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Changing patterns of mental health care in Greece (1984–1996)

Published online by Cambridge University Press:  30 September 2020

M.G. Madianos ,
J. Tsiantis  and
C. Zacharakis
M.G. Madianos*
Affiliation:
School of Health Sciences, Faculty of Nursing University of Athens and University Mental Health Research Institute, Monitoring and Evaluation of Mental Health Services Unit, Athens
J. Tsiantis
Affiliation:
Medical School, University of Athens – Department of Psychological Paediatrics, ‘Aghia Sophia’ Children's Hospital Athens
C. Zacharakis
Affiliation:
Monitoring and Evaluation of Mental Health Services Unit, University Mental Health Research, Institute, Eginition Hospital, Athens, Greece
*
*Correspondence and reprints: Professor M.G. Madianos, Monitoring and Evaluation of Mental Health Services Unit, University Mental Health Research Institute, Eginition Hospital, 72-74 Vas. Sophias Ave. GR 115 28 Athens, Greece
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Summary

Greece joined the European Community in 1981 and, three years later, the Commission of the European Communities provided financial and technical assistance under EEC Regulation 815/84 for the modernisation of the traditional psychiatric care system, with the emphasis on decentralisation of mental health services and the development of community-based services, as well as on deinstutionalization of long-stay patients and improvement of conditions in public mental hospitals. Over the last 11 years, the implementation of the EEC Reg. 815/84 programme contributed to a significant shift towards extramural care and rehabilitation. The role of the large mental hospitals has gradually been diminished and a large number of long-stay patients have been deinstitutionalised. It is commonly accepted that the EEC-funded psychiatric reform programme, despite inadequacies and constraints, had an impact on the changing mental health scene in Greece.

Keywords

decentralisationdeinstitutionalisationlong-stay patientsmental health care delivery systempsychiatric care
Type
European Psychiatry News
Information
European Psychiatry , Volume 14 , Issue 8 , December 1999 , pp. 462 - 467
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 1999

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References

Bouras, N.Webb, Y.Clifford, P.Papadatos, J.Zouni, M.A needs survey among patients in Leros Asylum Brit J Psychiatry 161 1992 75–77CrossRefGoogle ScholarPubMed
Braun, P.Kochansky, G.Shapiro, R.Greenberg, S.Eudeman, J.Johnson, S.Overview: Deinstitutionalization of psychiatric patients, a critical review of outcome studies Am J Psychiatry 136 1981 736–749Google Scholar
Commission of the European Communities. Final report on the implementation of council egulation (EEC) 815/84 on exceptional financial support in favour of Greece in the social field 1995 Brussels: European Commission Directorate General VGoogle Scholar
EEC Directive No. 815/84. Gazette L 88/31 1984 Brussels: EECGoogle Scholar
Freeman, M.Henderson, J.H.Evaluation of comprehensive care of the mentally ill – The transition from mental hospital care to extramural care of the mentally ill in European Community countries 1991 London: Gaskell PressGoogle Scholar
Freeman, M.Fryers, T.Henderson, J.Mental health services in Europe: 10 years on 1985 Copenhagen: WHO Regional Office for EuropeGoogle Scholar
Hall, PBrockington, I.FThe closure of mental hospitals 1991 London: Gaskell PressGoogle Scholar
Madianos, M.Mental illness and mental health care in Greece Pub Health Rev 11 1983 73–93Google Scholar
Madianos, M.Recent advances in community psychiatry and psychosocial rehabilitation in Greece and the other southern European countries Int Soc Psychiatry 40 1994 157–164CrossRefGoogle ScholarPubMed
Madianos, M.Economou, M.Institutional care and rehabilitation in Greece: a general view and the case of LerosStefanis, CRabavilas, ASoldatos, CPsychiatry: A world perspective. Vol. 1 1990 Amsterdam: Elsevier Science 629–634Google Scholar
Madianos, M.Economou, M.Hatjiandreou, M.Papageorgiou, A.Regakou, A.Changes in public attitudes towards mental illness in the Athens area (1979/80-1194) Acta Psychiat Scand 99 1999 73–78CrossRefGoogle Scholar
Madianos, M.Madianou, D.Stefanis, C.Help-seeking behaviour for psychiatric disorders from physicians and psychiatrists in Greece Soc Psychiatry Psychiatr Epidemiol 28 1993 285–291CrossRefGoogle Scholar
Madianos, M.Yfantopoulos, J.Kaprinis, G.Ballas, C.Christodoulou, G.Decentralization of mental health services in Greece, 1979-1982 and 1989-1992Christodoulou, GKontaxakis, VTopics in Preventive Psychiatry 1994 Rasel: Karger 103–115Google Scholar
Raftery, J.Mental health services in transition: the United States and the United Kingdom Brit J Psychiatry 161 1992 589–593CrossRefGoogle ScholarPubMed
Sarantidis, D.Kladouchos, V.Tripodianakis, J.Munk-Jorgensen, R.Giel, R.The reform of psychiatric care in Greece:1983-1989 Eur Psychiatry 7 1992 251–257CrossRefGoogle Scholar
Schene, A.H.Henderson, J.Knudsen, H.C.Rijkschroeff, R.Thornicroft, G.The evaluation of mental health transformation in the cities of Europe Int Soc Psychiatry 38 1992 40–49CrossRefGoogle ScholarPubMed
Stefanis, C.Madianos, M.Gittelman, M.Recent developments in the care, treatment and rehabilitation of the chronic mentally ill in Greece Hosp Community Psychiatry 37 1986 1041–1044Google Scholar
Tansella, M.DeSalvia, D.Williams, P.The Italian psychiatric reform: some quatitative evidence Brit J Psychiatry 22 1987 37–48Google Scholar
Thornicroft, G.Bebbington, P.Deinstitutionalization from hospital to service development Brit J Psychiatry 155 1989 739–753CrossRefGoogle ScholarPubMed
Tsiantis, JThe Children of Leros PIKPA. Brit J Psychiatry 167 Suppl 28 1995 5–29Google Scholar
Tsiantis, J.Maratos, O.Institutional care and rehabilitation for children in GreeceStefanis, CRabavilas, ASoldatos, CPsychiatry: A world perspective. Vol 4 1990 Amsterdam: Elsevier Science 643–649Google Scholar
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