Indicator 1(A): How many people with mental disabilities live in institutions?
Conclusion:
Over 110,000 people with disabilities live in institutions. There are no comprehensive disaggregated statistics on how many of these are people with mental disabilities.
Explanation:
According to a 2013 analysis by the Centre for Transformation there were 20,275 people with disabilities living in institutional social care settings, however this excluded services for elderly people.[12] A more recent analysis by the Czech Statistical Office found that there were 654 people with disabilities residing in ‘week care centres’, 12,949 residents of ‘homes for people with disabilities’, 5,362 people with disabilities living in ‘homes for people with disabilities’ and 1,310 people with disabilities in ‘sheltered housing’ (see Glossary for definitions). The study also noted that 35,500 elderly people were living in residential homes for seniors.[13]
There are no disaggregated data available on the types of disabilities of residents of social care institutions since 2006. The figures given above, therefore, include people with mental, physical, sensory or multiple disabilities, both adults and children. People with mental health issues are also frequently institutionalised for long periods of time in psychiatric hospitals and psychiatric units of general hospitals. The total number of people hospitalised in psychiatric units of general hospitals and in psychiatric hospitals were 59,916 in 2011.[14] According to the most recent data available from 2009,[15] the average length of hospitalisation in psychiatric settings was 63.5 days. In respect of people with intellectual disabilities who can also be detained in psychiatric hospitals, the length of detention jumped to an average of 105 days.[16]
[12] Centre for Transformation, 2013 Analysis of institutional social care in the Czech Republic, (Prague, 2013), 7-10, available at http://bit.ly/1yoOy4K (last accessed: 23 September 2014).
[13] Czech Statistical Office, “Survey of disabled people in 2013”, available at http://www.czso.cz/csu/2014edicniplan.nsf/publ/260006-14-n_2014 (last accessed: 23 September 2014).
[14] Úzis ČR (Institute of Health Information and Statistics in the Czech Republic), Ústav zdravotnických informací a statistiky České Republiky. Psychiatrická péče v psychiatrických lůžkových zařízeních v roce 2006 - 2011 (Psychiatric care in psychiatric in-patient establishments in 2006 -2011), Prague, available at www.uzis.cz (last accessed: 23 September 2014).
[15] Ibid.
[16] Jan Šiška, “Fundamental Rights situation of persons with mental health problems and persons with intellectual disabilities: desk report Czech Republic”, 35.