意大利社区精神病学实践：三个地区系统的描述与比较

Italian community psychiatry in practice: description and comparison of three regional systems.

作者信息

Lora Antonio, Starace Fabrizio, Di Munzio Walter, Fioritti Angelo

机构信息

*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.

出版信息

J Nerv Ment Dis. 2014 Jun;202(6):446-50. doi: 10.1097/NMD.0000000000000143.

DOI:10.1097/NMD.0000000000000143

PMID:24886947

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.

摘要

1978年的精神病学改革赋予各地区实施社区心理健康（MH）服务的任务；在意大利30年后，有多少个意大利地区就有多少种MH系统，而且所有系统都完全不同。这里选择了位于不同地理区域的三个意大利地区（伦巴第、艾米利亚-罗马涅和坎帕尼亚），代表三种不同的社区护理实施模式以及地区层面的某些异同。对于每个地区，本文重点关注MH政策、资金、社区卫生设施网络、服务提供、MH工作人员以及信息系统。