Karastergeriou Anastasia
Consultant Psychiatrist, Psychiatric Hospital of Thessaloniki, Thessaloniki, Greece, email
Int Psychiatry. 2008 Jan 1;5(1):4-5. eCollection 2008 Jan.
The history of mental healthcare offered to people with intellectual disabilities in Greece runs in parallel to that of people suffering from severe psychiatric disorders. Until the early 1980s, it was based on 9 overcrowded and understaffed state and 40 private psychiatric hospitals with a mixed population of patients with psychosis and of those with intellectual disabilities (Madianos , 1999). The psychiatric reforms began with Law 1397 in 1983, which introduced the National Health System, and, in the following year, European Council Regulation 815/84, through which financial aid was approved and a 5-year plan adopted. The main goal was the development of a network of community-based services in geographically sectorised areas, to replace the large psychiatric hospitals. Mental health centres, psychiatric units in general hospitals and many other community services were to be established, according to local requirement.
希腊为智障人士提供心理保健服务的历史与为重度精神疾病患者提供服务的历史并行。直到20世纪80年代初,其基础是9家过度拥挤且人员不足的国立精神病院以及40家私立精神病院,这些医院收治的患者既有精神病患者,也有智障患者(马迪亚诺斯,1999年)。1983年第1397号法律开启了精神病学改革,该法律引入了国家卫生系统,次年又出台了欧洲理事会第815/84号条例,通过该条例批准了财政援助并通过了一项为期5年的计划。主要目标是在按地域划分的区域建立一个以社区为基础的服务网络,以取代大型精神病院。根据当地需求,将设立心理健康中心、综合医院的精神科病房以及许多其他社区服务机构。