caa a22 4500 445344199 CHVBK 20180317142823.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00406-011-0245-z doi (NATIONALLICENCE)springer-10.1007/s00406-011-0245-z Italian psychiatric reform 1978: milestones for Italy and Europe in 2010? [Elektronische Daten] [Roger Pycha, Giancarlo Giupponi, Josef Schwitzer, Dearbhla Duffy, Andreas Conca] The Italian psychiatric reform of 1978 was one of the most radical attempts in history to abolish the practise of custodial psychiatry using legislation. The work of the charismatic reformer Franco Basaglia had four main objectives, which have taken more than 30years to achieve. Although the creation of outpatient mental health centres and a reduction in involuntary commitments occurred rapidly, the expensive development of small acute psychiatric departments in general hospitals as an alternative to psychiatric hospitals was implemented very slowly. According to a national survey by the Italian Ministry of Health, in 2001, there were a total of 9,300 acute beds for all of Italy, of which as many as 4,000 were in private facilities. With 1.72 acute beds per 10,000 inhabitants, Italy has one of the lowest figures in Europe of psychiatric beds. However, Italy's apparent and often praised low bed requirement places a large burden on families. The implementation of the reform process was most delayed and occurred at its worst in South Tyrol, in North Italy. In an effort to achieve a modern and progressive community-based psychiatric service, in particular one with more specialised services, mental health providers in this region have examined German, Austrian and Swiss models of psychiatric practice. Springer-Verlag, 2011 Italian psychiatric reform nationallicence Community psychiatry nationallicence Family burden nationallicence Psychiatric beds nationallicence Democratic psychiatry nationallicence Pycha Roger Psychiatric Service of Bruneck (BZ), Spitalstrasse 11, 39031, Brunico/Bruneck, Italy aut Giupponi Giancarlo Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut Schwitzer Josef Psychiatric Service of Brixen, Bressanone/Brixen, Italy aut Duffy Dearbhla Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut Conca Andreas Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 135-139 0940-1334 261<135 2011 261 406 https://doi.org/10.1007/s00406-011-0245-z text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00406-011-0245-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pycha Roger Psychiatric Service of Bruneck (BZ), Spitalstrasse 11, 39031, Brunico/Bruneck, Italy aut NATIONALLICENCE 700 1- Giupponi Giancarlo Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut NATIONALLICENCE 700 1- Schwitzer Josef Psychiatric Service of Brixen, Bressanone/Brixen, Italy aut NATIONALLICENCE 700 1- Duffy Dearbhla Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut NATIONALLICENCE 700 1- Conca Andreas Psychiatric Service of Bozen, Bolzano/Bozen, Italy aut NATIONALLICENCE 773 0- European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 135-139 0940-1334 261<135 2011 261 406 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer