The reform of psychiatric care in Greece: 1983-1989

Sarantidis, D; Kladouchos, V; Tripodianakis, J; Giel, R; Munk‐Jørgensen, Povl

doi:10.1017/s0924933800002121

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…Reform of mental healthcare became imperative in 1983 within the context of planning for the new National Health System in Greece. Law 1397/83, especially article 21, provided the basis for the decentralisation of psychiatric services (Sarantidis et al, 1992;Madianos et al, 1999a).…”

Section: Reformmentioning

confidence: 99%

Reform of the mental healthcare system in Greece, 1984–2006

Madianos¹,

Christodoulou²

2007

Int. psychiatry

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Greece joined the European Community in 1981 and, 3 years later, the Commission of the European Communities provided financial and technical assistance under EEC Regulation 815/84 for the modernisation of the Greek mental healthcare system, with an emphasis on decentralisation and the development of community-based services, as well as the deinstitutionalisation of long-stay patients and improvement of conditions in public mental hospitals.

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Section: Reformmentioning

confidence: 99%

Reform of the mental healthcare system in Greece, 1984–2006

Madianos¹,

Christodoulou²

2007

Int. psychiatry

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“…In the late 70's in Greece, the public mental health care delivery system had the following characteristics: 1) centralization of psychiatric services based on nine overcrowded public mental hospitals, with absence of community based mental health services, 2) uneven regional distribution of psychiatric services in the country, leaving some regions without access to psychiatric care; and 3) inefficient management of resources and lack of qualified administrative staff (Stefanis & Madianos, 1981;Madianos, 1983;Stefanis et al 1986;Sarantidis et al 1992).…”

Section: Introductionmentioning

confidence: 99%

Utilization of Psychiatric Inpatient Care in Greece: a Nationwide Study (1984-1996)

Madianos

Zacharakis²,

Tsitsa³

2000

Int J Soc Psychiatry

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This report examines the trends in the utilization of psychiatric inpatient care for the period 1984-1996, when the implementation of the psychiatric reform programme was initiated in Greece. Admissions in public mental hospitals declined by 7.2%. However discharges have been increased by 30.6% with a parallel decrease of the length of stay by 53.7% followed by an increase in discharges of patients diagnosed as suffering from schizophrenia and affective psychoses by 61.1% and 123.8% respectively. In the private sector a remarkable reduction in both admissions and discharges was noticed. Admissions in psychiatric departments of general hospitals for the same years have been increased by 1054.1%. It seems that the recent deinstitutionalization process resulted in increasing trends in the discharges of patients suffering from psychoses. Additionally, a substantial increase in the number of extramural psychiatric services and rehabilitation places between 1994-1996 was observed. The demand for the mental health care services expressed as the urbanization index was found to be related with mental health professionals and the extramural units ratios. The higher degree of urbanism is, the greater the number of extramural services exist. The models explained variance reached 50.6%.

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“…In 1980, in Greece, psychiatric inpatient care was based on nine overcrowded public mental hospitals that were mainly asylum-like and were inadequately staffed, and on a number of private mental hospitals [8,15,17]. Additionally, there was an absence of community-based mental health services and psychiatric beds in general hospitals [13,18].…”

Section: Introductionmentioning

confidence: 99%

“…The background to the recent developments in Greek psychiatry has already been documented, mainly on the basis of some quantitative data [13,15,20].…”

Section: Introductionmentioning

confidence: 99%

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

1999

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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.

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The reform of psychiatric care in Greece: 1983-1989

Cited by 7 publications

References 5 publications

Reform of the mental healthcare system in Greece, 1984–2006

Reform of the mental healthcare system in Greece, 1984–2006

Utilization of Psychiatric Inpatient Care in Greece: a Nationwide Study (1984-1996)

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

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