The activities of the psychiatric department of the medical centre at Slavonski Brod during the homeland war

Na Odjelu za psihijatriju Medicinskog centra u Slavonskom Brodu hospitalno je tretirano oko 690 bolesnika u razdoblju od početka ratnih događanja na području našeg grada i okolice (15. rujna 1990.) do 31. srpnja 1992. godine. To je za 20% manje bolnički obrađenih bolesnika u odnosu na isto razdoblje prije godinu dana. Razlog za ovo treba tražiti u potrebi za ostavljanjem određenog broja slobodnih postelja u slučaju pojave eidemijskog vala psihotraumatiziranih, dok je Odjel bio pri matičnoj ustanovi, kao i u tome da se znatno smanjio broj postelja kada je Odjel zbog ratnih zbivanja morao seliti na drugu lokaciju izvan matične ustanove. U isto vrijeme znatno je porastao broj ambulantnih pregleda u našem Dispanzeru, kao i ambulantno obrađivanih osoba, te je on iznosio za 25% više nego u istom razdoblju prošle godine. Uključivanjem u druge oblike rada i ispunjavajući zadatke što ih je postavljao Odjel za psihijatriju i psihologiju pri Glavnom stožeru saniteta Republike Hrvatske, obuhvatili smo vrlo veliki broj ugroženih grupacija pučanstva. To su prije svega ranjenici, borci, prognanici, izbjeglice te pučanstvo koje je tražilo našu pomoć. Pri tome smo slijedili razrađene doktrine provođenja liječenja od strane Odjela za psihologiju i psihijatriju pri Glavnom stožeru uz određene modifikacije koje je od nas zahtijevala specifična situacija.At the Department of Psychiatry of the Medical Centre in Slavonski Brod 690 in-patients were treated in the period from the beginning of war events in our town and its surroundings (September 15, 1990) until July 31, 1992. That was 20% less in-patients than in the previous one-year period. The reason for this fact should be sought in the need to keep a certain number of hospital beds free for a case of an epidemic wave of psychotraumatized patients in the time when the Department was located in the building of the Medical Centre itself. The second reason is that the number of beds was reduced considerably when the Department had to move to another location outside the Centre because of war evants. In the same time the number of out-patients and their psychiatric examinations increased considerably in our out-patient department. It was 25% higher than in the corresponding period in the previous years. By engaging in other forms of activity and fullfilling the tasks put before us by the Department of Psychiatry and Psychology of General Staff of the Army Medical Services of the Republic of Croatia we provided the care for a great number of patients belonging to groups of population at risk. These were firstly the wounded, combatants, displaced persons, refugees and other individuals who sougt our help. We adhered in our work to doctrines of treatment methods previously prescribed by the Department of Psychiatry and Psychology of the General Staff of the Army Medical Services with some modifications which were required, by our specific situation