The general practitioner and the psychiatric health service in Italy after the reform: opinions and experiences in an urban district

Rizzardo, R; Rovea, A; Magni, Guido

doi:10.1111/j.1600-0447.1986.tb02679.x

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…On the contrary, the objective of reducing the beds in psychiatric hospitals was met rather easily. This has been the case in other countries as well (eg Okin, 1978;Braun et al, 1981;Scull, 1985;Rizzardo et al, 1986;Thornicroft and Bebbington, 1989).…”

Section: 1989mentioning

confidence: 77%

The reform of psychiatric care in Greece: 1983-1989

et al. 1992

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SummaryWe have attempted to evaluate quantitative changes in the mental health delivery system in Greece, dictated by a fiveyear program to reform psychiatric care. By the end of the program, a number of psychiatric units in general hospitals, as well as community mental health centres, had been created, while the number of beds in psychiatric hospitals have been significantly reduced. Mental health services have become more accessible to the population, and served more patients. However, not all the objectives of the program have been met. Only about half of the initially proposed number of beds in the psychiatric units in general hospitals have been actually developed. The catchment area, a basic pre-requisite of the program, has not been put into effect. Finally, the noticeable trend towards a restriction of the role of psychiatric hospitals did not coincide with the development of adequate new services.

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Section: 1989mentioning

confidence: 77%

The reform of psychiatric care in Greece: 1983-1989

et al. 1992

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Über die Betreuung schizophrener Patienten in allgemeinärztlichen Praxen

Stark¹,

Berghändler²

1997

Clozapin

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Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

Montenegro

Moller

Irarrázaval

et al. 2023

Camb. prisms Glob. ment. health

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Psychiatric deinstitutionalization (PDI) processes aim to transform long-term psychiatric care by closing or reducing psychiatric hospitals, reallocating beds, and establishing comprehensive community-based services for individuals with severe and persistent mental health difficulties. This scoping review explores the extensive literature on PDI, spanning decades, regions, socio-political contexts, and disciplines, to identify barriers and facilitators of PDI implementation, providing researchers and policymakers with a categorization of these factors. To identify barriers and facilitators, three electronic databases (Medline, CINAHL, and Sociological Abstracts) were searched, yielding 2,250 references. After screening and reviewing, 52 studies were included in the final analysis. Thematic synthesis was utilized to categorize the identified factors, responding to the review question. The analysis revealed that barriers to PDI include inadequate planning, funding, and leadership, limited knowledge, competing interests, insufficient community-based alternatives, and resistance from the workforce, community, and family/caregivers. In contrast, facilitators encompass careful planning, financing and coordination, available research and evidence, strong and sustained advocacy, comprehensive community services, and a well-trained workforce engaged in the process. Exogenous factors, such as conflict and humanitarian disasters, can also play a role in PDI processes. Implementing PDI requires a multifaceted strategy, strong leadership, diverse stakeholder participation, and long-term political and financial support. Understanding local needs and forces is crucial, and studying PDI necessitates methodological flexibility and sensitivity to contextual variation. At the same time, based on the development of the review itself, we identify four limitations in the literature, concerning “time,” “location,” “focus,” and “voice.” We call for a renewed research and advocacy agenda around this neglected aspect of contemporary global mental health policy is needed.

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The general practitioner and the psychiatric health service in Italy after the reform: opinions and experiences in an urban district

Cited by 4 publications

References 17 publications

The reform of psychiatric care in Greece: 1983-1989

The reform of psychiatric care in Greece: 1983-1989

Über die Betreuung schizophrener Patienten in allgemeinärztlichen Praxen

Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators

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