The psychiatric services in Cremona: a case study of the Italian reform law.

Abstract:

:Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in Italy: in the first, common in Southern Italy, the former PH and the new general hospital general wards (GHPW) coexist; in the second, outpatient departments complement the above facilities, but the hospital activity remains central; in the third model, a community model has been given priority--the so-called "community priority." While many reports have been published describing the activity of some of the services adhering to the third model, no report has been published specifically describing the activity of services which work according to the second model, such as Cremona. In this paper, the activity of the Cremona psychiatric services is described, and the consequences of the reform law and the problems related to an hospital-based activity are emphasized.

authors

de Girolamo G,Cappiello V

doi

10.1007/BF00752444

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

60-70

issue

1

eissn

0010-3853

issn

1573-2789

journal_volume

25

pub_type

杂志文章
  • Identification of mental illness: Its consequences for rejection.

    abstract::This paper is concerned with the significance of recent changes in the public's ability to correctly identify descriptions of mental illness. Whereas other investigators have argued that increased abilities to identify mental illness may lead to greater acceptance of the mentally ill, this paper suggests that increase...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01434882

    authors: Phillips DL

    更新日期:1967-09-01 00:00:00

  • Anxiety, depression and suicidal ideation in Lebanese patients undergoing hemodialysis.

    abstract::Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal idea...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-013-9669-4

    authors: Macaron G,Fahed M,Matar D,Bou-Khalil R,Kazour F,Nehme-Chlela D,Richa S

    更新日期:2014-02-01 00:00:00

  • Predictors of Outreach Meetings Among Substance Using Homeless Youth.

    abstract::Homeless youth have high rates of substance use and often lack connection to social services. Outreach is critical for connecting youth to services, but factors influencing their outreach engagement are unknown. This study examined predictors of meetings with outreach workers among 79 non-service connected, substance ...

    journal_title:Community mental health journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10597-015-9919-8

    authors: Carmona J,Slesnick N,Guo X,Murnan A,Brakenhoff B

    更新日期:2017-01-01 00:00:00

  • Local knowledge and rural mental health reform.

    abstract::Rural mental health care reform has failed to recognize that service utilization and access is guided by the meanings and explanations that rural dwellers ascribe to symptoms and treatments for mental illness. These meanings and explanations are described here as local knowledge. It is argued that planning for reform ...

    journal_title:Community mental health journal

    pub_type: 杂志文章,评审

    doi:10.1007/BF02189439

    authors: Hill CE,Fraser GJ

    更新日期:1995-12-01 00:00:00

  • Forensic Assertive Community Treatment: A Review of the Literature.

    abstract::An extensive body of literature provides evidence supporting the effectiveness of assertive community treatment (ACT) with regard to non-forensic outcome measures, such as number of hospital admissions and length of stay. However, research findings on the effectiveness of ACT for forensic outcome measures, such as rea...

    journal_title:Community mental health journal

    pub_type: 杂志文章,评审

    doi:10.1007/s10597-016-0044-0

    authors: Marquant T,Sabbe B,Van Nuffel M,Goethals K

    更新日期:2016-11-01 00:00:00

  • Primary prevention in community mental health centers: a survey of current activity.

    abstract::About half of the current activity in consultation and education services of community mental health centers can be classified as primary prevention. Using a framework that distinguishes between institutional-level interventions (caretaker training and program consultation) and individual-level interventions (dealing ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01422536

    authors: Vayda AM,Perlmutter FD

    更新日期:1977-01-01 00:00:00

  • Criteria for appropriate and inappropriate referrals to a crisis clinic.

    abstract::The purpose of this study was to develop criteria for appropriate and inappropriate referrals by telephone counselors to a crisis clinic. Interviews were conducted with staff members and volunteers of the Suicide Prevention and Crisis Service to explore possible criteria for making a referral. Nine criteria for inappr...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01435742

    authors: Walfish S,Tulkin SR,Tapp JT,Russell M

    更新日期:1976-04-01 00:00:00

  • Enhanced skills training and health care management for older persons with severe mental illness.

    abstract::This report describes a combined skills training (ST) and health management (HM) intervention for older adults with severe mental illness (SMI) and one-year pilot study outcomes. Findings are reported for twelve older persons with SMI (age 60+) who received ST+HM and twelve who received only HM. ST addressed interpers...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1023/b:comh.0000015219.29172.64

    authors: Bartels SJ,Forester B,Mueser KT,Miles KM,Dums AR,Pratt SI,Sengupta A,Littlefield C,O'Hurley S,White P,Perkins L

    更新日期:2004-02-01 00:00:00

  • A community ability scale for chronically mentally ill consumers: Part II. Applications.

    abstract::The authors describe uses for a 17-item instrument that efficiently measures the functioning level of chronically mentally ill persons living in the community. The Multnomah Community Ability Scale is designed to be completed by case managers who work with chronically mentally ill consumers. The instrument is sensitiv...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF02189063

    authors: Barker S,Barron N,McFarland BH,Bigelow DA,Carnahan T

    更新日期:1994-10-01 00:00:00

  • A Pilot Evaluation of the Rapid Response Program: A Home Based Family Therapy.

    abstract::A pilot evaluation study of the implementation of the Rapid Response Program, a program utilizing the ecosystemic structural family therapy model, in a rural area of Pennsylvania was conducted. This approach was implemented in children's mental health to supplant a costly model of care that had not proven to break the...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-018-0231-2

    authors: Clossey L,Simms S,Hu C,Hartzell J,Duah P,Daniels L

    更新日期:2018-04-01 00:00:00

  • Experience Focussed Counselling with Voice Hearers: Towards a Trans-diagnostic Key to Understanding Past and Current Distress-A Thematic Enquiry.

    abstract::As it is increasingly evident that distressing voices can be linked to traumatic events across diagnoses, there is a need for new transdiagnostic interventions for persons with voice hearing related distress. Twenty-five interviews with voice hearers and mental health professionals explored the trans-diagnostic suitab...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-018-0280-6

    authors: Schnackenberg J,Fleming M,Walker H,Martin CR

    更新日期:2018-10-01 00:00:00

  • Sexual and Reproductive Health Education Needs, Gender Roles Attitudes and Acceptance of Couple Violence According to Engaged Men and Women.

    abstract::This descriptive study was aimed to evaluate the attitudes of the engaged men and women who are of legal age to marry towards gender roles and acceptance of couple violence, and determine their sexual/reproductive health education needs. It was conducted in two marriage registry offices in Ankara, Turkey. The study sa...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-017-0227-3

    authors: Terzioglu F,Kok G,Guvenc G,Ozdemir F,Gonenc IM,Hicyilmaz BD,Sezer NY

    更新日期:2018-04-01 00:00:00

  • Community care of the mentally ill: Implementation of the Saskatchewan Plan.

    abstract::There has been partial implementation of the Saskatchewan Plan to replace the large centralized public mental hospital with small regional centers stressing community care. Intensive treatment of new patients together with intensive rehabilitation of old patients has greatly reduced the accumulation of chronic patient...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF01434450

    authors: Lafave HG,Stewart A,Grunberg F

    更新日期:1968-02-01 00:00:00

  • Integrating Psychosocial Support for Children in the Education Sector in Zambia: Lessons from the Programme Implementation Process.

    abstract::Literature suggests that psychosocial support programmes can improve wellbeing and mental health among learners. There is however limited documentation on methodologies and factors that shape integration of such programmes within the education sector. This qualitative study aimed to contribute towards addressing this ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00682-9

    authors: Zulu JM,Munsaka E,Okonji E,Gaillard C,Ngoma K,Mwamba M,Mudekunye L

    更新日期:2020-10-01 00:00:00

  • Depressive symptoms among Jordanian youth: results of a national survey.

    abstract::This study examines level of depression and factors associated with depression among female and male youth in Jordan. The study uses data from a cross-sectional survey conducted among a national sample of 14-25 year old youth attending educational institutions in Jordan (N = 8,129). On average, respondents reported fr...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-012-9529-7

    authors: Ismayilova L,Hmoud O,Alkhasawneh E,Shaw S,El-Bassel N

    更新日期:2013-02-01 00:00:00

  • Older adult users of outpatient mental health services.

    abstract::Descriptive demographic, clinical and interview data from clients of an outpatient mental health clinic for older adults are presented. These clients are better educated and have a more frequent history of marital difficulties than older adults in general. Although a significant minority received V code and Adjustment...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00752716

    authors: Speer DC,Williams J,West H,Dupree L

    更新日期:1991-02-01 00:00:00

  • The Portuguese Adaptation of the Mental Health Continuum-Short Form for Adult Population.

    abstract::The Mental Health Continuum-Short Form (MHC-SF) is a self-report questionnaire that allows the assessment of positive mental health, including three well-being components-emotional, psychological and social-as well as the categorical diagnosis of the presence or absence of mental health. The purpose of this study is t...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-019-00484-8

    authors: Fonte C,Silva I,Vilhena E,Keyes CLM

    更新日期:2020-02-01 00:00:00

  • Future involvement of siblings in the lives of persons with mental illness.

    abstract::Siblings are considered logical replacements for aging parental caregivers of persons with severe mental illness. For workshops on future planning conducted with 400 elderly parents, 60 siblings answered a survey regarding their future caregiving expectations, anticipated difficulties, and need for help. Nearly all ex...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-005-5005-y

    authors: Hatfield AB,Lefley HP

    更新日期:2005-06-01 00:00:00

  • Examining the Impact of This Is My Brave on Mental Illness Stigma and Willingness to Seek Help: A Pilot Study.

    abstract::This Is My Brave (TIMB) is a contact-based mental illness stigma reduction program, set in theaters, meant to reduce stigma, increase beliefs about empowerment and recovery, and improve attitudes towards treatment seeking for mental health concerns. The authors conducted the first empirical evaluation of TIMB using a ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-018-0238-8

    authors: Kosyluk K,Marshall J,Macias DR,Andrus D,Guerra D,Robinson M,Ostos A,Chapman S

    更新日期:2018-04-01 00:00:00

  • Psychiatric nursing roles in a community mental health center.

    abstract::We describe the addition of medication monitoring to the duties of nurses working as case managers in a day treatment program for the chronically mentally ill. The nurses used their medical and behavioral knowledge to form a more complete picture of the patient than either a visiting psychiatrist or a case-manager who...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00755055

    authors: Davidson RE,Factor R,Gundlach E,Adler K

    更新日期:1988-04-01 00:00:00

  • Navigating the Disability Determination Process from the Perspective of Incarcerated Adults with Serious Mental Illnesses.

    abstract::In the U.S. serious mental illness (SMI) is common in jails, which are often primary healthcare providers. Incarceration and healthcare are intertwined-lack of care access increases the risk of imprisonment which decreases care access. This case study explores a jail program which assists people with SMI with the disa...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-017-0140-9

    authors: McCauley E,Samples L

    更新日期:2017-11-01 00:00:00

  • Quality of Life in the COVID-19 Pandemic in India: Exploring the Role of Individual and Group Variables.

    abstract::The role of individual variables (COVID-19 anxiety, perceived susceptibility, perceived severity, optimistic bias and personal identity) as predictors of quality of life (QoL) during the novel coronavirus or COVID-19 pandemic is explored. Impact of group related variables (identification to family, religious group and...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00712-6

    authors: Kharshiing KD,Kashyap D,Gupta K,Khursheed M,Shahnawaz MG,Khan NH,Uniyal R,Rehman U

    更新日期:2021-01-01 00:00:00

  • The effects of cumulative risk and protection on problem behaviors for youth in an urban school-based system of care.

    abstract::The present study examined the cumulative effects of risk and protective factors on internalizing and externalizing problems for a sample of youth who were diagnosed with a severe emotional disturbance and enrolled in an urban school-based system of care. The sample included 139 Latino and African American children (a...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-012-9535-9

    authors: Whitson ML,Bernard S,Kaufman JS

    更新日期:2013-10-01 00:00:00

  • Patterns of case management activity in an intensive community support program: the first year.

    abstract::Changes in activity patterns of 12 case managers over the first year of an intensive community support program are described and a method and format for the collection and analysis of time budget data in case management are presented. During the first six months of the program case managers recorded the predominant ac...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00752824

    authors: Wright RG,Sklebar HT,Heiman JR

    更新日期:1987-04-01 00:00:00

  • Effects of fiscal retrenchment on public mental health services for the chronic mentally ill.

    abstract::In reviewing the public mental health services of 11 California counties during a period of fiscal retrenchment, we found several common trends: a greater focus on the severely mentally disabled; an increase in utilization of hospital-based care, residential treatment, day treatment, and case management services; and ...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00756983

    authors: Surber RW,Shumway M,Shadoan R,Hargreaves WA

    更新日期:1986-10-01 00:00:00

  • Improving propensity for patient self-advocacy through wellness recovery action planning: results of a randomized controlled trial.

    abstract::A fundamental aspect of successful illness self-management for people with serious mental illnesses is the ability to advocate for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing propensity for patient self-advocacy among those who received a p...

    journal_title:Community mental health journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10597-011-9475-9

    authors: Jonikas JA,Grey DD,Copeland ME,Razzano LA,Hamilton MM,Floyd CB,Hudson WB,Cook JA

    更新日期:2013-06-01 00:00:00

  • Counseling Army reservists and their families during Operation Desert Shield/Storm.

    abstract::The hardships of war affect all members of society. Those most acutely affected are service members and their families. Civilian service personnel mobilized within an active reserve component experience a disruption of life style which can cause stress. Service members are trained to be effective soldiers, but very li...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00754412

    authors: Rabb DD,Baumer RJ,Wieseler NA

    更新日期:1993-10-01 00:00:00

  • The initiation of mutual-help groups within residential treatment settings.

    abstract::Mutual- and self-help groups for persons with severe mental illness have typically been most accessible to individuals who live independently. In an effort to make their organization more accessible to those who live in residential treatment facilities, Schizophrenics Anonymous (SA) ran introductory mutual-help meetin...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1023/a:1018744225397

    authors: Salem DA,Gant L,Campbell R

    更新日期:1998-08-01 00:00:00

  • Group therapy with Southeast Asian refugees.

    abstract::This report describes a one-year experience with a new program of group therapy for Southeast Asians who were treated in a psychiatric program for Indochinese refugees. Cultural factors involving communication styles, respect for authority, and traditional social relationships greatly influence the group process. Soci...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/BF00756658

    authors: Kinzie JD,Leung P,Bui A,Ben R,Keopraseuth KO,Riley C,Fleck J,Ades M

    更新日期:1988-07-01 00:00:00

  • Shared Reflection to Maximize Resources and Minimize Costs: The Reflecting Team Applied to a Hospital Environment.

    abstract::Severe mental illness entails multiple hospital admissions and a large use of public resources. The Reflecting Team (RT), together with other dialogue strategies, place in a single therapeutic space, the patient, his family and a team of professionals to find together a solution to a situation of stagnation. The aim o...

    journal_title:Community mental health journal

    pub_type: 杂志文章

    doi:10.1007/s10597-020-00716-2

    authors: Balcells-Oliveró MM,Nuño L,Freixa N,Domínguez I,Pons I,Alcover E,Gual T

    更新日期:2020-09-29 00:00:00