What Makes the Difference? Community Mental Health Providers’ and Users’ Perceptions on Dealing with the Crisis in Greece

  • Vasiliki Yotsidi
  • Valentini Bohtsou
  • Konstantina Kroupi
  • Maria Pouloudi
  • Athina Fragkouli
Original Article


A crisis is associated with instability, but also with the potential for change. The prolonged socioeconomic crisis in Greece has raised such challenges in the mental health system. This paper presents a case study using a mixed-method design to collect data from 170 professionals and 120 users in a community mental health agency nationwide regarding (a) the effects of the crisis, (b) the protective factors, and (c) the possibilities for integration of adverse experiences into the therapeutic milieu. Data were collected in the initial phase of the crisis (2009) and 7 years later (2016). Results showed significant differences among providers and users in dealing with the threats from the crisis over the years. The role of the relationship (e.g. therapists-users, group-level, agency level) emerged as a common protective factor. The results provide clues on the personal and organizational variables that promote empowerment in the community mental health care system.


Community mental health Psychosocial rehabilitation Socioeconomic crisis Perceptions Empowerment 


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Copyright information

© Springer (India) Private Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.2nd Psychiatric Clinic of the Medical SchoolNational and Kapodistrian University of Athens, University General Hospital “Attikon”Chaidari, AthensGreece
  2. 2.Society of Social Psychiatry and Mental Health (SSP&MH)AthensGreece

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