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Updated: Apr 18, 2026

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
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Community-based mental health centers in Ukraine - protocol for a mixed methods evaluation study using the RE-AIM

Maha Eid Madkour1, Ann-Kathrin Schwientek1, Viktoriia Yasenok1,2

  • 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.

Frontiers in Public Health
|April 17, 2026
PubMed
Summary
This summary is machine-generated.

Ukraine is reforming its mental health services to a community-based model, supported by the Mental Health for Ukraine (MH4U) project. This study evaluates the effectiveness of these new community mental health centers in real-world settings.

Keywords:
RE-AIMUkrainecommunity-based careevaluationmental health centersmental health servicemixed-methodsreal-world data

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Area of Science:

  • Public Health
  • Mental Health Services Research
  • Health Systems Strengthening

Background:

  • Ukraine's mental health system, historically institutionalized, faces increased strain due to the full-scale invasion.
  • A national reform is underway to transition from institutional to community-based mental health care.
  • The Mental Health for Ukraine (MH4U) project supports this transition with international technical assistance.

Purpose of the Study:

  • To conduct an evidence-based evaluation of community-based mental health centers.
  • To inform continued improvement and national scale-up of community mental health services.
  • To generate insights into the effectiveness of a community-based model in a crisis context.

Main Methods:

  • A mixed-methods evaluation using the RE-AIM framework.
  • Quantitative data collection via patient and provider questionnaires and administrative records.
  • Qualitative data collection through patient and provider interviews and community stakeholder focus groups.
  • Application of a learning health systems (LHS) framework with continuous feedback loops.

Main Results:

  • The evaluation will provide evidence on the effectiveness, mechanisms, and context of community-based mental health centers.
  • Findings will detail how and why the model functions in real-world conditions.
  • Study results will be communicated to stakeholders through feedback loops and workshops.

Conclusions:

  • The study will offer crucial evidence for Ukraine's national mental health policy reform.
  • Results will inform the scale-up of community-based mental health services.
  • Lessons learned will be applicable to global mental health systems operating in crisis settings.