Mental Health Care in Italy: Organisational Structure, Routine Clinical Activity and Costs of a Community Psychiatric Service in Lombardy Region

2000 ◽  
Vol 46 (4) ◽  
pp. 250-265 ◽  
Author(s):  
Giovanni Fattore ◽  
Mauro Percudani ◽  
Carla Pugnoli ◽  
Agostino Contini ◽  
Jennifer Beecham
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Service ◽  
Clinical Activity ◽  
Organisational Structure ◽  
Lombardy Region ◽  
Community Psychiatric ◽  
Community Psychiatric Service

scholarly journals The Great East Japan earthquake in 2011; toward sustainable mental health care system

2012 ◽  
Vol 21 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Y. Suzuki ◽  
Y. Kim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Nuclear Power ◽  
Psychiatric Service ◽  
Health Impact ◽  
Local Networks ◽  
Long Term Follow Up ◽  
Community Psychiatric Service

In face with a triple disaster of earthquake, tsunami and nuclear power plant accident, the degrees of which are historically hardly preceded, immediate mental health countermeasure was taken by the initiative of the national and local government together with academic and clinical organizations. Based on previous experience of natural disasters, more than 50 mental health care teams have been organized and dispatched to the affected areas, scheduled by the Ministry of Health, Labor and Welfare. When 6 months have passed, the acute and temporal support system should be replaced with more sustainable local networks with aims at promoting resilience, though community psychiatric service should be developed as well. Existing guidelines should be respected but actually it tended to be only partially recognized. In Fukushima prefecture, where nuclear plant accident occurred, its mental health impact is most concerned and long-term follow-up of the residents' health has been being planned.

scholarly journals Health professionals' views of services for schizophrenia – fragmentation and inequality

2000 ◽  
Vol 24 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Peter Haddad ◽  
Martin Knapp
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Great Britain ◽  
Mental Health Care ◽  
Inner City ◽  
Health Professionals ◽  
Psychiatric Nurses ◽  
Mental Health Care System ◽  
Educational Grant ◽  
Community Psychiatric

There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. We were interested in the views of those providing care. We organised a meeting of community psychiatric nurses, general practitioners and consultant psychiatrists (funded with an educational grant from Zeneca Pharmaceuticals). Participants worked in various parts of Great Britain, including rural and inner city areas. The authors facilitated the discussion, the emphasis of which was on participants' clinical experience.

Cumulated need for psychiatric service as shown in a community psychiatric project

1985 ◽  
Vol 15 (3) ◽  
pp. 629-635 ◽  
Author(s):  
Povl Munk-Jørgensen
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Psychiatric Service ◽  
Age Groups ◽  
Work Load ◽  
Psychiatric Examination ◽  
Referral Rates ◽  
Community Psychiatric ◽  
Community Psychiatric Service ◽  
Almost All

SynopsisDistrict psychiatric services often supplement intramural mental health programmes. They usually result in an increase in the number of referrals to the mental health facilities, which reflects a cumulative need for psychiatric examination and treatment in the population. A significant decrease in the annual first referral rates per 1000 inhabitants aged 15 years and above is apparent in an analysis of the trends in the Danish Samsø community psychiatric service from its inception in 1957 until 1982. The average annual rates were 19·4 in the first 5-year period, 10·0 in the second 5-year period, and 8·4 in the ‘steady state period’ from 1967 to 1982. The conclusion is, therefore, that the work load connected with the cumulative need for psychiatric examination and treatment should be terminated in approximately 10 years. A comparison of the two 5-year periods, 1957–61 and 1978–82, demonstrated a decrease in first referral rates in almost all diagnostic groups: this is significant among manic-depressive psychoses, neurotic states and unspecified mental disorders. The rates of no mental disorders and senile and arteriosclerotic psychoses were almost unchanged. In the 10-year age groups there was a decrease in first referral rates for all groups, except for the groups aged 75 years and above whose rates were unchanged. The concept of cumulative need for psychiatric examination and treatment is discussed in relation to the reports of various district psychiatric service programmes in different European countries.

Service utilisation and costs of first-contact patients in a community psychiatric service in Italy

2002 ◽  
Vol 17 (8) ◽  
pp. 434-442 ◽  
Author(s):  
Mauro Percudani ◽  
Giovanni Fattore ◽  
Gian Carlo Belloni ◽  
Simone Gerzeli ◽  
Agostino Contini
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Centre ◽  
Community Services ◽  
Routine Activity ◽  
Clinical Activity ◽  
Service Utilisation ◽  
The Mean ◽  
Community Psychiatric Service ◽  
First Contact

SummaryThis study describes service utilisation under routine clinical activity and the costs of providing mental health care for 24 months for the whole population of 330 subjects who had first contact with the Magenta Community Mental Health Centre during one year. The mean age of patients was 42.5 years, and 61% were females. According to ICD 10 criteria, 7% were diagnosed as having schizophrenia, 22% mood disorders, 37% neurotic disorders, 15% personality disorders and 19% other diagnoses. The clinical routine activity was monitored for 24 months from the first contact for each patient. The mean cost for a schizophrenic patient is more than double that of other patients. In-patient activity and community services accounted, respectively, for 49.7% and 50.3% of the total costs. Total health care costs per patient differ widely according to whether patients had been hospitalised during the observation period. Patients with a previous psychiatric contact and a longer duration of illness were more costly than the other patients. Multiple regression analysis was used to assess the association between all the individual variables and costs. For the whole population, the model explains 50% of the cost variation. Higher treatment costs were positively associated with the presence of previous psychiatric contacts and referral to the CPS by other sources than a general practitioner, and negatively associated with age.

THE DEMISE OF THE ASYLUM IN LATE TWENTIETH-CENTURY BRITAIN: A PERSONAL HISTORY

2011 ◽  
Vol 21 ◽  
pp. 193-215 ◽  
Author(s):  
Barbara Taylor
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Twentieth Century ◽  
Mental Health Care ◽  
Personal Autonomy ◽  
Psychiatric Service ◽  
Healthcare Provision ◽  
North East ◽  
Late Twentieth ◽  
Late Twentieth Century

ABSTRACTMental health care in Britain was revolutionised in the late twentieth century, as a public asylum system dating back to the 1850s was replaced by a community-based psychiatric service. This paper examines this transformation through the lens of an individual asylum closure. In the late 1980s, I spent several months in Friern mental hospital in north-east London. Friern was the former Colney Hatch Asylum, one of the largest and most notorious of the great Victorian ‘museums of the mad’. It closed in 1993. The paper gives a detailed account of the hospital's closure, in tandem with my personal memories of life in Friern during its twilight days. Friern's demise occurred in an ideological climate increasingly hostile to welfare dependency. The transfer of mental health care from institution to community was accompanied by a new ‘recovery model’ for the mentally ill which emphasised economic independence and personal autonomy. Drawing on the Friern experience, the paper concludes by raising questions about the validity of this model and its implications for mental healthcare provision in twenty-first century Britain.

scholarly journals Continuing Care for Mentally Stable Psychiatric Patients in Primary Care: Patients' Preferences and Views

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Vincent I. O. Agyapong
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Health Centre ◽  
Psychiatric Services ◽  
Community Mental Health Centre

Objective. To investigate the preferences of psychiatric patients regarding attendance for their continuing mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting. Methods. 150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semistructured questionnaire designed to assess the objectives of the study. Results. 145 patients completed the questionnaire giving a response rate of 97%. Ninety-eight patients (68%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason given by patients in this category was fear of substandard quality of psychiatric care from their general practitioners (GPs) (67 patients, 68.4%). Twenty-nine patients (20%) preferred to attend their GP for continuing mental health care. The reasons given by these patients included confidence in GPs, providing same level of care as psychiatrist for mental illness (18 patients or 62%), and the advantage of managing both mental and physical health by GPs (13 patients, 45%). Conclusion. Most patients who attend specialised psychiatric services preferred to continue attending specialized psychiatric services even if they become mentally stable than primary care, with most reasons revolving around fears of inadequate psychiatric care from GPs.

scholarly journals The Draft of the Regional Mental Health Care System Development Plan for St. Petersburg Residents

2020 ◽  
pp. 57-64
Author(s):  
A. G. Sofronov ◽  
A. E. Dobrovolskaya
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care System ◽  
System Development ◽  
Psychiatric Service ◽  
Health Protection ◽  
Development Plan ◽  
Mental Health Care System ◽  
Care System

Nowadays, the regional psychiatric service is a main structured part of the mental health care system in Russia. The development of psychiatric service at the present stage is intended to contribute meaningfully to achievement of the goals of National projects:»Health Care» and «Demography». At the same time, abilities of Russian psychiatric service in mental health protection field are limited. Today, psychiatric service is lacking resources for social assistance for the patients, is unable to do psychoprophylactic and psychohygienic work, including work for vulnerable groups. At the present time, the development of the Russian mental health protection system is widely discussed among experts.The draft of the Regional mental health care system development plan that is proposed by the authors of the article has been designed according to the characteristics of St. Petersburg, the region of the Russian Federation. The European mental health action plan (The Plan of the WHO) served as the basis for development of the thesis. The document contains a preamble, a main objectives section, a conclusion and an appendix. The justification for the development of the mental health care, based on the adapted provisions of the Plan of the WHO, domestic approaches and other informational materials, is provided in the preamble. The next section contains 4 objectives that are the most relevant for the region. Each objective has a plan of the key activities with a clarification regarding which otganisations are responsible for executing it. The activities are summarised in tables and are presented in the appendix. The material is published in reduced form.

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