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Methodological Lessons From the Italian Psychiatric Experience

Author

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  • Benedetto Saraceno

    (Psychiatry Unit, Istituto di Richerche Farmacologiche 'Mario Negri', Via Eritrea 62, 20157, Milano, Italy)

  • Gianni Tognoni

    (Laboratory of Clinical Pharmacology, Istituto di Richerche Farmacologiche 'Mario Negri', Via Eritrea 62, 20157 Milano, Italy)

Abstract

One of the main reasons why the Italian experience has been the object of much controversial attention in the international literature over the last decade lies in the ambiguity of the terms of reference used. Methodologically, it is of critical importance to re-establish the permanent dialectical relationship between the reality of the Italian experience, the prescription of the Law, and the administration of the reform. In this context, the evaluative variables are less the 'process' indicators of implementation of the reform, and more the qualitative 'outcome' assessment of the fate of the policy. The following concepts are discussed in detail, both in relation to Italy and to the broader status of psychiatry: de-Institutionalisation and de-hospitalisation; psychiatric hospital; rehabilitation-Home; Service-Services-Intervention; User; primary health care; evaluative research.

Suggested Citation

  • Benedetto Saraceno & Gianni Tognoni, 1989. "Methodological Lessons From the Italian Psychiatric Experience," International Journal of Social Psychiatry, , vol. 35(1), pages 98-109, March.
  • Handle: RePEc:sae:socpsy:v:35:y:1989:i:1:p:98-109
    DOI: 10.1177/002076408903500111
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    References listed on IDEAS

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    1. Shepherd, M., 1985. "Psychiatric epidemiology and epidemiological psychiatry," American Journal of Public Health, American Public Health Association, vol. 75(3), pages 275-276.
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    Cited by:

    1. Giovanni Fattore & Mauro Percudani & Carla Pugnoli & Agostino Contini & Jennifer Beecham, 2000. "Mental Health Care in Italy: Organisational Structure, Routine Clinical Activity and Costs of a Community Psychiatric Service in Lombardy Region," International Journal of Social Psychiatry, , vol. 46(4), pages 250-265, December.
    2. Roberto Mezzina & Daniela Vidoni, 1995. "Beyond the Mental Hospital: Crisis Intervention and Continuity of Care in Trieste. A Four Year Follow-Up Study in a Community Mental Health Centre," International Journal of Social Psychiatry, , vol. 41(1), pages 1-20, March.

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