Click here to download

Systemic education for mental health professionals in Greece in the time of the financial crisis
Journal Title: RICERCHE DI PSICOLOGIA  
Author/s: Valeria Pomini, Maria-Io Akalestou, Vlassis Tomaras, Katia Charalabaki 
Year:  2017 Issue: Language: Italian 
Pages:  18 Pg. 125-142 FullText PDF:  262 KB
DOI:  10.3280/RIP2017-001006
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


A Continuing Professional Development (CPD) course for mental health professionals working in Greek public sector remote mental health services with children, adolescents and families was organized by the Hellenic Systemic Thinking and Family Therapy Association (HESTAFTA), with the support of the "Stavros Niarchos" Foundation and within the Program "Child Mental Health" leaded by the Master in "International Medicine - Health Crises Management" - University of Athens Medical School. The three-year course (September 2011 - August 2014) aimed mainly to offer a baseline training in systemic interventions and clinical supervision to mental health professionals who didn’t have opportunities to access to further professional training and supervision, due to their geographical isolation; to implement the quality and efficacy of their interventions, and, last but not least, to create a network of mental health professionals, in order to facilitate communication, professional support and exchange. The CPD time period coincided with a rapid accumulation of the consequences of the Greek financial crisis, as public mental health services were considerably underfunded due to diminished public spending, and heavily burdened due to heightened workload related to the psychosocial effects of the crisis on the population. The CPD implementation was systematically monitored through a tool of both internal and external evaluation which utilized quantitative as wall as qualitative measures, with promising results.
Keywords: Continuing professional development, systemic therapy, mental health professionals, mental health and social services, financial crisis, Greece

  1. Carr, A. (2009b). The effectiveness of family therapy and systemic interventions for adult-focused problems. Journal of Family Therapy, 31, 46-74.
  2. Anagnostopoulos, D.C., & Soumaki, E. (2013). The state of child and adolescent psychiatry in Greece during the international financial crisis: A brief report. European Child and Adolescent Psychiatry, 22, 131–134. DOI 10.1007/s00787-013-0377-y.
  3. Bonovas, S., & Nikolopoulos, G. (2012). High-burden epidemics in Greece in the era of economic crisis: Early signs of a public health tragedy. Journal of Preventive Medicine and Hygiene, 53, 169–171.
  4. Burnham, J., Palma, D.A., & Whitehouse, L. (2008). Learning as a context for differences and differences as a context for learning. Journal of Family Therapy, 30, 529–542.
  5. Byng-Hall, J., Campbell, D., & Papadopoulos, R. (1996). Systems Integrative Family Therapy. Unpublished manuscript, London.
  6. Carr, A. (2006). Family therapy. Concepts, Process and Practice (2nd ed.). Wiley, New York.
  7. Carr, A. (2009a). The effectiveness of family therapy and systemic interventions for child-focused problems. Journal of Family Therapy, 31, 3-45.
  8. Cecchin, G., Lane, G., & Ray, W.A. (1995). Irreverence: a strategy for therapists’ survival. Karnac, London.
  9. Economou, M., Madianos, M., Theleritis, C., Peppou, L.E., & Stefanis, C.N. (2011). Increased suicidality amid economic crisis in Greece. Lancet, 378, 9801, 1459., DOI: 10.1016/S0140-6736(11)61638-3
  10. Economou, M., Madianos, M., Peppou, L.E., Patelakis, A., & Stefanis, C.N. (2013). Major depression in the Era of economic crisis: A replication of a cross-sectional study across Greece. Journal of Affective Disorders, 145, 308-314.
  11. Fruggeri, L. (2002). Different levels of analysis in the supervisory process. In D. Campbell & B. Mason (ED.), Perspectives on Supervision, Karnac, London.
  12. Fruggeri, L. (2012). Different levels of psychotherapeutic competences. Journal of Family Therapy, 34, 91-105.
  13. Givropoulou, D. (2013). I epidrasi enos programmatos ekpaidefsis sti sistimiki therapia oikogenias ipo to prisma tis metaschimatizousas mathisis: Mia pilotiki erevna [The impact of a training programme in systemic family therapy,under the prism of transformative learning: A pilot study]. Unpublished dissertation, Hellenic Open University, Athens.
  14. Gorell Barnes, G. (2006). Family therapy in changing times (2nd ed.). Palgrave Macmillan, New York.
  15. Ifanti, A.A., Argyriou, A.A., Kalofonou, F.H., & Kalofonos, H. (2013). Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care. Health Policy, 113 (1-2), 8-12.
  16. Kaldirimitzian, N. (2015). The resonance phenomenon: When the therapist and the user of mental health services interact with the occasion of their “Lestrygonians and Cyclops”. Systemic Thinking and Psychotherapy, 7.
  17. Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., & Stuckler, D. (2011). Health effects of financial crisis: Omens of a Greek tragedy. Lancet, 378, 9801, 1457–1458., DOI: 10.1016/S0140-6736(11)61556-0
  18. Kondilis, E., Giannakopoulos, S., Gavana, M., Ieorodiakonou, I., Waitzkin, H., & Benos, A. (2013). Economic crisis, restrictive policies, and the populations health and health care: The Greek case. American Journal of Public Health, e1–e8., DOI: 10.2105/AJPH.2012.301126
  19. Maslach, C., & Leiter, M.P. (2016). Understanding the Burnout Experience: Recent Research and its Implications for Psychiatry. World Psychiatry, 15(2), 103-111 a.
  20. Morse, G., Salyers, P.M., Rollins, L.A., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in Mental Health Services: A Review of the Problem and Its Remediation. Administration and Policy in Mental Health, 39, 341–352.
  21. Neden, J., & Burnham, J. (2007). Using relational reflexivity as a resource in teaching family therapy. Journal of Family Therapy, 29, 359–363.
  22. Paris, M.J., & Hoge, M.A. (2010). Burnout in the Mental Health Workforce: A Review. Journal of Behavioral Health Services & Research, 37(4), 519- 528.
  23. Polyzos, N. (2012). Health and the financial crisis in Greece. Lancet, 379 (9820) 1000., DOI: 10.1016/S0140-6736(12)60421-8
  24. Pomini, V. (2011). Coppie miste: Le sfide della multiculturalità. Connessioni, 27, 95-117.
  25. Rutter, M. (1999). Resilience concepts and findings: Implications for family therapy. Journal of Family Therapy, 21, 119-144., DOI: 10.1111/1467-6427.00108
  26. Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy scale. In J. Weinman, S. Wright & M. Johnston (ED.), Measures in health psychology: A user’s portfolio. Causal and control beliefs. NFER-NELSON, Windsor.
  27. Schweitzer, J., Ginap C., von Twardowski, J., Zwack J., Borste, U., & Nicolai, E. (2007). Training psychiatric teams to do family systems acute psychiatry. Journal of Family Therapy, 29, 3-20.
  28. Speed, Β. (2004). All aboard in the NHS: collaborating with colleagues who use different approaches. Journal of Family Therapy, 26, 260-279.
  29. Stratton, P., Bland, J., Janes, E., & Lask, J. (2010). Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: the SCORE. Journal of Family Therapy, 32, 232–258.
  30. Τomaras, V., & Pomini, V. (2002). The interlocking of therapy and supervision: the Athenian experience from the viewpoint of supervisors and supervisees. In D. Campbell & B. Mason (ED.) Perspectives on Supervision. Karnac, London.
  31. Τomaras, V., & Pomini V. (2004). Systemic family therapy in Greek health work. Context, 73, 9-10.
  32. Triliva, S., Fragkiadaki, E., & Balamoutsou, S. (2013). Forging partnerships for mental health: The case of a prefecture in crisis ravaged Greece. European Journal of Psychotherapy & Counselling, 15, 375-390.
  33. Tseliou, E. (2007). ‘Polyphonic dialogue’ as a means for teaching systemic and social-constructionist ideas. Journal of Family Therapy, 29, 330-333.
  34. Von Schlippe, A., & Schweitzer, J. (2003). Lehrbuch der systemischen Therapie und Beratung [Textbook of systemic therapy and counseling. Vandenhoeck und Ruprecht, Göttingen (Greek translation: University Studio Press, Thessaloniki).
  35. Von Sydow, K., Beher, S., Schweitzer, J., & Retzlaff, R. (2010) The efficacy of systemic therapy with adult patients: a meta-content analysis of 38 randomised controlled trials. Family Process, 49, 457-485.
  36. Von Sydow, K., Retzlaff R., Beher, S., Haun, M., & Schweitzer, J. (2013). The efficacy of systemic therapy for childhood and adolescent externalizing disorders: A systematic review of 47 RCT. Family Process, 52, 576-618.
  37. Walsh, F. (2003). Family Resilience: A Framework for Clinical Practice. Family Process, 42, 1-18.

Valeria Pomini, Maria-Io Akalestou, Vlassis Tomaras, Katia Charalabaki, Systemic education for mental health professionals in Greece in the time of the financial crisis in "RICERCHE DI PSICOLOGIA " 1/2017, pp. 125-142, DOI:10.3280/RIP2017-001006

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content