Community Mental Health Services in Greece: Development, Challenges and Future Directions

Anargyros, Konstantinos; Lappas, Andreas S.; Christodoulou, Nikos

doi:10.17816/cp111

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Psychiatric reform continues to be applied, as multifaceted as it is, and will remain a crucial issue in the future. [16][17][18][19] The current state of the Leros State Psychiatric Hospital provides satisfactory evidence that after all these years, it is no longer Europe's or Greece's dark secret, but rather a mental health institution comparable to other modern European institutions.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Hospital of Leros: a portrayal of the current situation

Anargyros,

Mavrogiannidis,

Oikonomou

et al. 2023

Psychiatriki

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The purpose of this study was to describe the demographic and clinical features of the inpatients currently residing at the Psychiatric Hospital of Leros. The present systematic documentation and presentation aimed to demonstrate the standard of living and healthcare conditions provided today, after the implementation of the State's "Psychargos" program; this is the main Greek Psychiatric reform program, adhering to the principles of deinstitutionalization and community psychiatry, in accordance with the current international guidelines. In addition, we discussed the current relationship between the psychiatric departments of the hospital and the other departments and clinics in terms of providing healthcare services to chronic psychiatric inpatients in full compliance with the biopsychosocial model and its application to the unique case of Leros. The implemented patient profiles incorporated both subjective and objective factors, such as compliance with rules and treatment, self-injury, and harm to others. Furthermore, we quantified and categorized the level of care required for each patient in terms of personnel-reported activities. This parameter was assessed through the Greek version of Katz’s Index of Independence in Activities of Daily Living. Simultaneously, the fundamental actions provided to inpatients by the social care and support services of the hospital were also depicted and categorized, in terms of connection to State social services, communication with the patient’s families, and cooperation between the families and the hospital for the patient's healthcare needs. Furthermore, we analyzed and presented all statistically significant correlations found in our patients’ characteristics. Briefly, the main results of our study show that the mean age of the 212 patients was 62.4 years old (with a standard deviation of ±13.6 years and the longest hospitalization of 62 consecutive years) including patients from the institution's asylum period. Since 1989, the year when the psychiatric reform began in our hospital, 87 new patients were admitted, 85.1% of whom were from the southern Aegean, thus following the principle of naiveness. Intellectual disabilities and psychotic spectrum disorders were the most common disorders among the total number of hospitalized patients, accounting for 40% in each category. Regarding the 87 patients hospitalized after 1989, psychotic spectrum disorders were diagnosed in the vast majority (58 patients, 66.7%) followed by organic mental disorders (10 patients, 11.5%). The rest were diagnosed with other disorders. Somatic comorbidity and the need for care and services, especially for patients with intellectual disabilities, demonstrate how the Institution now mainly offers psychogeriatric healthcare services. In conclusion, the purpose of this study was to highlight the Psychiatric Hospital of Leros as it stands today, in stark contrast to the long-established, stereotypical depiction of asylums in the scientific and public communities.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Hospital of Leros: a portrayal of the current situation

Anargyros,

Mavrogiannidis,

Oikonomou

et al. 2023

Psychiatriki

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“…С 1985 г. проводится реформа психиатрии в соответствии с принципами Евросоюза и переходом от стационарного к преимущественно амбулаторному территориальному лечению, интегрированному с социальной помощью. Греция получила значительные объемы финансирования данной реформы от Евросоюза [18].…”

Section: организация психиатрической службыunclassified

Contemporary Trends in Reorganization of Psychiatric Service

Ходжаев¹,

Докукина²,

Голубева³

et al. 2022

Психиатрия, Психотерапия И Клиническая Психология

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В статье представлено современное состояние психиатрической помощи в мире, приведены результаты деинституционализации психиатрической помощи в разных странах, проанализированы основные направления реформы психоневрологических интернатов в Российской Федерации. The article reviews the current state of psychiatric care in the world, presents the results of the deinstitutionalization of psychiatric care in different countries, and analyzes the main directions of the reform of neuropsychiatric boarding institutions in the Russian Federation.

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“…There is a paucity of child and adolescent psychiatrists and other certified mental health professionals in the public sector, and gaps in professional training (N. G. Christodoulou and Kollias 2019;G. N. Christodoulou et al 2012;Anargyros, Christodoulou, and Lappas 2021;Petrea et al 2020). Moreover, there is a lack of information regarding the needs of children and adolescents, their families, and mental health professionals (Paleologou et al 2018;Stierman et al 2021).…”

Section: Introductionmentioning

confidence: 99%

Understanding priorities and needs for child and adolescent mental health in Greece from multiple informants: an open resource

Koumoula

Marchionatti

Karagiorga

et al. 2023

Preprint

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Background Evidence-based policymaking is needed so that health systems can address the gap in care for children and adolescents facing mental health challenges. We describe the development of an open-resource dataset providing a comprehensive assessment of the needs for child and adolescent mental health care in Greece. Methods This study is a part of the Child and Adolescent Mental Health Initiative (CAMHI), a program aiming to enhance mental health care capacity for children and adolescents across Greece. A comprehensive, mixed-method, community-based research was conducted in 2022/2023 to examine the current state, needs, barriers, and opportunities according to multiple viewpoints. Participants consisted of children, adolescents (including underrepresented minorities), caregivers, schoolteachers, and health professionals. We surveyed geographically distributed samples to assess mental health symptoms, mental health needs, literacy and stigma, service use and access, professional practices, training background, and training needs and preferences. Focus groups were conducted with informants to reach an in-depth understanding of those topics. Results We surveyed 1,756 caregivers, 1,201 children/adolescents, 404 schoolteachers, and 475 health professionals. Fourteen focus groups were conducted with the general and professional community. A repository with quantitative and qualitative findings informing multiple topics is now available for researchers, policymakers, and society [https://osf.io/crz6h/]. Discussion This resource offers valuable data for assessing the needs and priorities for child and adolescent mental health care in Greece. It is now freely available to consult, and is expected to inform upcoming research and evidence-based professional training. This initiative may inspire similar ones in other countries, informing methodological strategies for researching mental health needs. Funding The Stavros Niarchos Foundation.

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Community Mental Health Services in Greece: Development, Challenges and Future Directions

Cited by 9 publications

References 9 publications

Psychiatric Hospital of Leros: a portrayal of the current situation

Psychiatric Hospital of Leros: a portrayal of the current situation

Contemporary Trends in Reorganization of Psychiatric Service

Understanding priorities and needs for child and adolescent mental health in Greece from multiple informants: an open resource

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