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Updated: Aug 15, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Residential care in Italy. National survey of non-hospital facilities
G de Girolamo1, A Picardi, R Micciolo
1National Institute of Health, National Mental Health Programme, Rome, Italy. gdg@iss.it
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.
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