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

Stefano Marino, Lucilla Frattura, Luigi Fabrizio De Luca, Michele De Francesco, Marco Olivieri and Benedetto Saraceno
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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

International Journal of Social Psychiatry, 1996, vol. 42, issue 3, 181-192

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.

Date: 1996
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:42:y:1996:i:3:p:181-192

DOI: 10.1177/002076409604200302

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