Burti L, Garzotto N, Siciliani O, Zimmermann-Tansella C, Tansella M
Hosp Community Psychiatry. 1986 Aug;37(8):809-13. doi: 10.1176/ps.37.8.809.
Italy's mental health law of 1978 mandated the closing of state mental hospitals to new and former patients and the creation of comprehensive community-based service systems. The authors describe the organization, facilities and services, and treatment principles of one system created in accordance with the law--the South Verona Community Psychiatric Service, which serves a population of 75,000. Case register data for South Verona for the years 1978 to 1984 reflect the changes mandated by the law. They also indicate that despite an increase in admissions to the psychiatric ward in the general hospital following the closing of the state hospital, there was a substantial overall decrease in the number of hospital beds occupied per day by South Verona residents after passage of the law, and that a substantial proportion of patients with functional psychosis were able to be treated as outpatients.
1978年意大利的心理健康法规定，国立精神病院不再接收新患者和原有患者，并要求建立基于社区的综合服务系统。作者描述了依照该法律建立的一个系统——南维罗纳社区精神科服务机构的组织架构、设施与服务以及治疗原则，该机构服务于7.5万人口。1978年至1984年南维罗纳的病例登记数据反映了该法律所要求的变化。数据还表明，尽管国立医院关闭后综合医院精神科病房的入院人数有所增加，但法律通过后，南维罗纳居民每日占用的医院病床数量总体大幅下降，而且相当一部分功能性精神病患者能够作为门诊患者接受治疗。
