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Decision Making in Psychiatric Reform: A Case Study of the Czech Experience

INTRODUCTION Because of the increasing attention to global mental health policy issues, especially psychiatric deinstitutionalization and mental health system development, there have been numerous national efforts to update mental health programmes through psychiatric reform initiatives ( Shen & Snowden, 2014 ). This has been particularly the case in the former soviet bloc nations ( Dobiasova, et al., 2016 ; Tomov, Van Voren, & Keukens, 2007 ) such as the Czech Republic, which have been working to overcome many years of over reliance on institutional care

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