Organizational resilience of the mental health system in wartime: ensuring accessibility and continuity of care for the female population

The organizational stability of the mental health system in wartime is one of the key factors in ensuring the availability and continuity of medical care for the population. Special attention is needed for the female population, who belong to the most vulnerable groups in the conditions of military conflicts due to the increased risk of developing anxiety, depressive, and post-traumatic stress disorders, forced displacement, loss of social support and the growth of gender-based violence. Aim - to systematize modern scientific data on the organizational stability of mental health systems in war conditions and to determine the mechanisms for ensuring the availability and continuity of assistance to the female population, taking into account the Ukrainian experience. The analysis of literary sources proved that the most effective mechanisms for ensuring the sustainability of the mental health system are the integration of psychiatric care into the primary medical link, the development of interdisciplinary teams, the introduction of telemedicine technologies and the expansion of public support services. It was established that continuity of the patient's route, territorial availability of services, psychological support during displacement and specialized programs for internally displaced persons, mothers, wives of servicemen, and female veterans are of particular importance for women in war conditions. The Ukrainian experience demonstrates an active transformation of the mental health system, but staffing problems, uneven access to services and the need for further development of gender-oriented approaches remain. Conclusions. The organizational resilience of the mental health system in the context of war is determined by the ability to ensure the availability of care for the most vulnerable population groups, in particular, women. The integration of mental health services into all levels of medical care, the expansion of digital services, the strengthening of intersectoral interaction, and the introduction of gender-sensitive models of care organization are promising areas of development. The authors declare no conflict of interest.