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<p>Since the late 1990s, Greece has undertaken a transition from asylum-based to community mental health care, creating a network of psychosocial rehabilitation units (PSRUs). Among these, Type A7 housing units provide 24/7 care to adults with severe mental disorders and histories of repeated hospitalization, emphasizing stabilization, functional recovery, and social inclusion (Tsiantis et al. in World Psychiatry 9(2):141–142, 2010; Kallergis and Tsiantis in Psychiatriki 31(2):158–165, 2020; Economou et al. in J Affect Disord 145(3):308–314, 2012; Pantelidou and Sidiropoulou in Hell J Nurs Sci 11(2):55–63, 2018; Vlachos et al. in Psychiatriki 25(4):269–276, 2014; National Institute of Mental Health (NIMH) in Understanding psychosis). To assess changes in autonomy, education/employment readiness, social/family integration, and health/self-care among residents following admission to A7 PSRUs, using a mixed-methods, pre–post comparative design (Esser and Vliegenthart 2017). Quantitative data came from medical records and functional scales (including the Barthel Index) at baseline (T0) and one month (T1), along with counts of individual psychotherapy sessions and medication adjustments. The observation window corresponded within a month in the unit. Statistical analysis used paired-samples <i>t</i> tests (<i>p</i> &lt; 0.05). Effect sizes (Cohen’s d) were calculated to support interpretation of the magnitude of change. Qualitative data (psychologists’ treatment plans, session notes, structured observation using the SOAP framework) captured lived experiences and contextualized change. Improvements were observed across domains. Mean anxiety level at follow-up was 35.5/83; mean psychiatric hospitalizations were 0.8 per resident; mean achieved goals were 12.3/32.7; mean individual sessions were 54.6; mean medication adjustments were 15.3, reflecting active case management and stabilization. Admission to A7 PSRUs was associated with meaningful functional gains and enhanced social participation. These findings represent early indications of progress within the first month of residence and should be interpreted within the context of short-term observation. Findings align with international community psychiatry literature and highlight the need for sustained funding, staff training, and anti-stigma initiatives to consolidate outcomes (Tsiantis et al. 2010; Kallergis and Tsiantis 2020; Economou et al. 2012; Pantelidou and Sidiropoulou 2018; Mezzina 2014; Tsemberis, 2010; Vlachos et al. 2014; Papanikolaou et al. in Psychiatriki 27(2):131–138, 2016; Bond and Drake, 2015).</p>

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Comparative Evaluation of Therapeutic Interventions for Adults with Severe Mental Disorders: A Mixed-Methods Study in Greek Type A7 Psychosocial Rehabilitation Units

  • 期刊论文

  • 发表日期：

    2026年4月6日

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  • Marianna Anagnostopoulou,
  • Charikleia Spyropoulou,
  • Athanasios Chatzopoulos,
  • Electra Spyrou,
  • Konstantinos Liliopoulos,
  • Eleni Spyropoulou,
  • Georgia Perogiannaki-Intze,
  • Anna-Maria Kartali,
  • Periklis Roros,
  • Eleni Egglezou,
  • Stavroula Ormani

摘要

Since the late 1990s, Greece has undertaken a transition from asylum-based to community mental health care, creating a network of psychosocial rehabilitation units (PSRUs). Among these, Type A7 housing units provide 24/7 care to adults with severe mental disorders and histories of repeated hospitalization, emphasizing stabilization, functional recovery, and social inclusion (Tsiantis et al. in World Psychiatry 9(2):141–142, 2010; Kallergis and Tsiantis in Psychiatriki 31(2):158–165, 2020; Economou et al. in J Affect Disord 145(3):308–314, 2012; Pantelidou and Sidiropoulou in Hell J Nurs Sci 11(2):55–63, 2018; Vlachos et al. in Psychiatriki 25(4):269–276, 2014; National Institute of Mental Health (NIMH) in Understanding psychosis). To assess changes in autonomy, education/employment readiness, social/family integration, and health/self-care among residents following admission to A7 PSRUs, using a mixed-methods, pre–post comparative design (Esser and Vliegenthart 2017). Quantitative data came from medical records and functional scales (including the Barthel Index) at baseline (T0) and one month (T1), along with counts of individual psychotherapy sessions and medication adjustments. The observation window corresponded within a month in the unit. Statistical analysis used paired-samples t tests (p < 0.05). Effect sizes (Cohen’s d) were calculated to support interpretation of the magnitude of change. Qualitative data (psychologists’ treatment plans, session notes, structured observation using the SOAP framework) captured lived experiences and contextualized change. Improvements were observed across domains. Mean anxiety level at follow-up was 35.5/83; mean psychiatric hospitalizations were 0.8 per resident; mean achieved goals were 12.3/32.7; mean individual sessions were 54.6; mean medication adjustments were 15.3, reflecting active case management and stabilization. Admission to A7 PSRUs was associated with meaningful functional gains and enhanced social participation. These findings represent early indications of progress within the first month of residence and should be interpreted within the context of short-term observation. Findings align with international community psychiatry literature and highlight the need for sustained funding, staff training, and anti-stigma initiatives to consolidate outcomes (Tsiantis et al. 2010; Kallergis and Tsiantis 2020; Economou et al. 2012; Pantelidou and Sidiropoulou 2018; Mezzina 2014; Tsemberis, 2010; Vlachos et al. 2014; Papanikolaou et al. in Psychiatriki 27(2):131–138, 2016; Bond and Drake, 2015).