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Οργανώσεις χρηστών για την καταπολέμηση του στίγματος (πτυχιακή) PDF
Οργανώσεις χρηστών για την καταπολέμηση του στίγματος (πτυχιακή) PDF
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In this paper we attempt to study on the contribution of both the users
organizations and those of their families to the combat against stigma.
For this purpose we initially refer to the relation between mental illness and stigma
and, since the necessity of combating the latter is concluded, we suggest ways and
practices of confronting it.
Detailed reference to the patients rights was considered necessary before
analyzing the attitudes, aims and targets of the organizations both at home and abroad.
We ascertained that the users through their organizations emerge as an energetic factor
of claim and dispute, capable of exerting pressure at the level of Mental Health Units
and at the level of framing the Mental Health policies as well.
4
.
In this effort there was effective help by the Health professionals whom we contacted
and mostly by the users themselves who gave us material and shared their views
and experiences with us.
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GOODWIN S., Community care and the future of mental health service provision,
Aldershot, Avebury
McDaid D.,Knapp M., Curran C., (European Observatory on Health), Funding Mental
Health in Europe
82
.
UNO, Principles for the protection of persons with mental illness and the improvement
of mental health care, 1991
WHO, The role of the international human rights in national mental health legislation.
www.exclusion.net
http://www.who.int/mental_health/en/
http://www.advocacyresource.net/indextemp.html
http://www.eufami.org/index.pl/en/list/240
http://www.mind.org.uk/
http://www.wnusp.org/
http://www.enusp.org/
http://www.klimaka.org.gr/
http://gym-n-souliou.ser.sch.gr/silogoi/silogossofpsi.htm
http://www.geocities.com/sopsipatras/
http://www.ctono.freeserve.co.uk/
http://www.mdri.org/aboutus/Record.htm
http://www.wfmh.com/
83
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http://www.baton.gr/epipsy/home.htm
http://www.aigs.be/festival2005/festival1.htm
http://www.msu.gr/
http://www.ypyp.gr/gr/index_html
http://www.kepsykat.gr/
http://www.psynpo.gr/
http://www.cc.uoa.gr/health/socmed/psychiatry/IndexGr.htm
http://www.triestesalutementale.it/
http://www.euro.who.int/observatory
http://europa.eu.int
www.mhe-sme.org
www.shef.ac.uk
www.archive.gr
www.stress.gr
http://www.alz.co.uk/
84
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