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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 2/2011

01.11.2011 | Original Paper

Italian psychiatric reform 1978: milestones for Italy and Europe in 2010?

verfasst von: Roger Pycha, Giancarlo Giupponi, Josef Schwitzer, Dearbhla Duffy, Andreas Conca

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Sonderheft 2/2011

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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.
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Metadaten
Titel
Italian psychiatric reform 1978: milestones for Italy and Europe in 2010?
verfasst von
Roger Pycha
Giancarlo Giupponi
Josef Schwitzer
Dearbhla Duffy
Andreas Conca
Publikationsdatum
01.11.2011
Verlag
Springer-Verlag
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe Sonderheft 2/2011
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-011-0245-z

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