Mental health care in Rome

Gaddini, Andrea; Ascoli, Micol; Biscaglia, Lilia

doi:10.1016/s0924-9338(05)80177-4

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…The IPH prevalence in the city of Rome was relatively low, showing a reduction over the years we examined in the present study (from 3.04 per 10,000 people in 2013, to 2.60 per 10,000 people in 2015). A previous Italian study (Gaddini et al, 2005) an approximate admission rate to acute psychiatric wards, including voluntary and involuntary patients, of 31.8 per 10,000 residents in the city of Rome in 2002. Another study underlined the low Italian rate of IPH (Sheridan , hypothesising that this result might be due to the reduction in bed capacity established by the Law 180, as well as the presence of a local psychiatric culture which values deinstitutionalisation and reintegration in the community.…”

Section: Discussionmentioning

confidence: 99%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

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Involuntary psychiatric hospitalisation in Italy raises some critical forensic issues. We analysed the sociodemographic, psychopathological, and behavioural characteristics of involuntarily hospitalised psychiatric patients, and the effectiveness of the juridical procedure of guarantee. Case files (n ¼ 2796) related to involuntary psychiatric hospitalisation (IPH) at the Office of the Tutelary Judge of the Ordinary Court of Rome (Italy) between January 2013 and May 2016 were analysed. For each case file sociodemographic, clinical and procedural information were collected. The sample included 53.7% men, patients had a mean age of 41.8 ± 13.9. Most of the IPH proposal certificates reported more than one reason, among which the most frequent were symptoms referring to a psychotic dimension (54.8%), agitation (38.0%), and symptoms of bipolar and related disorders (26.3%) Female patients showed a higher prevalence of symptoms of the bipolar spectrum (F ¼ 29.7%, M ¼ 23.3%; p < 0.05), while male patients showed a higher prevalence of aggressive behaviour (F ¼ 7.7%, M ¼ 12.6%; p < 0.01). Over 85% of the IPH proposal certificates did not explicitly mention issues related to adherence to care, which is the second criterium requested for IH (treatment refusal) and up to 7.3% of the proposals were not properly motivated. However, only 0.8% cases were not validated by the Tutelary Judge. Possible issues in the IPH procedures emerged since a significant number of certifications showed poor concordance with law-criteria for involuntary psychiatric hospitalisation. Despite this evidence, the low rate of unvalidated procedures by the Tutelary Judge, suggests a possible limitation of this form of guarantee.

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Section: Discussionmentioning

confidence: 99%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

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“…Of the 46 eligible studies, 36 (78.3%) [19–54] were descriptive, and 10 (21.7%) were analytical [55–64]. Thirty six papers (80.4%) presented service availability data from a single country, of which 19 [20, 28, 32–34, 37, 40–42, 50, 51, 53–57, 59, 61, 64] took a regional or local approach, while 17 [19, 21–27, 30, 36, 38, 39, 43–46, 49] looked at availability from a national level. Ten papers presented service data from more than one country, of which seven [29, 35, 47, 48, 52, 58, 60] took a regional or local approach, and three [31, 62, 63] were at the national level.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty eight studies (60%) provided socio-demographic context [21, 24, 25, 27, 29, 31, 34, 37–40, 42–45, 47–50, 52, 53, 55–57, 59–62]. Two papers [34, 53] which presented data from atlases of mental health care included comprehensive local area data.…”

Section: Resultsmentioning

confidence: 99%

“…ESMS/DESDE was developed for all long term care services. Fifteen studies did not use a structured framework [19, 26, 30, 32, 35–42, 46, 49, 57], of which five did not provide any method [37, 40–42, 46]. Four of these [37, 40, 41, 42] formed part of a group of seven papers in a special supplement related to a conference on mental health care in capital cities: however three of this seven papers were excluded from this study as they did not include any data on service availability.…”

Section: Resultsmentioning

confidence: 99%

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Healthcare ecosystems research in mental health: a scoping review of methods to describe the context of local care delivery

Furst

Gandré

López-Alberca

et al. 2019

BMC Health Serv Res

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BackgroundEvidence from the context of local health ecosystems is highly relevant for research and policymaking to understand geographical variations in outcomes of health care delivery. In mental health systems, the analysis of context presents particular challenges related to their complexity and to methodological difficulties. Method guidelines and standard recommendations for conducting context analysis of local mental health care are urgently needed. This scoping study reviews current methods of context analysis in mental health systems to establish the parameters of research activity examining availability and capacity of care at the local level, and to identify any gaps in the literature.MethodsA scoping review based on a systematic search of key databases was conducted for the period 2005–2016. A systems dynamics/complexity approach was adopted, using a modified version of Tansella and Thornicroft’s matrix model of mental health care as the conceptual framework for our analysis.ResultsThe lack of a specific terminology in the area meant that from 10,911 titles identified at the initial search, only 46 papers met inclusion criteria. Of these, 21 had serious methodological limitations. Fifteen papers did not use any kind of formal framework, and five of those did not describe their method. Units of analysis varied widely and across different levels of the system. Six instruments to describe service availability and capacity were identified, of which three had been psychometrically validated. A limitation was the exclusion of grey literature from the review. However, the imprecise nature of the terminology, and high number of initial results, makes the inclusion of grey literature not feasible.ConclusionWe identified that, in spite of its relevance, context studies in mental health services is a very limited research area. Few validated instruments are available. Methodological limitations in many papers mean that the particular challenges of mental health systems research such as system complexity, data availability and terminological variability are generally poorly addressed, presenting a barrier to valid system comparison. The modified Thornicroft and Tansella matrix and related ecological production of care model provide the main model for research within the area of health care ecosystems.

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“…Although the data are from 2004-2005, they allow for the comparison of different patterns of care [25] and the professional resources devoted to psychiatric rehabilitation, the main topic of our present work. Mental health care in Rome (Italy) [26], Madrid (Spain) [27], London (the United Kingdom) [28], Berlin (Germany) [29], Prague (Czech Republic) [30], Paris (France) and special contributions about Belgrade and Serbia [31,32], France [33], and Greece [34] were described as the main features.…”

Section: Who Is Working On the Psychiatric Rehabilitation Equipe In Ementioning

confidence: 99%

Psychiatric Rehabilitation in Italy: Cinderella No More—The Contribution of Psychiatric Rehabilitation Technicians

Roncone

Ussorio

Salza

et al. 2016

International Journal of Mental Health

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Mental health care in Rome

Cited by 7 publications

References 5 publications

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Healthcare ecosystems research in mental health: a scoping review of methods to describe the context of local care delivery

Psychiatric Rehabilitation in Italy: Cinderella No More—The Contribution of Psychiatric Rehabilitation Technicians

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