd, C. (2012). A randomised controlled trial of effects of wellness recovery action planning of depresssion, anxiety and recovery. Psychiatry Servey, 63(6), 541-7.
Chodkiewicz, J. (2013). Mental Pain - Conceptualization and Measuring Tools, Psychiatria Volume 10, no. 3-4.
Competition POWR.04.01.00-IZ.00-00-002/15 - Deinstitutionalization of services provided to people with mental disorders and diseases, programie/projekty/innowacje-spoleczne-rezultaty/deinstytucjonalizacja-w-psychiatrii.
ICF, (2009), International Classification of Disability and Health, Polish edition, CRIOZ. Mokrzycka-Markowska, M. & Drozdowicz, E. & Nasierowski, T. (2015).
Deinstitutionalization of Italian psychiatry - course and consequences. Part I. Activities of the Basaglia group, Psychiatria Polska, 49(2), 391–401.
Mokrzycka-Markowska, M., Drozdowicz, E., & Nasierowski, T. (2015). Deinstitutionalization of Italian psychiatry – course and consequences. Part I. Activities of the Basaglia group. Psychiatria Polska, 49(2), 391–401. DOI:
Operational Program Knowledge Education Development 2014–2020, adopted by the European Commission decision of 17 December 2014, No. C, (2014),
Regulation of the Minister of Health of 27 April 2018 on a pilot program in mental health centers (Journal of Laws of 2018, item 852).
Regulation of the Council of Ministers of 28 December 2010 on the National Mental Health Protection Program (Journal of Laws of 2011, item 24).
Regulation of the Council of Ministers of 8 February 2017 on the National Mental Health Protection Program for 2017-2022 (Journal of Laws of 2017, item 458).
Salisbury, C. & Wallance, M. & Montgomery, AA. (2010). Patient's expiry and satisfaction in primary care: secondary analysis using multilevel modeling, BMJ 210;341:c5004, PubMed (
Sitzia, J. & Wood, N. (1991). Patient satisfaction: a review of issues and concepts, Soc Sci Med., 45 (12), 1829-43.
Schrijvers, G. (2017). Coordinated care. Better and cheaper, National Health Fund Warsaw. Seikkula, J. & Alakare, B. & Aaltonen, J. (2011). The Comprehensive Open-Dialogue Appro- ach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced com- munity care, Psychosis, s. 1–13,.
Tansella, M. (1986). Community psychiatry without mental hospitals- the Italian expirance: a rewiew, Journal of the Royal Society of Medicine, (79), s.664-669.
Vichi, M. &Masocco, M. & Pompili, M. (2010). Suicide in Italy from 1980 to 2002, Psychiatry Reasearch, (175), s.89-97.Wciórka, J. (2000). Community psychiatry: idea, system, method and background, Postępy Psychiatrii i Neuroologii, 2000, pp. 319–337.List of projects selected for funding under the POWR competition 04.01.00-12.00-00-00Z/15,.
Journals System - logo
Scroll to top