Residential care in Italy. National survey of non-hospital facilities

Br J Psychiatry. 2002 Sep:181:220-5. doi: 10.1192/bjp.181.3.220.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Health Care Surveys
  • Humans
  • Italy
  • Male
  • Mental Disorders / therapy*
  • Mental Health Services / statistics & numerical data
  • Middle Aged
  • Patient Discharge
  • Personnel Staffing and Scheduling / statistics & numerical data
  • Residential Facilities / statistics & numerical data*
  • Socioeconomic Factors