Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-22T18:59:33.308Z Has data issue: false hasContentIssue false

The reform of psychiatric care in Greece: 1983-1989

Published online by Cambridge University Press:  16 April 2020

D Sarantidis
Affiliation:
Evangelismos General Hospital, Department of Psychiatry, Ipsilantou 45, Athens106 76Greece
V Kladouchos
Affiliation:
Evangelismos General Hospital, Department of Psychiatry, Ipsilantou 45, Athens106 76Greece
J Tripodianakis
Affiliation:
Evangelismos General Hospital, Department of Psychiatry, Ipsilantou 45, Athens106 76Greece
R Giel
Affiliation:
University of Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands
P Munk-Jorgensen
Affiliation:
Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, Skovagervej 2, DK-8240, Risskov, Denmark

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

We 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.

Type
Editorial
Copyright
Copyright © Elsevier, Paris 1992

References

Braun, PKochansky, GShapiro, RGreenberg, SGuteman, EJJohnson, SShore, FM (1981) Overview: deinstitutionalization of psychiatric patients, a critical review of outcome studies. Am J Psychiatry 136, 736749Google Scholar
Centre for Planning and Economic Research(1976) Report of a Working Group. Developmental Program 1976-1980. Health. No 12, Mental Health. Athens (in Greek)Google Scholar
EEC Gazette, L88/31, EEC Directive No 815/84. March 1984.Google Scholar
General Directorate for Employment, Social Affairs and Education (Dec 1983) Report of the Study Group on Psychiatric Care in Greece. Commission of the European CommunitiesGoogle Scholar
Government Gazette 143/7 Oct (1983) Law 1397. “Re: the National Health System” (in Greek)Google Scholar
Madianos, M (1983) Mental illness and mental health care in Greece. Public Health Rev 11, 7993Google Scholar
Ministry of Health and Social Affairs (1984) Five Year Mental Health Program and First Phase Program within the Framework of the Special EEC Funding Support (Dir 815/84) (in Greek)Google Scholar
Okin, LR (1978) The future of State mental health programs for the chronic psychiatric patient in the community. Am J Psychiatry 135, 13551358Google Scholar
Rizzardo, RRovea, AMagni, G (1986) The general practitioner and the psychiatric health service in Italy after the reform: opinions and experiences in an urban district. Acta Psychiatr Scand 73, 234238CrossRefGoogle Scholar
Sarantidis, DTripodianakis, J (1989) The five year program to reform psychiatric care in Greece. Tetradia Psychiatrikis 27, 1421 (in Greek)Google Scholar
Sarantidis, DTripodianakis, J (1990) Characteristics of psychiatric care in Greece in the year 1983. Psychiatriki 1, 209215 (in Greek)Google Scholar
Scull, A (1985) Deinstitutionalization and public policy. Soc Sci Med 20, 545552CrossRefGoogle ScholarPubMed
Stephanis, NCMadianos, GM (1981) Mental health care delivery system in Greece. A critical overview.In: Aspects of Preventive Psychiatry (Christodoulou, GN ed). Karger, BaselGoogle Scholar
Stephanis, NCMadianos, GMGittelman, M (1986) Recent developments in the care, treatment and rehabilitation of the chronic mentally ill in Greece. Hosp Community Psychiatry 37, 10411044Google Scholar
Thornicroft, GBebbington, P (1989) Deinstitutionalization - from hospital closure to service development. Br J Psychiatry 155, 739753CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.