The provision of psychiatric care in Southern Italy. Results from the'Psychiatry in Southern Italy's Services' (De pisis) survey.
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.
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.
Mots-clés Pascal : Santé mentale, Italie, Europe, Organisation santé, Traitement communautaire, Psychiatrie communautaire, Offre, Soin, Homme
Mots-clés Pascal anglais : Mental health, Italy, Europe, Public health organization, Community treatment, Community psychiatry, Offer, Care, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0443161
Code Inist : 002B18H05B. Création : 10/04/1997.