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

1999 ◽  
Vol 14 (8) ◽  
pp. 462-467 ◽  
Author(s):  
M.G. Madianos ◽  
J. Tsiantis ◽  
C. Zacharakis
Keyword(s):  
Mental Health ◽  
Technical Assistance ◽  
Psychiatric Care ◽  
Significant Shift ◽  
Community Based ◽  
Mental Hospitals ◽  
Reform Programme ◽  
Changing Patterns ◽  
Community Based Services

SummaryGreece 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.

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

2007 ◽  
Vol 4 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Michael G. Madianos ◽  
George N. Christodoulou
Keyword(s):  
Healthcare System ◽  
European Community ◽  
Technical Assistance ◽  
Mental Healthcare ◽  
Community Based ◽  
Mental Hospitals ◽  
Community Based Services

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.

scholarly journals Utilization of a Cardiometabolic Health Nurse – a Novel Strategy to Manage Comorbid Physical and Mental Illness

2014 ◽  
Vol 4 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Brenda Happell ◽  
Robert Stanton ◽  
David Scott
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Physical Health ◽  
Allied Health ◽  
Cardiometabolic Health ◽  
Community Based ◽  
Mental Health Consumers ◽  
Health Nurse ◽  
Health Consumers ◽  
Community Based Services

Background Comorbid chronic illnesses, such as cardiovascular disease, respiratory conditions, and type 2 diabetes are common among people with serious mental illness. Management of comorbid illness in the mental health setting is sometimes ad hoc and poorly delivered. Use of a cardiometabolic health nurse (CHN) is proposed as one strategy to improve the delivery of physical health care to this vulnerable population. Objective To report the CHN's utilization of primary care and allied health referrals from a trial carried out in a regional community mental health service. Design Feasibility study. Mental health consumers were referred by their case manager or mental health nurse to the CHN. The CHN coordinated the physical health care of community-based mental health consumers by identifying the need for, and providing referrals to, additional services, including primary care, allied health, and community-based services. Results Sixty-two percent of participants referred to the CHN received referrals for primary care, allied health, and community-based services. Almost all referrals received follow-up by the CHN. Referrals were most commonly directed to a general practitioner and for nurse-delivered services. Conclusion The CHN role shows promise in coordinating the physical health of community-based mental health consumers. More studies on role integration and development of specific outcome measurement tools are needed.

scholarly journals Mental health reforms in the Czech Republic

2018 ◽  
Vol 16 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Ondrej Pec
Keyword(s):  
Mental Health ◽  
Czech Republic ◽  
Health Reform ◽  
Mental Healthcare ◽  
Rehabilitation Services ◽  
Community Based ◽  
The Czech Republic ◽  
Mental Health Reform ◽  
Mental Health Reforms ◽  
Community Based Services

This paper describes the history and current provision of mental healthcare in the Czech Republic. After the political changes in 1989, there was an expansion of out-patient care and several non-governmental organisations began to provide social rehabilitation services, but the main focus of care still rested on mental hospitals. In recent years, mental health reform has been in progress, which has involved expanding community-based services and psychiatric wards of general hospitals, simultaneously with educational and destigmatisation programmes.

scholarly journals Admission profile: towards community based services

1992 ◽  
Vol 16 (6) ◽  
pp. 336-337
Author(s):  
R. S. Augustine ◽  
P. N. Kurian ◽  
A. Michael
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
General Practitioners ◽  
Psychiatric Care ◽  
Total Population ◽  
Mentally Handicapped ◽  
Community Based ◽  
Special Groups ◽  
First Contact ◽  
Community Based Services

This audit examined 65 consecutive admissions to a psychiatric hospital in the Irish Midlands over six months. The admissions came from a defined sector with a total population of 39,000. In the year prior to the study major changes in the delivery of psychiatric care in the sector were instituted. These changes included the introduction of admission guidelines and extra resources in the community. The general practitioners who see mental illness at first contact were informed of these changes. Attempts were made by the sector psychiatrist team to screen for appropriateness of admission with regard to the special groups such as alcoholics, the aged and the mentally handicapped.

Accessibility and pathways to psychiatric care in a community-based mental health system

2001 ◽  
Vol 36 (10) ◽  
pp. 500-507 ◽  
Author(s):  
F. Amaddeo ◽  
F. Zambello ◽  
M. Tansella ◽  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Community Based

scholarly journals Women, ‘madness’ and exercise

2018 ◽  
Vol 44 (3) ◽  
pp. 181-192 ◽  
Author(s):  
Jennifer Jane Hardes
Keyword(s):  
Mental Health ◽  
Prima Facie ◽  
Health Condition ◽  
Significant Shift ◽  
Emotional States ◽  
Women’S Mental Health ◽  
Women's Mental Health ◽  
Treatment Of Depression ◽  
Exercise Promotion

The positive relationship between exercise and mental health is often taken for granted in today’s society, despite the lack of academic literature evidencing this symbiosis. Gender is considered a significant determinant in a number of mental health diagnoses. Indeed, women are considered twice as likely as men to experience the most pervasive mental health condition, depression. Exercise for women’s mental health is promoted through various macrolevel charity, as well as microlevel, campaigns that influence government healthcare policy and National Health Service guidelines. Indeed, ‘exercise prescriptions’ in the treatment of depression is not uncommon. Yet, this link between exercise as a treatment for women’s mental health has not always been so pervasive. In fact, an examination of asylum reports and medical journals from the late 19th century highlights a significant shift in attitude towards the role of exercise in the treatment of women’s emotional states and mental health. This paper specifically examines how this treatment of women’s mental health through exercise has moved from what might be regarded as a focus on exercise as a ‘cause’ of women’s mental ailments to exercise promoted as a ‘cure’. Unpacking the changing medical attitudes towards exercise for women in line with larger sociopolitical and historic contexts reveals that while this shift towards exercise promotion might prima facie appear as a less essentialist view of women and their mental and physical states, it inevitably remains tied to larger policy and governance agendas. New modes of exercise ‘treatment’ for women’s mental health are not politically neutral and, thus, what appear to emerge as forms of liberation are, in actuality, subtler forms of regulation.

Mental Health Support Workers

2016 ◽  
pp. 200-221
Author(s):  
Julia L. Hennessy ◽  
Liz Smythe ◽  
Max Abbott ◽  
Frances A. Hughes
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Educational Preparation ◽  
Mental Health Consumers ◽  
Mental Health Support ◽  
Health Support ◽  
Health Consumers ◽  
The Relationship ◽  
Community Based Services

This chapter provides the background for policy setting, educational preparation, and emergence of mental health support workers (MHSWs) in New Zealand and examines the work they do in mental health services. New Zealand formally introduced the MHSW role in the early 1990's to provide non-clinical services for mental health consumers or clients through either hospital or community-based services. The work MHSWs undertake and their relationship with other health professionals is discussed. Also discussed, is the relationship that MHSWs have with mental health consumers/clients and the attributes that the MHSW brings to the relationship. Consideration is given to the debate as to whether the role of the MHSW should be regulated, what it means to be considered a health professional, and the possibilities of expanding the scope of practice for MHSWs.

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