nach oben

Community Mental Health Journal

Erschienen in:

01.04.2011 | Original Paper

How Does the Residential Care System Change? A Longitudinal Survey in a Large Region of Italy

verfasst von: Giovanni Neri, Francesca Guzzetta, Linda Pazzi, Rossella Bignami, Angelo Picardi, Giovanni de Girolamo

Erschienen in: Community Mental Health Journal | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with >4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increased from 3.1 per 10,000 inhabitants in 2000 to 4.1 per 10,000 inhabitants in 2005. The RFs operated by private non-profit associations increased at a greater rate than the number of NHS-operated facilities, and the percentage of non-qualified staff has also risen at a greater rate than that observed for qualified staff. The number of individuals with comorbid substance abuse increased from 2.1% in 2000 to 5.7% in 2005. Patient turnover rates were low in both 5-year periods. A process of new institutionalization might be taking place. Mental health care policy-makers should take these findings into account to enhance the planning of effective services, including RFs granting a satisfactory quality of life to patients with severe disorders requiring long-term, eventually unlimited care.

Allen, H., Baigent, B., Kent, A., & Bolton, J. (1993). Rehabilitation and staffing levels in a ‘new look’ hospital-hostel. Psychological Medicine, 23, 203–211.PubMedCrossRef

Ball, R. A., Moore, E., & Kuipers, L. (1992). Expressed emotion in community care staff. A comparison of patient outcome in a nine month follow-up of two hostels. Social Psychiatry and Psychiatric Epidemiology, 27, 35–39.PubMedCrossRef

de Girolamo, G., Bassi, M., Neri, G., Ruggeri, M., Santone, G., & Picardi, A. (2007). The current state of mental health care in Italy: Problems, perspectives, and lessons to learn. European Archives of Psychiatry and Clinical Neuroscience, 257, 83–91.PubMedCrossRef

de Girolamo, G., Picardi, A., Micciolo, R., Falloon, I., Fioritti, A., & Morosini, P. (2002). Residential care in Italy. National survey of non-hospital facilities. British Journal of Psychiatry, 181, 220–225.PubMedCrossRef

de Girolamo, G., Picardi, A., Santone, G., Falloon, I., Morosini, P., Fioritti, A., et al. (2005). The severely mentally ill in residential facilities: A national survey in Italy. Psychological Medicine, 35, 421–431.PubMedCrossRef

Earls, M., & Nelson, G. (1988). The relationship between long-term psychiatric clients’ psychological well-being and their perceptions of housing and social support. American Journal of Community Psychology, 16, 279–293.PubMedCrossRef

Ferri, M., & Saponaro, A. (2005). Rapporto 2005 sulle dipendenze in Emilia-Romagna. Utenza e attività dei servizi per le tossicodipendenze dal 1991 al 2004. Osservatorio regionale sulle dipendenze.

Fioritti, A., Lo Russo, L., & Melega, V. (1997). Reform said or done? The case of Emilia-Romagna within the Italian psychiatric context. American Journal of Psychiatry, 154, 94–98.PubMed

Goldsmith, R. J. (1999). Overview of psychiatric comorbidity. Practical and theoretic considerations. Psychiatric Clinics of North America, 22, 331–349. ix.PubMedCrossRef

Gutkowski, S., Ginath, Y., & Guttmann, F. (1992). Improving psychiatric environments through minimal architectural change. Hospital & Community Psychiatry, 43, 920–923.

Holmqvist, R. (2000). Associations between staff feelings toward patients and treatment outcome at psychiatric treatment homes. The Journal of Nervous and Mental Disease, 188, 366–371.PubMedCrossRef

Hull, J. T., & Thompson, J. C. (1981). Factors which contribute to normalization in residential facilities for the mentally ill. Community Mental Health Journal, 17, 107–113.PubMedCrossRef

Kruzich, J. M. (1985). Community integration of the mentally ill in residential facilities. American Journal of Community Psychology, 13, 553–564.PubMedCrossRef

Lelliott, P., Audini, B., Knapp, M., & Chisholm, D. (1996). The mental health residential care study: Classification of facilities and description of residents. British Journal of Psychiatry, 169, 139–147.PubMedCrossRef

Linn, M. W., Klett, C. J., & Caffey, E. M., Jr. (1980). Foster home characteristics and psychiatric patient outcome. The wisdom of Gheel confirmed. Archives of General Psychiatry, 37, 129–132.PubMed

Lucca, A. M., & Allen, G. J. (2001). A statewide assessment of psychosocial rehabilitation programs: General characteristics and services. Psychiatric Rehabilitation Journal, 24, 205–213.PubMed

Macry, P. (1997). Rethinking a stereotype: Territorial differences and family models in the modernization of Italy. Journal of Modern Italian Studies, 2, 188–215.

Moos, R. H. (1996). Understanding environments: The key to improving social processes and program outcomes. American Journal of Community Psychology, 24, 193–201.PubMedCrossRef

Moos, R. H. (2002). The mystery of human context and coping: An unraveling of clues. American Journal of Community Psychology, 30, 67–88.PubMedCrossRef

Moos, R. H., & Lemke, S. (1980). Assessing the physical and architectural features of sheltered care settings. Journal of Gerontology, 35, 571–583.PubMed

Nagy, M. P., Fisher, G. A., & Tessler, R. C. (1988). Effects of facility characteristics on the social adjustment of mentally ill residents of board-and-care homes. Hospital & Community Psychiatry, 39, 1281–1286.

Picardi, A., Rucci, P., de Girolamo, G., Santone, G., Borsetti, G., & Morosini, P. (2006). The quality of life of the mentally ill living in residential facilities: Findings from a national survey in Italy. European Archives of Psychiatry and Clinical Neuroscience, 256, 372–381.PubMedCrossRef

Priebe, S. (2004). Institutionalization revisited–with and without walls. Acta Psychiatrica Scandinavica, 110, 81–82.PubMedCrossRef

Priebe, S., Badesconyi, A., Fioritti, A., Hansson, L., Kilian, R., Torres-Gonzales, F., et al. (2005). Reinstitutionalisation in mental health care: Comparison of data on service provision from six European countries. British Medical Journal, 330, 123–126.PubMedCrossRef

Randolph, F. L., Ridgway, P., & Carling, P. J. (1991). Residential programs for persons with severe mental illness: A nationwide survey of state-affiliated agencies. Hospital & Community Psychiatry, 42, 1111–1115.

Segal, S. P., & Kotler, P. L. (1993). Sheltered care residence: Ten-year personal outcomes. American Journal of Orthopsychiatry, 63, 80–91.PubMedCrossRef

Senn, V., Kendal, R., & Trieman, N. (1997). The TAPS project 38: Level of training and its availability to carers within group homes in a London district. Team for the assessment of psychiatric services. Social Psychiatry and Psychiatric Epidemiology, 32, 317–322.PubMedCrossRef

Timko, C. (1996). Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patients outcomes. American Journal of Community Psychology, 24, 173–192.PubMedCrossRef

Timko, C., & Moos, R. H. (1991). A typology of social climates in group residential facilities for older people. Journal of Gerontology: Social Sciences, 46, S1160–S1169.

Weaver, T., Madden, P., Charles, V., Stimson, G., Renton, A., Tyrer, P., et al. (2003). Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. British Journal of Psychiatry, 183, 304–313.PubMedCrossRef

Whitehead, C. C., Polsky, R. H., Crookshank, C., & Fik, E. (1984). Objective and subjective evaluation of psychiatric ward redesign. American Journal of Psychiatry, 141, 639–644.PubMed

Younge, S. L., Oetting, E. R., Banning, J. H., & Younge, K. A. (1990). Psychological messages from the physical environment: The drug and alcohol treatment center environment. International Journal of the Addictions, 25, 905–955.PubMed

Titel: How Does the Residential Care System Change? A Longitudinal Survey in a Large Region of Italy
verfasst von: Giovanni Neri
Francesca Guzzetta
Linda Pazzi
Rossella Bignami
Angelo Picardi
Giovanni de Girolamo
Publikationsdatum: 01.04.2011
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 2/2011
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-010-9355-8

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2011

The Role of Marital Status, Literacy, and Urbanity in Suicidal Behavior by Burns in the Province of Khorasan, Iran

Adding the Female Condom to HIV Prevention Interventions for Women with Severe Mental Illness: A Pilot Test

Discrimination, Perceived Social Inequity, and Mental Health Among Rural-to-Urban Migrants in China

Substance Use Outcomes Among Homeless Clients with Serious Mental Illness: Comparing Housing First with Treatment First Programs

The Reliability of an Education-related Self-efficacy Scale for People with Psychiatric Disabilities