© 2002 The Royal College of Psychiatrists
Residential care in Italy
National survey of non-hospital facilities
National Institute of Health, National Mental Health Programme, Rome, Italy
Department of Biostatistics, University of Trento, Italy
Department of Psychiatry, University of Aukland, New Zealand
Programme on Mental Health and Substance Abuse, Azienda ASL di Rimini, Italy
National Institute of Health, National Mental Health Programme, Rome, Italy
for the PROGRES Group
Correspondence: Dr G. de Girolamo, Department of Mental Health, Viale Pepoli 5, 40123 Bologna, Italy. Tel: +39 51 6584377; fax: +39 51 6584178, e-mail: gdg{at}iss.it
Declaration of interest Funding was received from the National Institute of Health.
Background In Italy, where all mental hospitals have been gradually phased out since 1978, psychiatric patients requiring long-term care are being treated in non-hospital residential facilities (NHRFs). However, detailed data on these facilities are sparse.
Aims The Progetto Residenze (PROGRES) residential care project is a three-phase study, the first phase of which aims to survey the main characteristics of all Italian NHRFs.
Method Structured interviews were conducted with the manager of each NHRF.
Results On 31 May 2000 there were 1370 NHRFs with 17 138 beds; an average of 12.5 beds each and a rate of 2.98 beds per 10 000 inhabitants. Residential provision varied ten-fold between regions and discharge rates were very low. Most had 24-hour staffing with 1.42 patients per full-time worker.
Conclusions There is marked variability in the provision of residential places between different regions; discharge rates are generally low.
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BJP 2002 181: 0.[Full Text]
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