Zissi A, Barry M M
School of Psychology, University of Birmingham, Edgbaston, UK.
Int J Soc Psychiatry. 1997 Summer;43(2):104-15. doi: 10.1177/002076409704300204.
The pattern of mental health care in Greece is undergoing a major transformation. The Leros Projects I and II supported the development of 13 community hostels located throughout the Greek mainland. These hostels provide residential care to more than 100 former psychiatric inpatients, mainly from Leros asylum. The present study evaluates the impact of the resettlement process on the residents' perceived quality of life (QoL) together with an examination of the residents' psychiatric and behavioural functioning four years after the move from hospital. The target sample (n = 99) comprised of individuals who may be considered 'chronic' psychiatric patients with a long history of institutionalisation and many are socially deprived with few family ties. The residents' functioning profile indicates a range of different levels of abilities. The QoL findings show that the majority of residents (70%) perceived the movement from the traditional hospital regime to the community hostels as being a positive change and expressed their satisfaction (74%) with the new living situation. This study demonstrates that even the most dependent, chronic psychiatric patients in Greece can be maintained in community settings and are able to articulate generally reliable and valid responses concerning the impact of service changes.
希腊的精神卫生保健模式正在经历重大变革。莱罗斯项目一和项目二支持了在希腊大陆各地建立13个社区宿舍。这些宿舍为100多名以前的精神病住院患者提供住宿护理，这些患者主要来自莱罗斯精神病院。本研究评估了重新安置过程对居民感知生活质量（QoL）的影响，并在居民从医院搬离四年后对其精神和行为功能进行了检查。目标样本（n = 99）由可能被视为“慢性”精神病患者的个体组成，他们有长期的住院史，许多人在社会上处于贫困状态，几乎没有家庭关系。居民的功能状况表明了一系列不同水平的能力。生活质量调查结果显示，大多数居民（70%）认为从传统医院模式搬到社区宿舍是一个积极的变化，并对新的生活状况表示满意（74%）。这项研究表明，即使是希腊最依赖他人、患有慢性精神疾病的患者也可以在社区环境中得到照料，并且能够就服务变化的影响给出总体可靠和有效的回应。
