The Mental Health Policies in Western Countries

Published: Δεκ 29, 2022
mental care policy health policy mental care reform
Stamatina Douki
Martha Kelesi-Stavropoulou

Although mental health is difficult to be defined interculturally, nevertheless, it is related not just to the absence of a disease but to the ability of the individual to be functional and satisfied. Mental diseases are usually chronic and they bring about a significant degree of disability while they require high treatment costs. The aim of this study is to investigate and present mental health management policies in western countries. The methodology followed includes literature review of relevant publications collected through Google Scholar, Pubmed online databases, as well as through articles, journals and doctoral theses. From the thorough analysis of the international and Greek literature it appears that there is a revision of the way of care/management of the mental care, the development of a Network of Mental Health Services in the Community, the creation of a Network to defend the rights of the mentally ill, a definitive abolition of large psychiatric hospitals in several countries in the west, as well as a reconstruction of buildings and significant reduction of beds in large psychiatric hospitals. The study of the international literature makes it clear that mental health reform efforts are necessary internationally and in Greece but need to be redefined in times of socioeconomic upheaval.

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Bachrach, L. (1986). Deinstitutionalization: what do the numbers mean? Hospital & community psychiatry, 37(2): 118–121.
Balicki, M., Leder S. & Piotrowski A. (2000). Focus on psychiatry in Poland. Past and present. The British journal of psychiatry, 177(4): 375–381.
Bauer, M., Kunze, H. et al. (2001). Psychiatric reform in Germany. Acta Psychiatr Scand Suppl, 104: 27-34.
Bennett, D., Isobel, M. (1982). Deinstitutionalization In The United Kingdom. International Journal of Mental Health, 11(4), 5-23.
Burti, L., & Benson, P.R. (1996). Psychiatric reform in Italy: Developments since 1978. International Journal of Law and Psychiatry, 19(3-4): 373-390.
Christodoulou, G. N., Plumbidis, D. N., Christodoulou, N. G. & Anagnostopoulos, D. H. (2012). The state of psychiatry in Greece. International Review of Psychiatry, 24(4): 301-306.
Fakhoury, W. & Priebe, S. (2007). Deinstitutionalization and reinstitutionalization: major changes in the provision of mental healthcare. Psychiatry, 6(8): 313-316.
Hudson, C. G. & Cox, A. J. (1991). Dimensions of state mental health policy. Praeger Publishers.
Leff, J. (Ed.). (1997). Care in the community: illusion or reality? Wiley-Blackwell.
Madianos, M. G. & Christodoulou, G. N. (2007). Reform of the mental healthcare system in Greece, 1984–2006. International Psychiatry, 4(1): 16-19.
Ministry of Health, Welfare and Social Solidarity (2011). The Psychiatric Reform in Greece: Psychargos Programme. Available at: (Accessed: 14/11/2022).
Murray, C. J. & Lopez, A. D. (1997). Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. The lancet, 349(9063): 1436-1442.
Novella, E. J. (2008). Theoretical accounts on deinstitutionalization and the reform of mental health services: a critical review. Medicine, Health Care and Philosophy, 11(3): 303-314.
Sakelis, G. (2009). The psychiatric reform in Greece, needs, proposals, solutions. Athens-Thessaloniki: Sakkula Publications [in Greek].
Skapinakis, P. & Mavreas, P. (2001). Psychiatric Reform, different patients, different needs. Archives of Greek Medicine, 18(5): 444-445.
Strutti, C., & Rauber, S. (1994). Leros and the Greek mental health system. International Journal of Social Psychiatry, 40(4): 306-312.
The European Union (2015). Joint Action on Mental Health and Well-being, Towards Community-Based and Social Inclusive Mental Health Care. Available at: (Accessed: 12/11/2022).
Tuntiya, N. (2003). The Forgotten History: The deinstitutionalization movement in the mental health care system in the United States. Available at: (Accessed: 11/11/2022).
Vázquez-Barquero, J. L., & Garcia, J. (1999). Deinstitutionalization and psychiatric reform in Spain. European archives of psychiatry and clinical neuroscience, 249(3): 128-135.
WHO (2003). What are the arguments for community-based mental health care? Available at: (Accessed: 12/11/2022).
Zisi, A. & Stylianidis, S. (2001). Mental health education and promotion: Clarifications and perspectives. Encephalos Journal, 41(1): 27-32.

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