Italian psychiatric reform 20 plus years after.
نویسنده
چکیده
OBJECTIVE To describe the current situation of mental health care in Italy and implementation of mental health reform legislation. METHOD The current mental health care system and studies of the implementation of psychiatric reform are described. RESULTS The 1978 reform law inaugurated fundamental changes in the care system (prohibiting admissions to state mental hospitals, stipulating community-based services, allowing hospitalization only in small general-hospital units). Uneven reform implementation was reported initially. However, in 1984 in- and out-patient services in the community were available to >80% of the population. There is a comprehensive network of in- and out-patient, residential and semi-residential facilities. Recently, services have been jeopardized by the managed-care revolution, and non-profit organizations supplement the public system (especially residential care, employment and self/mutual help). CONCLUSION Implementation of the psychiatric reform law has been accomplished, and the year 1998 marked the very end of the state mental hospital system in Italy.
منابع مشابه
[Knowing the origins of the Brazilian psychiatric reform: the French and Italian experiences].
متن کامل
[Deinstitutionalization in Italian psychiatry - the course and consequences Part II. The consequences of deinstitutionalization].
The Italian mental health care is based on Law 180 (it. Legge 180), also called Legge Basaglia, from the name of the author of the reform, Franco Basaglia. It was adopted on May 13th 1978. The new legislation resulted from the actions of a strong anti-psychiatric movement and it brought about a major change in the organization of psychiatric care. The reform and its consequences were widely stu...
متن کامل[Deinstitutionalization in Italian psychiatry - the course and consequences Part I. The course of deinstitutionalization - the activity of Basaglia's group].
Psychiatric reform in Italy consisted of the implementation of legislative changes derived from anti-institutional experiments conducted by Franco Basaglia and his group in the 60's and 70's of the 20th century. The activity of Basaglia's group was an integral part of the European reform movement of that time, which profited from the economic, cultural and political prosperity for changes in ps...
متن کاملThe Art of Programming in a Technical Institute after the Italian Secondary School Reform
The Italian Secondary School Reform became effective with the 2010-2011 school year. It establishes guidelines for the different subjects but leaves large autonomy and responsibility for fixing concrete curricula to teachers. This autonomy is crucial for Informatics because it does not have uniform teaching models as do Mathematics and the other classical disciplines. During the discussions abo...
متن کامل[Mental Healthcare in small and medium-sized cities: resonance of the psychiatric reform].
From the analysis of the national Mental Health policy, formulated in the past years, and from the experiences developed after 1987, it is sought to: understand how Brazilian Health System has contributed to the development of the psychiatric reform in towns; verify how the assistance offered in those towns is making the psychiatric reform principles feasible as well as improving the users livi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta psychiatrica Scandinavica. Supplementum
دوره 410 شماره
صفحات -
تاریخ انتشار 2001