Christodoulou Nikos G, Kollias Konstantinos
Consultant Psychiatrist, Department of Psychological Medicine, Queens Medical Centre, UK.
Honorary Clinical Associate Professor, University of Nottingham School of Medicine, UK. Email:
BJPsych Int. 2019 Aug;16(3):60-61. doi: 10.1192/bji.2018.23.
Psychiatry in Greece is undergoing a prolonged reform. Deinstitutionalisation is at an advanced stage and there are active efforts to support primary care and community psychiatry, and to establish local administration of services in each sector of the country (i.e. the equivalent of Mental Health Trusts in the UK). Quality assurance and continuing professional development require further development, as do a series of other issues pertaining to the day-to-day clinical practice of psychiatrists. Recent economic difficulties have undoubtedly affected the mental health of the population, but also mental health services and psychiatrists themselves. These financial difficulties coupled with pre-existing organisational issues present important, yet rectifiable, challenges. We conclude by identifying preventive psychiatry as an especially important target for progress and by advocating for continued support for the public system of mental healthcare as well as for the continued psychiatric reform.
希腊的精神病学正在经历一场长期改革。去机构化已处于 advanced stage,并且正在积极努力支持初级保健和社区精神病学,并在该国每个地区建立服务的地方管理机构(即相当于英国的心理健康信托机构)。质量保证和持续专业发展需要进一步发展,与精神科医生日常临床实践相关的一系列其他问题也是如此。最近的经济困难无疑影响了民众的心理健康,也影响了心理健康服务和精神科医生自身。这些财政困难加上先前存在的组织问题带来了重要但可纠正的挑战。我们通过将预防性精神病学确定为进步的一个特别重要目标,并倡导继续支持公共精神卫生保健系统以及继续推进精神病学改革来结束本文。 (注:“advanced stage”这里没有合适的中文直接对应,保留英文以便理解原文确切语境)