Bulletin of the World Health Organization

Mental health reform in the Russian Federation: an integrated approach to achieve social inclusion and recovery

Rachel Jenkins, Stuart Lancashire, David McDaid, Yevgeniy Samyshkin, Samantha Green, Jonathan Watkins, Angelina Potasheva, Alexey Nikiforov, Zinaida Bobylova, Valery Gafurov, David Goldberg, Peter Huxley, Jo Lucas, Nick Purchase, Rifat Atun

Volume 85, Number 11, November 2007, 858-866

Table 4. Psychiatric beds, admissions and readmissions in the three pilot sites and the Sverdlovsk Region, 2001–2006

2001 2002 2003 2004 2005 2006
Catchment area adult population Population Population Population Population Population Population
Hospital 29 (pilot site 1) 187 500 187 500 187 500 187 500 187 500 187 500
Nizhny-Tagil (pilot site 2) 668 421 672 619 708 791 708 791 768 750 768 750
Pervouralska (pilot site 3) 126 984 216 216 216 216 216 216 210 526 210 526
Sverdlovsk oblast 4 563 810 4 509 524 4 363 208 4 376 190 4 482 178 4 492 000
Russian Federationb
 144 386 752
 143 525 696
 143 452 528
 143 821 216
 143 113 888
Beds per 10 000 pop Rate Beds Rate Beds Rate Beds Rate Beds Rate Beds Rate Beds
Hospital 29 (pilot site 1) 8 150 4.8 90 4.8 90 4.8 90 4.8 90 4.8 90
Nizhny-Tagil (pilot site 2) 9.5 635 8.4 565 9.1 645 9.1 645 8.0 615 8.0 615
Pervouralska (pilot site 3) 12.6 160 7.4 160 7.4 160 7.4 160 7.6 160 7.6 160
Sverdlovsk oblast 10.5 4 792 10.5 4 735 10.6 4 625 10.5 4 595 10.1 4 527 10.0 4 492
Russian Federationb
 11.7
 168 693
 11.6
 166 194
 11.5
 164 752
 11.4
 163 384
 11.3
 161 748
Admissions per 10 000 pop Rate Admissions Rate Admissions Rate Admissions Rate Admissions Rate Admissions Rate Admissions
Hospital 29 (pilot site 1) 123.9 2 323 43.2 810 60.1 1 127 52.7 988 61.3 1 150 43.7 820
Nizhny-Tagil (pilot site 2) 50.2 3 358 46.0 3 095 44.0 3 121 44.8 3 178 40.2 3 087 38.8 2 983
Pervouralska (pilot site 3) 80.3 1 020 46.0 995 47.4 1 024 49.5 1 070 51.1 1 075 50.4 1 061
Sverdlovsk oblast 58.1 26 501 57.4 25 898 60.6 26 454 62.1 27 197 55.7 24 949 54.8 24 636
Russian Federationb
 47
46.8
47.2
46.9
Readmissions as % of all admissions % Readmissions % Readmissions % Readmissions % Readmissions % Readmissions % Readmissions
Hospital 29 (pilot site 1) 11.0 256 19.6 159 19.9 224 19.3 191 18.3 211 17.8 146
Nizhny-Tagil (pilot site 2) 28.9 970 16.4 507 24.8 774 28.0 889 20.5 632 18.6 556
Pervouralska (pilot site 3) 26.6 271 17.3 172 15.3 157 12.2 131 11.5 124 9.0 96
Sverdlovsk oblast 22.6 5 976 19.4 5 012 22.3 5 905 21.8 5 921 22.2 5 538 20.3 4 999
Russian Federationb 21.6 21.7 21.8 21.5

a Two municipalities were added to the catchment area for Pervouralsk in 2002.b Bed numbers and population for Russian Federation from WHO Health For All Database 2007.