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https://doi.org/10.24869/spsih.2026.352

Development of a Transformation Plan and Initial Results of Its Implementation at University Psychiatric Hospital Vrapče

Slađana Štrkalj Ivezić ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska *
Petrana Brečić ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Andrea Jambrošić Sakoman ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Dina Bišnjak Kuharić ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Senka Repovečki ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Arijan Bljakčori ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Adis Grozdanić ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska
Marijana Bavčević ; Klinika za psihijatriju Vrapče, Bolnička cesta 32, Zagreb, Hrvatska

* Dopisni autor.

Sažetak

Objective: To assess the alignment of the therapeutic
culture of Vrapče Psychiatric Hospital
with recovery‑oriented and human rights–based
standards of care, and to develop and implement
a transformation plan in accordance with
the Strategic Framework for the Development
of Mental Health of the Republic of Croatia and
the WHO QualityRights guidelines. Methods: A
revised questionnaire for assessing the therapeutic
culture of psychiatric institutions was used,
covering three domains: (1) treatment based on
informed consent, (2) individualized treatment
according to a recovery plan, and (3) spatial and
organizational conditions of care. The assessment
was conducted by the hospital’s multidisciplinary
team. Based on the assessment results, a transformation plan was developed with activities
aimed at aligning the hospital’s work with recovery‑oriented
and human rights–based care standards
according to the WHO QualityRights guidelines.
Results: An action plan for transformation
was developed, along with guidelines for the use
of informed consent, biopsychosocial history, risk
assessment and individualized treatment plans,
guidelines for triadic collaboration, implementation
of a mobile rehabilitation team, and training
in the application of recovery principles, informed
consent, individualized treatment planning, and
respect for human rights as part of a continuous
program for professionals, people with lived experience,
and family members. A specialist with
lived experience of recovery (peer specialist) was
employed to provide training on developing a personal
recovery plan. Conclusion: Implementation
of a structured transformation plan showed that
the application of WHO QualityRights standards
is feasible in a large psychiatric institution and
can provide a basis for the development of recovery‑oriented,
human rights–based care and active
partnership with service users and their families.

Ključne riječi

psychiatric hospital; recovery; human rights; QualityRights

Hrčak ID:

353116

URI

https://hrcak.srce.hr/353116

Datum izdavanja:

15.6.2026.

Podaci na drugim jezicima: hrvatski

Posjeta: 0 *