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Italian community psychiatry in practice: description and comparison of three regional systems
Antonio Lora1, Fabrizio Starace, Walter Di Munzio
1*Department of Mental Health, Lecco Hospital, Lecco, Italy; †Department of Mental Health and Drug Addictions, AUSL Modena, Modena, Italy; ‡Department of Mental Health, ASL Salerno, Salerno, Italy; and §Department of Mental Health and Drug Addictions, AUSL Bologna, Bologna, Italy.
Abstract:
The psychiatric reform in 1978 assigned the regions the task of implementing community mental health (MH) services; 30 years on in Italy, there are as many MH systems as there are Italian regions and all completely differentiated. Three Italian regions (Lombardy, Emilia-Romagna, and Campania) in different geographic areas are here chosen as representing three different models of community care implementation as well as certain similarities and differences at a regional level. For each region, the article focuses on MH policy, financing, the network of community health facilities, service provision, MH staff, and the information system.
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