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 comm...

The enactment of comprehensive health reform will bring about important changes to the health insurance and health care delivery systems. Community health centers will play a role in implementing many health reform provisions and in providing access to care for millions of Americans who will gain health insurance coverage under the law. To meet this new demand for services, particularly in unde...

We measured the net progress of land reform in achieving a national policy goal for biodiversity conservation in the context of ongoing clearing of native vegetation and additions of land to a highly nonrepresentative (residual) reserve network, interior South Island, New Zealand. We used systematic conservation-planning approaches to develop a spatially explicit index of risk of biodiversity l...

Facing widespread poverty and land degradation, Vietnam started a land reform in 1993 as part of its renovation policy package known as “Doi Moi”. This paper examines the impacts of improved land tenure security, via this land reform, on manure use by farm households. As manure potentially improves soil fertility by adding organic matter and nutrients to the soil surface, it might contribute to...

The paper is in two parts. The first part tries to understand the case for redistributive land reforms. We argue that there is relatively persuasive evidence showing that redistributing land may promote equity as well as efficiency. We then suggest that it is, nevertheless, unclear, given that all forms of redistribution cost money as well as bureaucratic and political capital, that redistribut...