caa a22 4500 445849363 CHVBK 20180317145408.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s10597-010-9355-8 doi (NATIONALLICENCE)springer-10.1007/s10597-010-9355-8 How Does the Residential Care System Change? A Longitudinal Survey in a Large Region of Italy [Elektronische Daten] [Giovanni Neri, Francesca Guzzetta, Linda Pazzi, Rossella Bignami, Angelo Picardi, Giovanni de Girolamo] To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with>4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increased from 3.1 per 10,000 inhabitants in 2000 to 4.1 per 10,000 inhabitants in 2005. The RFs operated by private non-profit associations increased at a greater rate than the number of NHS-operated facilities, and the percentage of non-qualified staff has also risen at a greater rate than that observed for qualified staff. The number of individuals with comorbid substance abuse increased from 2.1% in 2000 to 5.7% in 2005. Patient turnover rates were low in both 5-year periods. A process of new institutionalization might be taking place. Mental health care policy-makers should take these findings into account to enhance the planning of effective services, including RFs granting a satisfactory quality of life to patients with severe disorders requiring long-term, eventually unlimited care. Springer Science+Business Media, LLC, 2010 Residential facility nationallicence Severe mental illness nationallicence Deinstitutionalization nationallicence Health services research nationallicence Neri Giovanni Department of Mental Health, Azienda USL di Modena, via Emilia Ovest, 438/a, 41100, Modena, Italy aut Guzzetta Francesca Department of Mental Health, Azienda USL di Bologna, via Benni n.4, 40054, Budrio, Bo, Italy aut Pazzi Linda Service for Mental Health Services and Health Care in Prisons, Emilia-Romagna Region, Viale Aldo Moro 21, 40127, Bologna, Italy aut Bignami Rossella Service for Mental Health Services and Health Care in Prisons, Emilia-Romagna Region, Viale Aldo Moro 21, 40127, Bologna, Italy aut Picardi Angelo Centre of Epidemiology Surveillance and Health Promotion, National Institute of Health, Mental Health Unit, Viale Regina Elena, 299, 00161, Rome, Italy aut de Girolamo Giovanni IRCCS Centro S. Giovanni di Dio-Fatebenefratelli, via Pilastroni 4, 20125, Brescia, Italy aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/2(2011-04-01), 201-208 0010-3853 47:2<201 2011 47 10597 https://doi.org/10.1007/s10597-010-9355-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-010-9355-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Neri Giovanni Department of Mental Health, Azienda USL di Modena, via Emilia Ovest, 438/a, 41100, Modena, Italy aut NATIONALLICENCE 700 1- Guzzetta Francesca Department of Mental Health, Azienda USL di Bologna, via Benni n.4, 40054, Budrio, Bo, Italy aut NATIONALLICENCE 700 1- Pazzi Linda Service for Mental Health Services and Health Care in Prisons, Emilia-Romagna Region, Viale Aldo Moro 21, 40127, Bologna, Italy aut NATIONALLICENCE 700 1- Bignami Rossella Service for Mental Health Services and Health Care in Prisons, Emilia-Romagna Region, Viale Aldo Moro 21, 40127, Bologna, Italy aut NATIONALLICENCE 700 1- Picardi Angelo Centre of Epidemiology Surveillance and Health Promotion, National Institute of Health, Mental Health Unit, Viale Regina Elena, 299, 00161, Rome, Italy aut NATIONALLICENCE 700 1- de Girolamo Giovanni IRCCS Centro S. Giovanni di Dio-Fatebenefratelli, via Pilastroni 4, 20125, Brescia, Italy aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/2(2011-04-01), 201-208 0010-3853 47:2<201 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer