Long-Stay and Long-Term Psychiatric Patients in an Area With a Community-Based System of Care. a Register Follow-Up Study

Matteo Balestrieri, Rocco Micciolo and Michele Tansella

International Journal of Social Psychiatry, 1987, vol. 33, issue 4, 251-262

Abstract: In South-Verona, where a community-based system of care consonant with the provisions of the Italian psychiatric reform has been operating since 1978, case-register data show that Long-stay inpatient rates are decreasing, while rates of patients treated long-term outside the mental hospital (i.e. those in "continuous care for one year, receiving treatment in the community by the various out-patient and day-patient facilities and in some cases short spells of inpatient care") show a recent increasing trend. Long-stay inpatients on 31.12 1982 have been compared with long-term community patients on the same date. The two cohorts were similar in terms of basic sociodemographic variables and contained a similar proportion of psychotic patients. However, while 88% of the long-stay inpatients were still long-stay after two years, only 45% of the long-term patients in the community remained in long-term treatment over the same period. Using a log-linear model, diagnosis was found to be the variable with the highest association in the long-term cohort with subsequent pattern of use of mental health services.

Date: 1987
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:33:y:1987:i:4:p:251-262

DOI: 10.1177/002076408703300401

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