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The Provision of Psychiatric Care in Southern Italy. Results From the 'Psychiatry in Southern Italy's Services' (De Pisis) Survey

Author

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  • Stefano Marino

    (Unità di Psichiatria, Istituto di Ricerche Farmacologiche Mario Negri, Dipartimento di Salute Mentale, USL A vezzano-Sulmona, Castel di Sangro (L'Aquila))

  • Lucilla Frattura

    (, Laboratory of Epidemiology and Social Psychiatry, Istituto di Ricerche Farmacologiche Mario Negri, Milano)

  • Luigi Fabrizio De Luca

    (Unità di Psichiatria, Istituto di Ricerche Farmacologiche Mario Negri, Consorzio Mario Negri Sud, Santa Maria Imbaro)

  • Michele De Francesco

    (Unità di Psichiatria, Istituto di Ricerche Farmacologiche Mario Negri, Consorzio Mario Negri Sud, Santa Maria Imbaro)

  • Marco Olivieri

    (Unit for Computer-Aided Biomedical Research, Istituto di Ricerche Farmacologiche Mario Negri, Consorzio Mario Negri Sud, Santa Maria Imbaro)

  • Benedetto Saraceno

    (Laboratory of Epidemiology and Social Psychiatry, Istituto di Ricerche Farmacologiche Mario Negri, Milano)

Abstract

Objective: To describe structural features, attenders' characteristics and intervention habits in a large sample of Community Mental Health Departments (CMHDs) in Southern Italy. Design and setting: 1) Survey of resources and organization features of collaborating CMHDs; 2) Unreplicated registration of all attenders and of therapeutic interventions during an index week. Results: A self-selected sample of 47 CMHDs in Southern Italy recruited 3845 patients during the last week of October 1992. Participating CMHDs were serving a socially deprived and severely ill population: 45.8% of attenders had 8 years or less of formal education; only 18.9% were employed, 30.9% of diagnoses were of the schizophrenia spectrum group and 23% of the affective disorders group. Sixty-eight per cent of patients were being treated with psychotropic drugs, while only 19% received rehabilitative interventions. The activity of CMHDs were oriented more towards the control of active symptomatology than towards rehabilitation. A significantly higher proportion of patients receiving a schizophrenia-spectrum disorder diagnosis were found in contact during the index week with those CMHDs providing both residential and semiresidential (day-hospital, community center) facilities.

Suggested Citation

  • Stefano Marino & Lucilla Frattura & Luigi Fabrizio De Luca & Michele De Francesco & Marco Olivieri & Benedetto Saraceno, 1996. "The Provision of Psychiatric Care in Southern Italy. Results From the 'Psychiatry in Southern Italy's Services' (De Pisis) Survey," International Journal of Social Psychiatry, , vol. 42(3), pages 181-192, September.
    • Handle: RePEc:sae:socpsy:v:42:y:1996:i:3:p:181-192
    DOI: 10.1177/002076409604200302
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    References listed on IDEAS

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    1. Gianni Tognoni & Benedetto Saraceno, 1989. "Regional Analysis of Implementation," International Journal of Social Psychiatry, , vol. 35(1), pages 38-45, March.
    2. Mario Maj & Fabrizio Starace & Dargut Kemali, 1989. "Implementing Psychiatric Reform in Southern Italy: the Case of Campania," International Journal of Social Psychiatry, , vol. 35(1), pages 46-53, March.
    3. F. Veltro & L. Magliano & S. Lobrace & P.L. Morosini, 1993. "Severely and Persistently Mentally Ill Patients in Italy: an Overview of Epidemiological and Psychosocial Findings," International Journal of Social Psychiatry, , vol. 39(4), pages 285-302, December.
    4. Bollini, Paola & Reich, Michael & Muscettola, Giovanni, 1988. "Revision of the Italian psychiatric reform: North/South differences and future strategies," Social Science & Medicine, Elsevier, vol. 27(12), pages 1327-1335, January.
    5. Renato Frisanco, 1989. "The Quality of Psychiatric Care Since the Reform Law: the 'Censis' Survey," International Journal of Social Psychiatry, , vol. 35(1), pages 81-89, March.
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