7.8 Current debates and reforms
In 2020, with a Constitutional Tribunal’s decree, the abortion is only legal in Poland in extreme narrow conditions, which has created a freezing effect. The new government attempted to amend the Criminal Code to depenalize heling with abortions, and to depenalize abortions in cases of significant, irreversible damage to the fetus, or incurable illness of it. The project failed by three votes, which revealed how deep the divide is on this issue, including within the governing coalition. In this situation, the government presented new guidelines for attorneys and hospitals, which unambiguously state that an abortion due to the mental health of the mother is allowed, and requires a single doctor's opinion.
Issues linked to dependencies and addictions are also part of such discussions. Poland definitely prefers the paradigm of total abstinence from psychoactive drugs, which significantly hinders harm reduction activities. In the same way, mental and ideological limitations affect the issue of treating people carrying HIV. There are no uniform and universal medical procedures in relation to them. This is all the more important as new social phenomena are emerging, which are the cause of this and many other infections, such as prostitution of young males or so-called chemsex which means taking drugs or consuming alcohol to enhance sexual pleasure which, in turn, leads to a total loss of control and increased exposure to infection. In the recent years increased sense of threat amongst LGBTQ youth is observed in mental health issues, such as depression or suicidal thoughts.
Activities aimed at the protection of the young generation from sexual abuse and its consequences are the subject of a debate currently in progress. A measurable result of this conflict is the restitution by the current government of financial support for the Fundacja Dajemy Dzieciom Siłę foundation and its activities, which include a helpline for children and youths at 116 111. The Foundation aims to protect the youngest citizens from harm and minimise the consequences that result from experiencing violence. Sexual violence is one of the frequently indicated forms which has resulted in the emergence of this issue in public debates.
The COVID-19 pandemic as well as consequences of the full-scale armed conflict in Ukraine have highlighted negative phenomena regarding the psychiatric health of the youth, which intensified the debate on children psychiatry in Poland and the necessary changes. In the period of the pandemic, there is a marked increase in the number of young people seeking help on the Telephone Helpline for the Young 116 111.
During the pandemic, young people (18-24), have more commonly experienced feelings of helplessness, depression, exhaustion, or burnout than the general Polish average. Such feelings are their most prevalent in 20 years. Already in 2014 to 2018, the sense of peer group support had deteriorated, which has only worsened during lockdowns. The experience of domestic and peer violence has emerged as an important effect of lockdowns – it’s been experienced by 27% of young people, with 9% having nowhere to turn for help. Peer violence has moved into the virtual realm. This all poses serious questions for the aftereffects of COVID-19 and the full-scale armed conflict in Ukraine in the future, an issue which has not yet been properly engaged on in the public discourse. Long term effects of those negative trends are confirmed by data such as the cited increase in the number of suicide attempts among the youth and children.
Due to the ongoing discussion about the negative effects of drinks with added taurine and caffeine (energy drinks), in 2023 a bill was passed to ban the sale of energy drinks to people under 18. Similar discussions are being held regarding limiting the access to the e-cigarettes for the children. It is easy to encounters claims that the aerosol created in e-cigarettes is "harmless water vapour". However, current research unambiguously suggest that electronic cigarettes are not health neutral, and that they include carcinogenic substances, toxic substances, and ones that can contribute to addiction for youth people who lack fully developed parts of brain responsible for decision-making and impulse control.