Italian psychiatric reform 1978: milestones for Italy and Europe in 2010?
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| Title: | Italian psychiatric reform 1978: milestones for Italy and Europe in 2010? |
|---|---|
| Authors: | Pycha, Roger, Giupponi, Giancarlo, Schwitzer, Josef, Duffy, Dearbhla, Conca, Andreas |
| Source: | European Archives of Psychiatry & Clinical Neuroscience. Nov2011, Vol. 261, p135-139. 5p. |
| Subjects: | Psychiatry, Reforms, Community psychiatry, Families, Medical laws, Hospital size |
| Geographic Terms: | Italy, Europe |
| Abstract: | The Italian psychiatric reform of 1978 was one of the most radical attempts in history to abolish the practise of custodial psychiatry using legislation. The work of the charismatic reformer Franco Basaglia had four main objectives, which have taken more than 30 years to achieve. Although the creation of outpatient mental health centres and a reduction in involuntary commitments occurred rapidly, the expensive development of small acute psychiatric departments in general hospitals as an alternative to psychiatric hospitals was implemented very slowly. According to a national survey by the Italian Ministry of Health, in 2001, there were a total of 9,300 acute beds for all of Italy, of which as many as 4,000 were in private facilities. With 1.72 acute beds per 10,000 inhabitants, Italy has one of the lowest figures in Europe of psychiatric beds. However, Italy's apparent and often praised low bed requirement places a large burden on families. The implementation of the reform process was most delayed and occurred at its worst in South Tyrol, in North Italy. 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. [ABSTRACT FROM AUTHOR] |
| Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 66951854 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Italian psychiatric reform 1978: milestones for Italy and Europe in 2010? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Pycha%2C+Roger%22">Pycha, Roger</searchLink><br /><searchLink fieldCode="AR" term="%22Giupponi%2C+Giancarlo%22">Giupponi, Giancarlo</searchLink><br /><searchLink fieldCode="AR" term="%22Schwitzer%2C+Josef%22">Schwitzer, Josef</searchLink><br /><searchLink fieldCode="AR" term="%22Duffy%2C+Dearbhla%22">Duffy, Dearbhla</searchLink><br /><searchLink fieldCode="AR" term="%22Conca%2C+Andreas%22">Conca, Andreas</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Nov2011, Vol. 261, p135-139. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Psychiatry%22">Psychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Reforms%22">Reforms</searchLink><br /><searchLink fieldCode="DE" term="%22Community+psychiatry%22">Community psychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Families%22">Families</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+laws%22">Medical laws</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+size%22">Hospital size</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink><br /><searchLink fieldCode="DE" term="%22Europe%22">Europe</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The Italian psychiatric reform of 1978 was one of the most radical attempts in history to abolish the practise of custodial psychiatry using legislation. The work of the charismatic reformer Franco Basaglia had four main objectives, which have taken more than 30 years to achieve. Although the creation of outpatient mental health centres and a reduction in involuntary commitments occurred rapidly, the expensive development of small acute psychiatric departments in general hospitals as an alternative to psychiatric hospitals was implemented very slowly. According to a national survey by the Italian Ministry of Health, in 2001, there were a total of 9,300 acute beds for all of Italy, of which as many as 4,000 were in private facilities. With 1.72 acute beds per 10,000 inhabitants, Italy has one of the lowest figures in Europe of psychiatric beds. However, Italy's apparent and often praised low bed requirement places a large burden on families. The implementation of the reform process was most delayed and occurred at its worst in South Tyrol, in North Italy. 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. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00406-011-0245-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 135 Subjects: – SubjectFull: Psychiatry Type: general – SubjectFull: Reforms Type: general – SubjectFull: Community psychiatry Type: general – SubjectFull: Families Type: general – SubjectFull: Medical laws Type: general – SubjectFull: Hospital size Type: general – SubjectFull: Italy Type: general – SubjectFull: Europe Type: general Titles: – TitleFull: Italian psychiatric reform 1978: milestones for Italy and Europe in 2010? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Pycha, Roger – PersonEntity: Name: NameFull: Giupponi, Giancarlo – PersonEntity: Name: NameFull: Schwitzer, Josef – PersonEntity: Name: NameFull: Duffy, Dearbhla – PersonEntity: Name: NameFull: Conca, Andreas IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 10 Text: Nov2011 Type: published Y: 2011 Identifiers: – Type: issn-print Value: 09401334 Numbering: – Type: volume Value: 261 Titles: – TitleFull: European Archives of Psychiatry & Clinical Neuroscience Type: main |
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