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

@article{Lasalvia2010AcuteIC,
  title={Acute in-patient care in modern, community-based mental health services. Where and how?},
  author={A. Lasalvia and M. Tansella},
  journal={Epidemiology and Psychiatric Sciences},
  year={2010},
  volume={19},
  pages={275 - 281}
}
Nel corso degli ultimi anni ha avuto luogo nei paesi occidentali un acceso dibattito tra coloro che sostengono la necessità di fornire l’assistenza psichiatrica all’interno dell’ospedale e coloro i quali propendono per un’assistenza psichiatrica fornita principalmente o esclusivamente a livello territoriale, finendo col porre questi due modelli in antitesi tra loro. Questa falsa dicotomia è oggi in realtà superata da un approccio che contempla un’assistenza psichiatrica che vede la presenza di… Expand
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Appendix A: Terminologies

References

SHOWING 1-10 OF 28 REFERENCES
What do we know about life on acute psychiatric wards in the UK? A review of the research evidence.
TLDR
The evidence about life on psychiatric wards is reviewed, focusing on how it is experienced by patients in acute settings, and supports the impression that organisational pressures are having a negative impact on the quality of care. Expand
Improving the quality of acute inpatient care
TLDR
Although 59 wards (45% of the total) failed to meet one or more essential standard, 43 of these were able to rectify the problem and only 22 of the first 132 wards to have completed the review process so far are considered to be excellent. Expand
Components of a modern mental health service: a pragmatic balance of community and hospital care
TLDR
Both community and hospital services are necessary in all areas regardless of their level of resources, according to the additive and sequential stepped care model described here. Expand
Developing mental health services in response to research evidence
TLDR
Evidence of efficacy of assertive community treatment and crisis resolution teams in inner London boroughs is described and the implications for service planners in terms of the difficulties in implementing innovative approaches based on the best available evidence when it originates outside the local context are comments. Expand
Acute inpatient psychiatry in England: an old problem and a new priority
  • P. Lelliott
  • Medicine
  • Epidemiologia e Psichiatria Sociale
  • 2006
TLDR
It is suggested that there might be a need for joint action which might take the form of international research about acute inpatient care or the development of international standards and a common quality improvement system. Expand
Characteristics and activities of acute psychiatric in-patient facilities: national survey in Italy.
TLDR
The survey has provided evidence of two parallel systems of in-patient care, a public one and a private one, which are not fully interchangeable, and one of the lowest number of acute beds per 10,000 inhabitants in Europe. Expand
Is locating acute wards in the general hospital an essential element in psychiatric reform? The UK experience
TLDR
There are strong arguments both for and against locating psychiatric wards in general hospitals: an empirical evidence base would be helpful to inform important decisions about the best setting for wards. Expand
Patterns of care in patients discharged from acute psychiatric inpatient facilities
TLDR
This study provides information on the characteristics and the pattern of care of patients discharged from inpatient facilities in a country that has closed down all its mental hospitals, and may be relevant for those countries that are affording now the downsizing of MHs, and the expansion of community-based models of care. Expand
Balancing community-basedand hospital-based mental health care.
TLDR
This paper summarises the evidence on the advantages and limitations of these two perspectives, and concludes that this false dichotomy should be replaced by a model, in which balanced care includes both modern communitybased and modern hospital-based care. Expand
Psychiatric Units in general hospitals. Problems and perspectives in Europe
In Italy the history of General Hospital Psychiatric Units (GHPUs) is a recent one, beginning in 1978 with the approval of the reform law, Law 180; before that time there were very few psychiatricExpand
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