The mental health care structures and practice in lIaly Hmnenthal Mandelli,Ina (Cologne! Germany), Munizza, Carmme (Turinolltaly), Schmidt,Roger(Konstanz/Germany) italian Psychiatry got famous in 1978 as consequence of the radical Basaglian Psychratnc reform by the law/legge 180 Before thrs reform the old psychiatric insutunonszmamcomi m Italy have been m a bad condiuon and highlyovercrowded. That time the bed-to inhabitants-rate was In lIaly approximately three limes higher than m the most other Western European countries. These facts made the reforms more urgent All obligatory structural changes were mtroduced together With the new organl7.allon of the whole health system based in sectonzanon in U S LI Unila Samtana Locale(one for 80 000-130000 inhabnants) The psychiatric bospuahzatron facilities wereextremelyreduced to small units of max 15 beds per U S L , which got integrated into general hospitals The importance of out pallent servicesincreased definitely. Out patient services and the 15bed units were led by the same learn In those years of structural changes the discussron about psychiatry was mamly political, but it is changmgnow. getnng more professional and scientifically based. The present state of experiences wtth the renewed Italian mental health care system will be reported With the strikingadvantages as well as with some possible disadvantage.
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