Skip to main content
SpringerLink
Log in

Community Child Psychiatry: The Example of Mobile Mental Health Units in the NE and Western Cyclades

  • Chapter
  • First Online:
Social and Community Psychiatry

  • 815 Accesses

Abstract

This chapter outlines innovative measures in the field of community child psychiatry in Greece and abroad, with emphasis on the special features of interventions in geographically remote areas. It presents the work done by mobile mental health units in the NE and Western Cyclades in the child psychiatry sector. Reference is made to the clinical work and the differences noted in terms of new cases, initial requests, referrals and diagnoses over the 10 years the units have been in operation. In addition it presents measures taken to record needs, promote mental health among children and adolescents, and in terms of the prevention and management of abuse. The data and the measures taken are directly tied into the new conditions which have emerged in Greece as a result of the socioeconomic crisis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  • Anagnostopoulos D, Lazaratou E (eds) (2005) Introduction to social child psychiatry. Psychiatric Clinic, Medical School, National and Capodistrian University of Athens, Athens (in Greek)

    Google Scholar 

  • Anagnostopoulos D, Soumaki E (2012) The impact of the socio-economic crisis on the mental health of children and adolescents. Psychiatriki 23(1):13–16 (in Greek)

    PubMed  Google Scholar 

  • Anagnostopoulos D, Soumaki E (2013a) The state of child and adolescent psychiatry in Greece during the international financial crisis: a brief report. Eur Child Adolesc Psychiatry 22(2):131–134

    Article  PubMed  Google Scholar 

  • Anagnostopoulos D, Soumaki E (2013b) The mental health condition of children and adolescents in Greece in the time of crisis. Synapsis J 9(29):11–16 (in Greek)

    Google Scholar 

  • Asimopoulos Ch (2007) Psychosocial rehabilitation of children and adolescents with mental health problems in Greece. Necessity, current situation, prospects. In: Issues in psychodynamic and psychosocial child psychiatry. Kastaniotis Press, Athens, pp 323–341, (in Greek)

    Google Scholar 

  • Bailey S (1999) Young people, mental illness and stigmatisation. Psychiatr Bull 23:107–110

    Article  Google Scholar 

  • Belfer ML (2008) Child and adolescent mental disorders: the magnitude of the problem across the globe. J Child Psychol Psychiatry 49(3):226–236

    Article  PubMed  Google Scholar 

  • Berry JO, Jones WH (1995) The parental stress scale: initial psychometric evidence. J Soc Pers Relatsh 12:463–472. doi:10.1177/0265407595123009

    Article  Google Scholar 

  • Bickman L (2008) A measurement feedback system (MFS) is necessary to improve mental health outcomes. J Am Acad Child Adolesc Psychiatry 47(10):1114–1119

    Article  PubMed  PubMed Central  Google Scholar 

  • Bonsack C, Holzer L, Stancu I, Baier V, Samitca M, Charbon Y, Kock N (2008) Equipes de psychiatrie mobiles pour les trois âges de la vie: l’expérience lausannoise. Rev Med Suisse 4:1960–1969

    CAS  PubMed  Google Scholar 

  • Brito A, Khaw AJ, Campa G, Cuadra A, Joseph S, Rigual-Lynch L, Olteanu A, Shapiro A, Grant R (2010) Bridging mental health and medical care in underserved paediatric populations: three integrative models. Adv Pediatr 57(1):295–313

    Google Scholar 

  • Brugman E, Reijneveld SA, Verhulst FC, Verloove-Vanhorick SP (2001) Identification and management of psychosocial problems by preventive child health care. Arch Pediatr Adolesc Med 155:462–469

    Article  CAS  PubMed  Google Scholar 

  • Campbell D, Bianco V, Dowling E, Goldberg H, McNab S, Pentecost D (2003) Family therapy for childhood depression: researching significant moments. J Fam Ther 25:417–435. doi:10.1111/1467-6427.00259

    Article  Google Scholar 

  • Carr A (2000) Evidence-based practice in family therapy and systemic consultation. J Fam Ther 22:29–60

    Article  Google Scholar 

  • Cicchetti D, Tucker D (1994) Development and self-regulatory structures of the mind. Dev Psychopathol 6:533–549

    Article  Google Scholar 

  • Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844

    Article  PubMed  Google Scholar 

  • Dowell K, Ogles B (2010) The effects of parent participation on child psychotherapy outcome: a meta-analytic review. J Clin ChildAdolesc Psychol 39(2):151–162

    Article  Google Scholar 

  • Ellis IK, Philip T (2010) Improving the skills of rural and remote generalists to manage mental health emergencies. Rural Remote Health 10(3):503–1508

    Google Scholar 

  • Epstein N, Baldwin L, Bishop D (1983) The McMaster family assessment device. J Marital Fam Ther 9:171–180

    Article  Google Scholar 

  • Eskin M (1995) Suicidal behaviour as related to social support and assertiveness among Swedish and Turkish high school students: a cross-cultural investigation. J Clin Psychol 51:158–172

    Article  CAS  PubMed  Google Scholar 

  • Giannakopoulos G, Tzavara C, Dimitrakaki C, Kolaitis G, Rotsika V, Tountas Y (2009) The factor structure of the Strengths and Difficulties Questionnaire (SDQ) in Greek adolescents. Ann Gen Psychiatry 8:20

    Article  PubMed  PubMed Central  Google Scholar 

  • Ginieri-Coccossis M, Triantafillou E, Tomaras V, Liappas IA, Christodoulou GN, Papadimitriou GN (2009) Quality of life in mentally ill, physically ill and healthy individuals: the validation of the Greek version of the World Health Organisation Quality of Life (WHOQOL-100) questionnaire. Ann Gen Psychiatry 8:23

    Article  PubMed  PubMed Central  Google Scholar 

  • Glisson C, Schoenwald S, Hemmelgarn A, Green P, Dukes D, Armstrong KS et al (2010) Randomised trial of MST and ARC in a two-level evidence-based treatment implementation strategy. J Consult Clin Psychol 78:537–550

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodman A, Goodman R (2009) Strengths and difficulties questionnaire as a dimensional measure of child mental health. J Am Acad Child Adolesc Psychiatry 48(4):400–403

    Article  PubMed  Google Scholar 

  • Gopalan G, Goldstein L, Klingenstein K, Sicher C, Blake C, McKay M (2010) Engaging families into child mental health treatment: updates and special considerations. J Can Acad Child Adolesc Psychiatry 19:182–196

    PubMed  PubMed Central  Google Scholar 

  • Grimes K (2004) Systems of care in North America. In: Remschmidt H, Belfer ML, Goodyer I (eds) Facilitating pathways: care, treatment and prevention in child and adolescent mental health. Springer, Berlin, pp 35–41

    Chapter  Google Scholar 

  • Hagan J, Shaw J, Duncan P (eds) (2008) Bright futures: guidelines for health supervision of infants, children, and adolescents. American Academy of Pediatrics, Elk Grove Village

    Google Scholar 

  • Hickie IB, Fogarty AS, Davenport TA, Luscombe GM, Burns J (2007) Responding to experiences of young people with common mental health problems attending Australian general practice. Med J Aust 187(7):S47–S52

    PubMed  Google Scholar 

  • Hoagwood K, Burns BJ, Kiser L, Ringeisen H, Schoenwald SK (2001) Evidence-based practice in child and adolescent mental health services. Psychiatr Serv 52(9):1179–1189

    Article  CAS  PubMed  Google Scholar 

  • Hooven C, Walsh E, Willgerodt M, Salazar A (2011) Increasing participation in prevention research: strategies for youth, parents and schools. J Child Adolesc Psychiatr Nurs 24(3):137–149

    Article  PubMed  PubMed Central  Google Scholar 

  • Karver M, Handelsman J, Fields S, Bickman L (2006) Meta-analysis of therapeutic relationship variables in youth and family therapy: the evidence for different relationship variables in the child and adolescent treatment outcome literature. Clin Psychol Rev 26:50–65

    Article  PubMed  Google Scholar 

  • Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Co-morbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602

    Article  PubMed  Google Scholar 

  • Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A (2011) Child and adolescent mental health worldwide: evidence for Action. Lancet 378:1515–1525

    Google Scholar 

  • Kolaitis G, Tsiantis I (2013) Mental health of children and adolescents: issues of rights, ethics and deontology. Synapsis J 27(8):38–41 (in Greek)

    Google Scholar 

  • Levav I, Jacobsson L, Tsiantis J, Kolaitis J, Ponizovsky A (2004) Psychiatric services for children and adolescents in Europe: results of a country survey. Eur Child Adolesc Psychiatry 13(6):395–401

    Article  CAS  PubMed  Google Scholar 

  • Livaditis M (1995) Psychiatric service structures in Thrace and how they operate. In: Lemperière Τ, Féline A (eds) Adult psychiatry manual. Papazissis Press, Athens, pp 321–323, in Greek

    Google Scholar 

  • Madianos M (1994) Psychiatric reform and its development. Ellinika Grammata Press, Athens (in Greek)

    Google Scholar 

  • Madrid P, Sinclair H, Bankston A, Overholt S, Brito A, Domnitz R, Grant R (2008) Building integrated mental health and medical programs for vulnerable populations post-disaster: connecting children and families to a medical home. Prehosp Disaster Med 23(4):314–321

    PubMed  Google Scholar 

  • Magklara K, Skapinakis P, Niakas D, Bellos S, Zissi A, Stylianidis S, Mavreas V (2010) Socioeconomic inequalities in general and psychological health among adolescents: a cross-sectional study in senior high schools in Greece. Int J Equity Health 9:3

    Article  PubMed  PubMed Central  Google Scholar 

  • Magklara K, Skapinakis P, Gkatsa T, Bellos S, Araya R, Stylianidis S (2012) Bullying behaviour in schools, socioeconomic position and psychiatric morbidity: a cross-sectional study in late adolescents in Greece. Child Adolesc Psychiatry Ment Health 6:8

    Article  PubMed  PubMed Central  Google Scholar 

  • Mechanic D (2001) The scientific foundations of community psychiatry. In: Thornicroft G, Szmukler G (eds) Textbook of community psychiatry. Oxford University Press, New York, pp 41–52

    Google Scholar 

  • Ministry of Health & Social Solidarity (2012) Report of the working group to revise the PSYCHARGOS Programme – PSYCHARGOS III National Action Plan (2011–2020). Ministry of Health and Social Security, Athens, Available at: http://www.psychargos.gov.gr/Documents2/%CE%9D%CE%95%CE%91/%CE%A8%CE%A5%CE%A7%CE%91%CE%A1%CE%93%CE%A9%CE%A3%20%CE%93’%20(2011-2020).pdf. Accessed on 31.7.2014

    Google Scholar 

  • Naylor PB, Cowie HA, Walters SJ, Talamelli L, Dawkins J (2009) Impact of a mental health teaching programme on adolescents. Br J Psychiatry 194(4):365–370

    Article  PubMed  Google Scholar 

  • NIMH (2001) The National Advisory Mental Health Council Workgroup on child and adolescent mental health intervention development and deployment, Blueprint for Change: Research in Child and Adolescent Mental Health. NIMH, Washington

    Google Scholar 

  • Pantelidou S, Stylianidis S (2009) Best practice models in the field of mental health promotion: the experience of mobile mental health units in the NE and Western Cyclades run by the Regional Development and Mental Health Association. Nea Hygeia 68:2 (in Greek)

    Google Scholar 

  • Pantelidou S, Stylianidis S (2010) Innovative actions, challenges and prospects for mobile mental health units in the NE Cyclades run by the Regional Development and Mental Health Association: the example of Paros and Antiparos. In: Koulierakis G et al (eds) Clinical psychology and health psychology. Papazisis Press, Athens, pp 309–323, in Greek

    Google Scholar 

  • Payton J, Weissberg RP, Durlak JA, Dymnicki AB, Taylor RD, Schellinger KB, Pachan M (2008) The positive impact of social and emotional learning for kindergarten to eight-grade students: findings from three scientific reviews. Collaborative for Academic, Social, and Emotional Learning, Chicago

    Google Scholar 

  • Reiss F (2013) Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Soc Sci Med 90:24–31

    Article  PubMed  Google Scholar 

  • Rowling L (2002) Mental health promotion. In: Rowling L (ed) Mental health promotion and young people: concepts and practice. McGraw-Hill, Australia, pp 10–23

    Google Scholar 

  • Royal College of Psychiatrists (2010) CR164 parents as patients: supporting the needs of patients who are parents and their children. URL: www.rcpsych.ac.uk/publications/collegereports/cr/cr164.aspx

  • Sakellaropoulos P (ed) (1995) Adult psychiatry manual. Aspects of social psychiatry and their application to Greece. Papazisis Press, Athens (in Greek)

    Google Scholar 

  • Saxena S, Thornicroft G, Knapp M, Whiteford H (2007) Resources for mental health: scarcity, inequity, and inefficiency. Lancet 370(9590):878–889

    Article  PubMed  Google Scholar 

  • Shatkin J, Belfer M (2004) The global absence of child and adolescent mental health policy. Child Adolesc Mental Health 9(3):104–108

    Article  Google Scholar 

  • Skapinakis P, Bellos S, Gkatsa T, Magklara K, Lewis G, Araya R, Stylianidis S, Mavreas V (2011) The association between bullying and early stages of suicidal ideation in late adolescents in Greece. BMC Psychiatry 11:22

    Article  PubMed  PubMed Central  Google Scholar 

  • Stylianidis S, Pantelidou S (2006) Mobile mental health units in the Cyclades (Regional Development and Mental Health Association) as multipliers of public mental health actions. Psychiatry Notes 96:18–24 (in Greek)

    Google Scholar 

  • Stylianidis S, Pantelidou S, Chondros P (2007) Des unités mobiles de santé mentale dans les Cyclades: le cas de Paros. L’ Information psychiatrique 83:682–688

    Article  Google Scholar 

  • Tansella M, Thornicroft G (2001) Mental health outcome measures. Gaskell, London

    Google Scholar 

  • Tennant R, Goens C, Barlow J, Day C, Stewart-Brown S (2007) A systematic review of reviews of interventions to promote mental health and prevent mental health problems in children and young people. J Publ Ment Health 6(1):25–32

    Article  Google Scholar 

  • Tomaras V, Pomini V (2007) Family therapy for the problems of adolescence. In: Issues in psychodynamic and psychosocial child psychiatry. Kastaniotis Press, Athens (in Greek), pp 623–635

    Google Scholar 

  • Tsiantis I, Asimopoulos C (2009) Mental health of children and adolescents: the need for development and not backtracking (regression). In: Sakellis G (ed) Psychiatric reform in Greece: needs – proposals – solutions. Sakkoulas Press, Athens, pp 86–97 (in Greek)

    Google Scholar 

  • Warfield M, Gulley S (2006) Unmet need and problems accessing specialty medical and related services among children with special health care needs. Matern Child Health J 10(2):201–216

    Article  PubMed  Google Scholar 

  • Warren J, Nelson P, Mondragon S, Baldwin S, Burlingame G (2010) Youth psychotherapy change trajectories and outcomes in usual care: community mental health versus managed care settings. J Consult Clin Psychol 78:144–155

    Article  PubMed  Google Scholar 

  • Wells J, Barlow J, Stewart-Brown S (2001) A systematic review of universal approaches to mental health promotion in schools. Health Service Research Unit, Oxford

    Google Scholar 

  • WHOQOL Group (1998) The World Health Organisation quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 46(12):1569–1585

    Article  Google Scholar 

  • World Health Organisation (WHO) (2005a) Child and adolescent mental health policies and plans. WHO Press, Geneva, Available at: http://www.who.int/mental_health/policy/services/9_child%20ado_WEB_07.pdf, accessed: 31.7.2014

    Google Scholar 

  • World Health Organisation (WHO) (2005b) Atlas: child and adolescent mental health resources: global concerns, implications for the future. WHO, Geneva

    Google Scholar 

  • Zins J, Weissberg R, Wang M, Walberg H (2004) Building academic success on social and emotional learning: what does the research say? Columbia University, Teachers College Press, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Association for Regional Development and Mental Health (EPAPSY), Athens, Greece

    Stella Pantelidou, Vicky Antonopoulou & Jenny Soumaki

  2. Clinical Psychologist, National and Kapodestrian University of Athens, Athens, Greece

    Antonios Poulios

  3. Department of Psychology, Panteion University, Athens, Greece

    Stelios Stylianidis

Authors
  1. Stella Pantelidou
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vicky Antonopoulou
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Antonios Poulios
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jenny Soumaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Stelios Stylianidis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stelios Stylianidis .

Editor information

Editors and Affiliations

  1. Panteion University, Department of Psychology, Athens, Greece

    Stelios Stylianidis

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pantelidou, S., Antonopoulou, V., Poulios, A., Soumaki, J., Stylianidis, S. (2016). Community Child Psychiatry: The Example of Mobile Mental Health Units in the NE and Western Cyclades. In: Stylianidis, S. (eds) Social and Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-28616-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28616-7_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28614-3

  • Online ISBN: 978-3-319-28616-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation