Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Pycha, R; Giupponi, G; Schwitzer, J; Duffy, D; Conca, A.
Italian psychiatric reform 1978: milestones for Italy and Europe in 2010?
Eur Arch Psychiatry Clin Neurosci. 2011; 261 Suppl 2(6):S135-S139
Doi: 10.1007/s00406-011-0245-z
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- Co-Autor*innen der Med Uni Graz
- Giupponi Giancarlo
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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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- Health Care Reform - history Health Care Reform - legislation & jurisprudence
- Health Services Needs and Demand - history Health Services Needs and Demand - legislation & jurisprudence
- History, 20th Century -
- History, 21st Century -
- Humans -
- Humans -
- Mental Disorders - history
- Mental Health Services - history Mental Health Services - legislation & jurisprudence
- Psychiatry - history Psychiatry - legislation & jurisprudence
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- Italian psychiatric reform
- Community psychiatry
- Family burden
- Psychiatric beds
- Democratic psychiatry