KOORDINISANA BRIGA O ZAVISNICIMA OD ALKOHOLA KROZ IZRADU NOVOG ZAKONA KOJI PRUŽA MOGUĆNOST ZA BOLJU PREVENCIJU NASILJA
COORDINATED CARE OF ALCOHOL ADDICTS THROUGH THE DRAFTING OF A NEW LAW ENABLING BETTER PREVENTION OF VIOLENCE

Summary/Abstract: The reform processes within the healthcare system of the Republic of Srpska that began in the nineties of the last century created a more advanced and accessible system of providing mental health care services. At the primary level of health care, the Community Mental Health Center is the main provider of outpatient care and protection providing also comprehensive changes in mental health within local self-government units. Currently, 27 of these centers are registered in the Republic of Srpska, which are all part of the coordinated service of health centers, having good geographical position in terms of spatial distribution. A certain number of persons with mental health disorders (addicts to alcohol and other psychoactive substances) in the process of treatment require treatment in hospital conditions (clinic, hospital, institute). In accordance with the adopted positive reform solutions, it is expected that after rehabilitation and improvement of the clinical picture, the initiated hospital treatment will continue throughout competent Centers, with the involvement of other community partners. All participants involved in the treatment process together should enable continuity of care for persons with mental health disorders. The model of joint planning for the discharge of persons with mental health disorders from the hospital is an important step in the process of ensuring the continuity of mental healthcare in the community. The model is obligatory for health institutions according to the Law on Mental Health Protection of the Republic of Srpska from 2020, Article 42. The process of treating alcohol addicts has always included coordinated care through clubs of treated alcohol addicts. In the clubs, the progress of the addiction treatment was continuously assessed, and families were an indispensable part of the treatment. For the past 17years, the Club of treated alcohol addicts in Banja Luka has been a good example of coordinated care building both intersectoral and intra sectoral connections. The inclusion of coordinated care and joint discharge planning in the Law is only a confirmation of the great role of the clubs. Maintaining abstinence in the local community through participation in a support group is a significant factor in the prevention of violence.

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