Italian psychiatric reform 20 plus years after

  title={Italian psychiatric reform 20 plus years after},
  author={Lorenzo Burti},
  journal={Acta Psychiatrica Scandinavica},
  • L. Burti
  • Published 1 December 2001
  • Medicine, Political Science, Psychology
  • Acta Psychiatrica Scandinavica
Objective: To describe the current situation of mental health care in Italy and implementation of mental health reform legislation. 
Mental Health Policy and Practice Across Europe
This book maps the current state of policy, service provision and funding for mental health care across Europe, taking into account the differing historical contexts that have shaped both the
Psychiatric services for people with severe mental illness across western Europe: what can be generalized from current knowledge about differences in provision, costs and outcomes of mental health care?
Objective:  To report recent findings regarding differences in the provision, cost and outcomes of mental health care in Europe, and to examine to what extent these studies can provide a basis for
Psychosocial Rehabilitation in Italy Today
Some relevant statements are presented about the definition of psychosocial rehabilitation, the facilities where it is done and the interventions and activities implemented, the professionals involved and their education and training, and issues of management and organization.
Controversial aspects of community psychiatry: the Italian experience*
  • M. Bassi
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  • 2018
In Italy, health services are provided to 60 million inhabitants by the National Health System (Sistema Sanitario Nazionale SSN), established by Law no. 833 (1978) and with a similar structure to the
Italian psychiatric reform 1978: milestones for Italy and Europe in 2010?
In an effort to achieve a modern and progressive community-based psychiatric service, in particular one with more specialised services, mental health providers in this region have examined German, Austrian and Swiss models of psychiatric practice.
The quantification of the psychiatric revolution: a quasi-natural experiment of the suicide impact of the Basaglia Law
The Basaglia Law was associated with a significant increase in the number of suicides, with evidence of an association with closures of facilities, leaving those with mental illness with nowhere to go, as the envisioned community care structures failed to be developed as originally planned.
The Closure of the Psychiatric Hospital as an Original Feature of Rehabilitation in Italy
The particular characteristics of psychiatric rehabilitation in Italy, its strengths and its limitations are analyzed on different grounds, and some of the key reasons for these limits are proposed in the evolution of Italian society and in a lack of transformation in the psychiatric identity.
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There has been a clear switch from hospital to community psychiatric care in Brazil, where the system can now provide a diversity of treatments and free access to psychotropics, however, the coverage of community services is precarious, and the reform was not accompanied by an increased public investment in mental health.
Care in the Community in Italy Twenty-five Years After the Psychiatric Reform
A critical review of the Italian situation is provided, based on studies published in recent years and on some events and their consequences, of the closing of all mental hospitals and the achievement of expected standards as stated in the most recent report on the mental health program issued by the Ministry of Health.
After the Asylum? The New Institutional Landscape
Data about interventions from social welfare agencies, psychiatric care, and prisons were collected from local and national register as well as data about cause of death and socio-economic status for 1355 persons treated with a diagnosis of psychosis in a Stockholm area 2004–2008.


2. Psychopathology and social performance in a cohort of patients with schizophrenic psychoses. A seven-year follow-up study
The Italian psychiatric reform has attracted much interest and controversy around the world and quantitative evidence on its implementation has already been provided, but studies of the effects on patients are lacking.
A Transition Period in Psychiatric Care in Italy Ten Years after the Reform
  • P. Crepet
  • Medicine, Psychology
    British Journal of Psychiatry
  • 1990
Ten years after the passing of the Italian psychiatric reform bill, the author assesses the state of the national mental health services. Albeit slowly, the decrease in the number of in-patients in
Revision of the Italian psychiatric reform: north/south differences and future strategies.
Italian Psychiatry and Reform Law: a Review of the International Literature
  • G. de Girolamo
  • Psychology
    The International journal of social psychiatry
  • 1989
The aim of this review is to describe some issues relevant to Italian psychiatry and to try and evaluate the experience of reform as shown in international literature.
Psychiatry in Transition: Outcomes of Mental Health Policy Shift in Italy
  • A. Barbato
  • Medicine, Psychology
    The Australian and New Zealand journal of psychiatry
  • 1998
Although care of the mentally ill has been shifted to community services, there has been an overall reduction of psychiatric hospitalisation and the provision of residential facilities is inadequate and community services are unevenly distributed across the country.
Severely and Persistently Mentally Ill Patients in Italy: an Overview of Epidemiological and Psychosocial Findings
An overview of epidemiological, clinical and psychosocial characteristics of patients needing long-term treatment and the resulting family burden presented to a marked or very marked degree in more than 50% of the relatives.
Surviving without the asylum. An overview of the studies on the Italian reform movement.
The data support the conclusion that Italian society has successfully generated a psychiatric system without asylums, and although psychiatrically disabled patients have been successfully shifted to community services, more effort is necessary in Italy to extend the reform to resource-poor regions as well as to the most debilitated patient groups.
Mental health care in Southern Italy: application of case-control methodology for the evaluation of the impact of the 1978 psychiatric reform.
A survey to analyse patients' characteristics and the care delivered to them was conducted, covering the whole range of care offered in the public sector in two regions of Southern Italy, and the suitability and advantages of the case-control method of analysis in the field of psychiatric care evaluation are discussed.
Mortality in psychiatric hospital patients: a cohort analysis of prognostic factors.
Longer periods of hospitalization and non-discharge from hospital are the main risk factors for death in psychiatric patients, who globally experience higher death rates than the general population for a wide spectrum of causes of death, whatever their diagnosis or gender.
The Provision of Psychiatric Care in Southern Italy. Results From the 'Psychiatry in Southern Italy's Services' (De Pisis) Survey
A significantly higher proportion of patients receiving a schizophrenia-spectrum disorder diagnosis were found in contact during the index week with those CMHDs providing both residential and semiresidential (day-hospital, community center) facilities.