Christodoulou Nikos G, Anagnostopoulos Dimitris C
Clinical Lecturer in Psychiatry, University of Nottingham, UK, email
Associate Professor of Child Psychiatry, University of Athens, Greece.
Int Psychiatry. 2013 Feb 1;10(1):3-5. eCollection 2013 Feb.
The recent financial crisis in Greece has affected the mental health of the population as well as mental health service provision and planning. These new adverse circumstances call for the profession's swift response. In this paper we make evidence-based suggestions for urgent, as well as longer-term, mental health reform. We consider psychiatric prevention and mental health promotion to be the central principles to abide by in the long term. We also offer suggestions for important current issues, including the devolution and coordination of decision-making, the further development of community psychiatry and the implementation of sectorisation, support for service user involvement, the reform of psychiatric education and the creative integration of mental health service provision with Greek culture. We conclude that enhanced participation of the profession in decision-making and service planning can result in cost-effective, evidence-based reform.
希腊近期的金融危机对民众的心理健康以及心理健康服务的提供与规划都产生了影响。这些新出现的不利情况需要该行业迅速做出回应。在本文中,我们针对紧急及长期的心理健康改革提出基于证据的建议。我们认为,从长远来看,精神疾病预防和心理健康促进是需要遵循的核心原则。我们还针对当前的重要问题提供建议,包括决策的下放与协调、社区精神病学的进一步发展以及部门化的实施、对服务使用者参与的支持、精神病学教育的改革以及心理健康服务提供与希腊文化的创造性融合。我们得出结论,该行业在决策和服务规划中更多地参与能够带来具有成本效益的、基于证据的改革。