Zone 7 countries held in Stockholm their annual meeting, where their presidents and 6-year delegates represent psychiatric associations. Interest in specializing in psychiatry has grown in Norway, Sweden and Finland, but decreased in Iceland. Finnish reformation of specialist education will lead to an increase of resident in psychiatry and decrease in e.g. pediatrics and orthopedics, because one has to apply the right to specialize and one specialty can only have a limited amount of residents. In Finland and Sweden companies hiring physician workforce to employers have gained ground due to lack of psychiatrists in certain regions. In Norway, Lithuania and Sweden clinical psychologists have demanded more responsibility within the services as leaders.
Role of psychiatrists as administrators has already decreased in Iceland, which has been a cause for concern among psychiatrists. In Norway pressure from strong service-user-groups have resulted in a directive issued by the health minister to give patients the right to choose a “no-medication” ward for psychoses, even in inpatient settings if committed. All of the Baltic countries have suffered from brain drain, as possibilities for better pay is available in other EU member states. Lithuania has allowed involuntary treatment of pregnant women with substance use disorders. Electronic patient records are being reformed in Finland and Denmark with heavy emphasis on use of “check-boxes” and use of prose-text will be limited.