The psychiatric services in cremona: A case study of the Italian reform law

Giovanni de Girolamo, Vincenzo Cappiello

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Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in Italy: in the first, common in Southern Italy, the former PH and the new general hospital general wards (GHPW) coexist; in the second, outpatient departments complement the above facilities, but the hospital activity remains central; in the third model, a community model has been given priority-the so-called "community priority". While many reports have been published describing the activity of some of the services adhering to the third model, no report has been published specifically describing the activity of services which work according to the second model, such as Cremona. In this paper, the activity of the Cremona psychiatric services is described, and the consequences of the reform law and the problems related to an hospital-based activity are emphasized.

Original languageEnglish
Pages (from-to)60-70
Number of pages11
JournalCommunity Mental Health Journal
Issue number1
Publication statusPublished - Mar 1989

ASJC Scopus subject areas

  • Health Professions(all)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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