Recent Developments in the Care, Treatment, and Rehabilitation of the Chronic Mentally Ill in Greece

Stefanis, C.; Madianos, Michael G.; Gittelman, Martin

doi:10.1176/ps.37.10.1041

Cited by 11 publications

(12 citation statements)

References 4 publications

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“…Greek psychiatric reform was initiated in 1984 after special funding by the European Community (EC) within the frame of Regulation 815/84 (Stefanis et al . 1986).…”

Section: Psychiatric Care Reform In Greecementioning

confidence: 99%

Greek psychiatric care reform: new perspectives and challenges for community mental health nursing

Bellali

Kalafati

2006

Psychiatric Ment Health Nurs

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The purpose of this article is twofold: (1) to explore the main issues of psychiatric care reform in Greece and outline the operating way of the new residential structures of psychiatric care and rehabilitation; and (2) to focus on the implementation of mental health nursing roles in the primary care services such as supervisor-therapist, liaison, coordinator-crisis interventionist and counsellor-trainer within the context of a multidisciplinary therapeutic team. Given that multiple professionals are involved in mental health care in primary care, issues of role are likely to be crucial to the effective implementation of new workers. Moreover, there is existing evidence of ambiguity in the roles of different mental health professionals in primary care, relating to the problems they manage and the treatments they provide. The authors believe that more emphasis needs to be given to the mental health nursing specialty in Greece, because the large majority of patients requiring mental health care should have the possibility of taking better quality of care as the psychiatric structures at community are continuously developing.

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“…Greek psychiatric reform was initiated in 1984 after special funding by the European Community (EC) within the frame of Regulation 815/84 (Stefanis et al . 1986).…”

Section: Psychiatric Care Reform In Greecementioning

confidence: 99%

Greek psychiatric care reform: new perspectives and challenges for community mental health nursing

Bellali

Kalafati

2006

Psychiatric Ment Health Nurs

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Section: Introductionmentioning

confidence: 99%

“…The trend in Greece (in common with other European countries) has been to treat patients with schizophrenia in the community. The Greek psychiatric reform started in 1984 after special funding by the European Community and under the Regulation 815/84 (Stefanis et al 1986). Schizophrenia is one of the more important enduring mental health problems and thus it would be useful to measure the quality of life of patients with schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

Quality of life for patients with schizophrenia living in the community in Greece

Dimitriou

Anthony²,

Dyson

2009

Psychiatric Ment Health Nurs

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Several quality of life instruments were considered for use in a Greek mental health environment. Subjective Quality of Life Profile was chosen as it was easy to complete and covered the issues raised by patients with schizophrenia through interviews. Confirmatory factor analysis gave credence to the four-dimensional structure identified by the original authors. Patients with schizophrenia were generally satisfied with their quality of life, found the items in the instrument important and were optimistic about expectations for change. Age, gender, education, marital status and years of sickness were not statistically significant in a general linear model with quality of life as the outcome for the 27 core questions. There were some statistically significant results for the three disease-specific questions; positive expectation was correlated positively with education and negatively with years of sickness.

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“…For several reasons, discussed elsewhere Tripodianakis, 1989, 1990), Greece did not share the developments in psychiatric care that occurred in other European countries and in North America following the Second World War (Centre for Planning and Economic Research, 1976;Stephanis and Madianos, 1981;Madianos, 1983;Stephanis et al, 1986).…”

Section: Introductionmentioning

confidence: 99%

The reform of psychiatric care in Greece: 1983-1989

et al. 1992

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SummaryWe have attempted to evaluate quantitative changes in the mental health delivery system in Greece, dictated by a fiveyear program to reform psychiatric care. By the end of the program, a number of psychiatric units in general hospitals, as well as community mental health centres, had been created, while the number of beds in psychiatric hospitals have been significantly reduced. Mental health services have become more accessible to the population, and served more patients. However, not all the objectives of the program have been met. Only about half of the initially proposed number of beds in the psychiatric units in general hospitals have been actually developed. The catchment area, a basic pre-requisite of the program, has not been put into effect. Finally, the noticeable trend towards a restriction of the role of psychiatric hospitals did not coincide with the development of adequate new services.

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Recent Developments in the Care, Treatment, and Rehabilitation of the Chronic Mentally Ill in Greece

Cited by 11 publications

References 4 publications

Greek psychiatric care reform: new perspectives and challenges for community mental health nursing

Greek psychiatric care reform: new perspectives and challenges for community mental health nursing

Quality of life for patients with schizophrenia living in the community in Greece

The reform of psychiatric care in Greece: 1983-1989

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