The Italian Psychiatric Reform

Girolamo, Giovanni de; Cozza, Massimo

doi:10.1016/s0160-2527(00)00030-3

Cited by 104 publications

(78 citation statements)

References 49 publications

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“…In Italy, all mental hospitals (MHs) have been shut down, as required by the Law 180 passed in 1978; comprehensive information concerning the architecture and functioning of the mental health system in Italy can be found elsewhere [13,14]. Patients who require long-term residential care are now catered for by RFs.…”

Section: The Italian System Of Residential Carementioning

confidence: 99%

Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy

Girolamo

Candini

Buizza

et al. 2013

Soc Psychiatry Psychiatr Epidemiol

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Background A growing number of severely ill patients require long-term care in non-hospital residential facilities (RFs). Despite the magnitude of this development, longitudinal studies surveying fairly large resident samples and yielding important information on this population have been very few. Aims The aims of the study were (1) to describe the socio-demographic, clinical, and treatment-related characteristics of RF patients during an index period in 2010; (2) to identify predictors and characteristics associated with discharge at the 1-year follow-up; (3) to evaluate clinicians' predictions about each patient's likelihood of home discharge (HD). Methods A prospective observational cohort study was conducted involving all patients staying in 23 mediumlong-term RFs of the St John of God Order with a primary psychiatric diagnosis. A comprehensive set of sociodemographic, clinical, and treatment-related information was gathered and standardized assessments (BPRS, HO-NOS, PSP, PHI, SLOF, RBANS) were administered to each participant. Logistic regression analyses were run to identify independent discharge predictors. Results The study involved 403 patients (66.7 % male), with a mean age of 49 years (SD = 10). The participants' average illness duration was 23 years; median value for length of stay in the RF was 2.2 years. The most frequent diagnosis was schizophrenia (67.5 %). 104 (25.8 %) were discharged: 13.6 % to home, 8.2 % to other RFs, 2.2 % to supported housing, and 1.5 % to prison. Clinicians' predictions about HD were generally erroneous. Conclusions Very few patients were discharged to independent accommodations after 1 year. The main variables associated with a higher HD likelihood were: illness duration of \15 years and effective social support during the previous year. Lower severity of psychopathology and higher working skill levels were also associated with a significantly greater HD likelihood.

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Section: The Italian System Of Residential Carementioning

confidence: 99%

Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy

Girolamo

Candini

Buizza

et al. 2013

Soc Psychiatry Psychiatr Epidemiol

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“…Queste percentuali appaiono significativamente diverse da quanto rilevato nel 1988 (26%, % 2 = 16.27, df 1, p<.0001; 2%, % 2 = Epidemiologia e Psichiatria Sociale, 12, 3, 2003 107.04, df 1, p<.00001), pur tenendo conto della difficolta di confrontare dati raccolti con scale di codifica diverse per quel che riguarda i punteggi intermedi. Tuttavia, il fatto che vi sia uno spostamento da livelli estremi delle scale a posizioni di certezza relativa ("e vero in parte" ed equivalenti) suggerisce un aumento di accettazione sociale interpretabile come conseguenza della maggiore disponibilita di interventi riabilitativi e di reinserimento sociale (Barbato, 1998;de Girolamo & Cozza, 2000).…”

Section: Opinioni Su Competenza Sociale E Diritti Civili Dei Pazientiunclassified

Causes and psychosocial consequences of schizophrenia: the opinions of Italian population

Magliano

Rosa

Fiorillo

et al. 2003

Epidemiol Psichiatr Soc

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“…Zum Teil wurden die alten Anstalten auch einfach in "Reha-Zentren" umbenannt, aus Langzeitpatienten wurden "Gäste". 1998 lebten nur mehr 7.704 Patienten in 50 Großkrankenhäusern, 6459 waren in neuen oder umgetauften alten Wohnstrukturen untergebracht [13]. Der Großteil aber war über die Jahre einfach nach Hause entlassen worden.…”

Section: Der Vergleich Mit Italienunclassified

Psychiatrische Versorgung aus einer Hand: Das Beispiel Südtirol

Pycha

Conca

2006

Wien Med Wochenschr

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The Tyrol's division after the two World Wars cut the South Tyrol off from every relevant aspect of psychiatric care. First attempts towards a community psychiatric system weren't sufficiently sustained by politicians. Only in the 90 ty's was the association of relatives of mentally ill people able to sensitize public and politicians to the need for an adequate psychiatric care system. Since 1996 an excellent psychiatric plan has been in existence, 80 % of which has to date been able to be put into practice. Since 1997 mentally ill people have founded their own self-help-organization and influenced the planning process.

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The Italian Psychiatric Reform

Cited by 104 publications

References 49 publications

Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy

Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy

Causes and psychosocial consequences of schizophrenia: the opinions of Italian population

Psychiatrische Versorgung aus einer Hand: Das Beispiel Südtirol

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