Evaluation of Greek psychiatric reforms: methodological issues

TY - JOUR

T1 - Evaluation of Greek psychiatric reforms

T2 - methodological issues

AU - Loukidou, Evangelia

AU - Mastroyannakis, Anastasios

AU - Power, Tracey

AU - Thornicroft, Graham

AU - Craig, Tom

AU - Bouras, Nick

PY - 2013/3/28

Y1 - 2013/3/28

N2 - Over the last three decades significant efforts have been made in many European countries to move away from a mental health system dominated by institutional care towards one whereby the main emphasis is on providing care and support within the community. Although the time of starting the reforms, their pace, the political context, and the exact objectives varies substantially across Europe, practically all countries have been undergoing such major reforms aimed at establishing services in the community to replace institutional based care. Each country makes its own decisions about the necessary mental health services taking into account a range of factors including population needs, level of resources, flexibility and coordination of organizational structures, as well as local culture. These factors become an integral element of a national mental health policy and action plan, closely linked with national public health strategies.Greece has been modernizing an outdated mental health system, which was based on institutional care, over the last 20 years, by developing community-based mental health care. This article describes the methodology used for the evaluation of the Psychargos programme of the mental health reforms in Greece. Various forms of community-based mental health services have been developed including supported living facilities, community mental health centres and employment opportunities.

AB - Over the last three decades significant efforts have been made in many European countries to move away from a mental health system dominated by institutional care towards one whereby the main emphasis is on providing care and support within the community. Although the time of starting the reforms, their pace, the political context, and the exact objectives varies substantially across Europe, practically all countries have been undergoing such major reforms aimed at establishing services in the community to replace institutional based care. Each country makes its own decisions about the necessary mental health services taking into account a range of factors including population needs, level of resources, flexibility and coordination of organizational structures, as well as local culture. These factors become an integral element of a national mental health policy and action plan, closely linked with national public health strategies.Greece has been modernizing an outdated mental health system, which was based on institutional care, over the last 20 years, by developing community-based mental health care. This article describes the methodology used for the evaluation of the Psychargos programme of the mental health reforms in Greece. Various forms of community-based mental health services have been developed including supported living facilities, community mental health centres and employment opportunities.

KW - Evaluation

KW - Mental health reforms

KW - Community mental health services

KW - Greece

KW - MENTAL-HEALTH-CARE

KW - IMPLEMENTATION

KW - INVOLVEMENT

KW - PATTERNS

U2 - 10.1186/1752-4458-7-11

DO - 10.1186/1752-4458-7-11

M3 - Article

SN - 1752-4458

VL - 7

SP - N/A

JO - International Journal Of Mental Health Systems

JF - International Journal Of Mental Health Systems

IS - N/A

M1 - 11

ER -