The current state of mental health care in Italy: Problems, perspectives, and lessons to learn

European Archives of Psychiatry and Clinical Neuroscience

Volumn 257, Issue 2, 2007, Pages 83-91

  De Girolamo, Giovanni ^a   Bassi, Mariano ^a   Neri, Giovanni ^b   Ruggeri, Mirella ^c   Santone, Giovanni ^d   Picardi, Angelo ^e  

^a Azienda USL di Bologna   (Italy)

^b AUSL Modena   (Italy)

^c UNIVERSITY OF VERONA   (Italy)

^d UNIVERSITÀ POLITECNICA DELLE MARCHE   (Italy)

^e ISTITUTO SUPERIORE DI SANITÀ   (Italy)

Author keywords

Health services research; Mental health; Mental health services; Quality of care

Indexed keywords

DAY HOSPITAL; HEALTH CARE FACILITIES AND SERVICES; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH SERVICES RESEARCH; HEALTH STATUS; HEALTH SURVEY; HOSPITAL BED; HOSPITAL CARE; HUMAN; ITALY; LAW; MENTAL HEALTH; MENTAL HEALTH CARE; MENTAL HEALTH CENTER; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; OUTPATIENT CARE; PRIORITY JOURNAL; PRIVATE HOSPITAL; PSYCHIATRIC DEPARTMENT; PUBLIC HEALTH PROBLEM; PUBLIC HOSPITAL; REVIEW; SUICIDE ATTEMPT;

HUMANS; ITALY; MENTAL DISORDERS; MENTAL HEALTH SERVICES; PSYCHIATRY; QUALITY OF HEALTH CARE;

EID: 33947107421     PISSN: 09401334     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00406-006-0695-x     Document Type: Review

References (67)

1. Barbato A, et al. (1992a) Outcome of discharged psychiatric patients after short inpatient treatment: an Italian collaborative study. Soc Psychiatry Psychiatr Epidemiol 27:192-197
2. Barbato A, et al. (1992b) Patterns of aftercare for psychiatric patients discharged after short inpatient treatment. An Italian collaborative study. Soc Psychiatry Psychiatr Epidemiol 27:46-52
3. Barbato A, et al. (1998) Psychiatry in transition: outcomes of mental health policy shift in Italy. Aust NZ J Psychiatry 32:673-679
4. Barbui C, et al. (1999) QUALYOP Project 2: Monitoring the dismantling of Italian psychiatric hospitals. Psychotropic drug use in 1,072 inpatients. Pharmacoepidemiol Drug Saf 8:331-337
5. Barry MM, Crosby C (1996) Quality of life as an evaluative measure in assessing the impact of community care on people with long-term psychiatric disorders. Br J Psychiatry 168:210-216
6. Bassi M, et al. (2003) Appendice. In: Bassi M, Di Giannantonio M, Ferranini L et al. (eds) Politiche sanitarie in psichiatria. Norme, management ed economia. Masson, Milano, pp. 309-458
7. Becker T, et al. (2002a) The iceberg tip and the rest. Mental health care for people with schizophrenia in five European centres. Epidemiol Psichiat Soc 11:6-11
8. Bollini P, et al. (1986) Mental health care in Southern Italy: application of case-control methodology for the evaluation of the impact of the 1978 psychiatric reform. Psychol Med 16:701-707
9. Burti L (2001) Italian psychiatric reform 20 plus years after. Acta Psychiatr Scand Suppl 410 104:41-46
10. de Girolamo G (1989) Italian psychiatry and reform law: a review of the international literature. Int J Soc Psychiatry 35:21-37
11. de Girolamo G, Bassi M (2004) Residential facilities as the new scenario of long-term psychiatric care. A review of the literature 2000-2004. Curr Opin Psychiatry 17:275-281
12. de Girolamo G, Cozza M (2000) The Italian psychiatric reform: a 20-year perspective. Int J Law Psychiatry 23:197-214
13. de Girolamo G, et al. (1988) General Hospital Psychiatric Wards in Italy. 1: a comparison between two areas with differing provision of outpatient care. Int J Soc Psychiatry 34:248-257
14. de Girolamo G, et al. (2002) Residential care in Italy: a national survey of non-hospital facilities. Br J Psychiatry 181:220-225
15. de Girolamo G, et al. (2005) The severely mentally ill in residential facilities: a national survey in Italy. Psychol Med 34:1-11
16. de Girolamo G, et al. (in press) The characteristics and activities of acute psychiatric inpatient facilities: a national survey in Italy. Br J Psychiatry
17. De Leo D, et al. (1997) A century of suicide in Italy: a comparison between the old and the young. Suicide Life Threat Behav 27:239-249
18. Faulkner A, et al. (1993) Residential care provision in mental health: the current picture and future uncertainties. J Mental Health 2:57-64
19. Fioritti A, et al. (1997) Reform said or done? The case of Emilia-Romagna within the Italian psychiatric context. Am J Psychiatry 154:94-98
20. Geller JL, Fisher WH (1993) The linear continuum of transitional residences: debunking the myth. Am J Psychiatry 150:1070-1076
21. Glover G, et al. (1999) Information about mental health and mental health service use in England. North East Public Health Observatory, Stockton 8:331-337
22. Harrington M, et al. (2002) The results of a multi-centre audit of the prescribing of antipsychotic drugs for in-patients in the UK. Psychiatr Bull 26:414-418
23. ISTAT (2002) 14° Censimento generale della popolazione e delle abitazioni. ISTAT, Roma
24. Kohn R, et al. (2004) The treatment gap in mental health care. Bull World Health Organ 82:858-866
25. Lehman AF, et al. (1986) The quality of life of chronic patients in a state hospital and in community residences. Hosp Community Psychiatry 37:901-907
26. Lelliott P, et al. (1996) The Mental Health Residential Care Study: classification of facilities and description of residents. Br J Psychiatry 169:139-147
27. Levi F, et al. (2003) Trends in mortality from suicide, 1965-99. Acta Psychiatr Scand 108:341-349
28. Lora A, et al. (2001) A cluster analysis of patients with schizophrenia in community care. Psychiatric Serv 52:682-684
29. Lora A, et al. (2002) I pacchetti di cura nei Dipartimenti di Salute Mentale della Regione Lombardia. Epidemiol Psichiatr Soc 11:100-115
30. Manderscheid RW, et al. (2000) The U.S. mental health system of the 1990s. The challenges of managed care. Int J Law Psychiatry 23:245-259
31. Magliano L, et al. (2001) A multicentre study of patients' relatives' beliefs about schizophrenia. Psychiatric Serv 52:1528-1530
32. Magliano L, et al. (2002) The impact of professional and social support on the burden of families of patients with schizophrenia in Italy. Acta Psychiatr Scand 106:291-298
33. Magliano L, et al. (2005) Family burden in long-term diseases: a comparative study in schizophrenia vs. physical disorders. Soc Sci Med 61:313-322
34. Magliano L, et al. (2006a) Social network in long-term diseases: a comparative study in relatives of persons with schizophrenia and physical illnesses vs. a sample from the general population. Soc Sci Med 62:1392-1402
35. Magliano L, et al. (2006b) Implementation of family psychoeducational interventions for schizophrenia in mental health services: preliminary results from a multicentre Italian study. Psychiatric Serv 57:266-269
36. Maone A, et al. (2002) Day programs in Italy for persons with severe mental illness. A nationwide survey. Int J Ment Health 31:30-49
37. McCrone P, Lorusso P (1999) A comparison of psychiatric casemix in the UK and in Italy. Soc Psychiatry Psychiatr Epidemiol 34:432-436
38. Ministero della Salute (1999) Progetto Obiettivo Tutela della Salute Mentale 1998-2000. Gazzetta Ufficiale della Repubblica Italiana n. 274, 22.11.1999, pp 4-13
39. Ministero della Salute (2001) Attività gestionali ed economiche delle A.S.L. ed Aziende Ospedaliere - Dati 2000. Ministero della Salute, Roma
40. Ministero della Salute (2002) Assistenza psichiatrica in Italia - Rilevazione 2001. Ministero della Salute, Roma
41. Morlino M, et al. (1993) Interventi psicoterapici nei Dipartimenti di Salute Mentale di Napoli: un'indagine sulle scelte e sulla qualificazione degli operatori. Epidemiol Psichiatr Soc 2:25-34
42. Morlino M, et al. (1995) Patients dropping out of treatment: an Italian study. Acta Psychiatr Scand 92:1-6
43. Munizza C, et al. (1995) Prescription pattern of antidepressants in out-patient psychiatric practice. Psychol Med 25:771-778
44. Percudani M, et al. (2002) Monitoring community psychiatric services in Italy: differences between patients who leave care and those who stay in treatment. Br J Psychiatry 180:254-259
45. Picardi A, et al. (2006a) The environment and the staff of residential facilities. Data from the italian 'PROGRES' national survey. Community Ment Health J 42:263-279
46. Picardi A, et al. (2006b) The quality of life of the mentally ill living in residential facilities. Findings from a national survey in Italy. Eur Arch Psychiatry Clin Neurosci 256:372-381
47. Piccinelli M, et al. (2002) Focus on psychiatry in Italy. Br J Psychiatry 181:538-544
48. Platt S, et al. (1992) Suicide and unemployment in Italy: description, analysis and interpretation of recent trends. Soc Sci Med 34:1191-1201
49. Preti A, Miotto P (2000) Increase in first admissions for schizophrenia and other major psychoses in Italy. Psychiatry Res 94:139-152
50. Priebe S, et al. (2005) Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries. Br Med J 330(7483):123-126
51. Regione Emilia-Romagna (2006) Le strutture Residenziali Psichiatriche in Emilia Romagna - anno 2006 (unpublished report). Direzione Generale Sanità e Politiche Sociali, Servizio Salute Mentale e Assistenza Sanitaria nelle Carceri, Bologna
52. Rossi A, et al. (2002) Dropping out of care: inappropriate terminations of contact with community-based psychiatric services. Br J Psychiatry 181:331-338
53. Ruggeri M, et al. (2004) Demographic, clinical, social and service variables associated with higher needs for care in community psychiatric service patients. The South Verona Outcome Project 8. Soc Psychiatry Psychiatr Epidemiol 39:60-68
54. Salvador-Carulla L, et al. (2005) Patterns of mental health service utilisation in Italy and Spain - an investigation using the European Service Mapping Schedule. Soc Psychiatry Psychiatr Epidemiol 40:149-159
55. Samele C, Manning N (2000) Level of caregiver burden among relatives of the mentally ill in South Verona. Eur Psychiatry 15:196-204
56. Santone G, et al. (2005) The process of care in residential facilities. A national survey in Italy. Soc Psychiatry Psychiatr Epidemiol 40:540-550
57. Tansella M, Williams P (1987) The Italian experience and its implications. Psychol Med 17:283-289
58. Thornicroft G (2000) Testing and retesting assertive community treatment. Psychiatric Serv 51:703
59. Tibaldi G, et al. (1997) Utilization of neuroleptic drugs in Italian mental health services: a survey in Piedmont Psychiatric Serv 48:213-217
60. Tognoni G, Saraceno B (1989) Regional analysis of implementation. Int J Soc Psychiatry 35:38-45
61. Tognoni G (1999) Pharmacoepidemiology of psychotropic drugs in patients with severe mental disorders in Italy. Italian Collaborative Study Group on the Outcome of Severe Mental Disorders. Eur J Clin Pharmacol 55:685-690
62. Tomasi R, et al. (2006) The prescription of psychotropic drugs in psychiatric residential facilities: a national survey in Italy. Acta Psychiatr Scand 113:212-223
63. Trieman N, et al. (1998) The TAPS project 41: homes for life? Residential stability five years after hospital discharge. Community Ment Health J 34:407-417
64. van Wijngaarden B, et al. (2003) People with schizophrenia in five countries: conceptual similarities and intercultural differences in family caregiving. Schizophr Bull 29:573-586
65. WHO (2005) Mental Health Atlas 2005. WHO Department of Mental Health and Substance Abuse, Geneva
66. Williams P, et al. (1986) Suicide, psychiatric reform, and the provision of psychiatric services in Italy. Social Psychiatry 21:89-95
67. Williams P (1987) Suicide and the Italian psychiatric reform: an appraisal of two data collection systems. Eur Arch Psychiatry Neurol Sci 236:237-240