Psychiatric Units in general hospitals. Problems and perspectives in Europe

Girolamo, Giovanni de; Tansella, Michele

doi:10.1017/s1121189x00004255

Cited by 4 publications

(2 citation statements)

References 22 publications

(31 reference statements)

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“…For example, the PROGRES-Acute project (de Girolamo et al, 2007) surveyed all public and private Italian inpatient facilities and found a marked variation in overall bed availability. Hence, the nation must adequately deal with its problem of regional heterogeneity in in-patient care if it is to achieve a truly "horizontal equity" which allows patients suffering from the same conditions throughout the country to accede to similar types and quality of services (de Girolamo & Tansella, 2006).…”

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confidence: 99%

“…Il progetto PROGRES-Acuti (de Girolamo et al, 2007), che ha censito su scala nazionale tutte le strutture psichiatriche di ricovero per acuti pubbliche e private, ha rilevato una marcata variabilità nella dotazione di posti letto tra le regioni italiane. Tale eterogeneità regionale rappresenta un problema che va affrontato al fine di realizzare una vera "equità orizzontale" che consenta pazienti con problemi psichiatrici simili di poter accedere ed utilizzare analoghi servizi nelle differenti aree del Paese (de Girolamo & Tansella, 2006).…”

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Acute in-patient care in modern, community-based mental health services. Where and how?

Lasalvia¹,

Tansella²

2010

Epidemiol Psychiatr Sci

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confidence: 99%

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Acute in-patient care in modern, community-based mental health services. Where and how?

Lasalvia¹,

Tansella²

2010

Epidemiol Psychiatr Sci

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Patterns of care in patients discharged from acute psychiatric inpatient facilities

Preti

Rucci

Gigantesco

et al. 2009

Soc Psychiat Epidemiol

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Heterogeneity of the Departments of Mental Health in the Veneto Region ten years after the National Plan 1994-96 for Mental Health. Which implication for clinical practice? Findings from the PICOS Project

Lasalvia

Gentile²,

Ruggeri³

et al. 2007

Epidemiol Psichiatr Soc

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SUMMARYAims - This study aims to present data on structural and human resources of public mental health services located in the Veneto Region, Italy, and to discuss them in the light of implementation of the first National Target Plan for Mental Health (“Progetto Obiettivo 1994-1996”) ten years after its launch. Methods - The study was conducted in the context of the PICOS (Psychosis Incident Cohort Outcome Study) Project, a large first-presentation multisite study on patients with psychotic disorders attending community mental heath services in the Veneto Region. Human and structural resources were surveyed in 26 study sites using a structured interview administered by the PICOS local referents. Results - CMHCs and Day Centres were homogeneously distributed across the Region and their overall rates per resident population met the national standards; a wide variability in the distribution of Day Hospitals was found, with the overall rate per resident population very far from meeting the national standard; the overall rate for Residential Facilities beds was higher than the recommended national standard, showing however an high variability across sites. The overall rate of mental health professionals per resident population was only slightly below the national standard: this was mainly achieved thanks to non-profit organizations which supplement the public system with unspecialised professionals; however, a wide variability in the local rates per resident population was found, with the 50% of the sites showing rates far lower the national standard. Specific lack of trained professionals involved in the provision of psychosocial interventions was found in most sites. Conclusions - A marked variability in human and structural resources across community mental health services in the Veneto Region was found. Possible reasons for this heterogeneity were analysed and implications for mental health care provision were further discussed.Declaration of Interest: The study has been supported by the Regione del Veneto, Giunta Regionale, Ricerca Sanitaria Finalizzata 2004, Venezia, Italia (grant to Professor M. Ruggeri).

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Psychiatric Units in general hospitals. Problems and perspectives in Europe

Cited by 4 publications

References 22 publications

Acute in-patient care in modern, community-based mental health services. Where and how?

Acute in-patient care in modern, community-based mental health services. Where and how?

Patterns of care in patients discharged from acute psychiatric inpatient facilities

Heterogeneity of the Departments of Mental Health in the Veneto Region ten years after the National Plan 1994-96 for Mental Health. Which implication for clinical practice? Findings from the PICOS Project

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