Articlebronze2002

Residential care in Italy

Giovanni de Girolamo · Angelo Picardi · Rocco Micciolo · Ian R. H. Falloon · Angelo Fioritti · Pierluigi Morosini

117 citations0/0 files storedThe British Journal of Psychiatry

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Psychiatric care and mental health services Geriatric Care and Nursing Homes Historical Psychiatry and Medical Practices

Abstract

BACKGROUND: In Italy, where all mental hospitals have been gradually phased out since 1978, psychiatric patients requiring long-term care are being treated in non-hospital residential facilities (NHRFs). However, detailed data on these facilities are sparse. AIMS: The Progetto Residenze (PROGRES) residential care project is a three-phase study, the first phase of which aims to survey the main characteristics of all Italian NHRFs. METHOD: Structured interviews were conducted with the manager of each NHRF. RESULTS: On 31 May 2000 there were 1370 NHRFs with 17 138 beds; an average of 12.5 beds each and a rate of 2.98 beds per 10 000 inhabitants. Residential provision varied ten-fold between regions and discharge rates were very low. Most had 24-hour staffing with 1.42 patients per full-time worker. CONCLUSIONS: There is marked variability in the provision of residential places between different regions; discharge rates are generally low.

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References

2000Family burden and coping strategies in schizophrenia: 1-year follow-up data from the BIOMED I study 1986The Quality of Life of Chronic Patients in a State Hospital and in Community Residences 2022Textbook of Community Psychiatry 2003Textbook of community psychiatry

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2007The current state of mental health care in Italy: problems, perspectives, and lessons to learn 2016How has the extent of institutional mental healthcare changed in Western Europe? Analysis of data since 1990 2017Standard comparison of local mental health care systems in eight European countries 2010The economic consequences of deinstitutionalisation of mental health services: lessons from a systematic review of European experience 2018Forty years without mental hospitals in Italy 2007Characteristics and activities of acute psychiatric in-patient facilities: national survey in Italy

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