Search results for ‘Subject term:"mental health problems"’ Sort:
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Wooed by an Italian model
- Author:
- HAYES Derren
- Journal article citation:
- Community Care, 24.05.07, 2007, pp.34-35.
- Publisher:
- Reed Business Information
Anne Kendall, winner of the Isabel Schwarz Travel Fellowship talks to the author about her visit to Italy to study Treste's system of community-based treatment.
Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service
- Authors:
- BURTI Lorenzo, et al
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.705-720.
- Publisher:
- Springer
This study compares the two-year clinical and social outcome, the use of services and the direct costs of patients of the South-Verona Community Psychiatric Service who were members of a self-help group, with those who were not. Use of services and costs in the two years before the baseline were compared with those occurring two years after the baseline. Self-help subjects decreased their use of hospital stay as to number of admissions and days in hospital, with a reduction of costs; they were more satisfied as to work/education while non self-help matches presented an increase of unmet needs. Clinical and social outcome showed no significant difference. The findings suggest that consumer participation may possibly enhance the effects of psychiatric treatment on outcome.
Changes and predictors of change in objective and subjective quality of life: multiwave follow-up study in community psychiatric practice
- Authors:
- RUGGERI Mirella, et al
- Journal article citation:
- British Journal of Psychiatry, 187(2), August 2005, pp.121-130.
- Publisher:
- Cambridge University Press
This Italian study aims to describe changes at 2 and 6 years in objective and subjective quality of life in 261 individuals attending a community mental health service and to identify predictors of change in each life domain. The research used a prospective study of demographic, diagnostic and service utilisation characteristics, psychopathology, functioning, disability, self-esteem, affect balance and service satisfaction. Female gender, unmarried status, older age, less education and greater disability predicted a worsening of objective quality of life over time, but explain a small amount of variance. The variance in subjective quality of life was higher (greater than 40%). Greater clinician-rated anxiety and depressive symptoms had a negative effect on satisfaction with health and general well-being. Psychological status, self-esteem and satisfaction with service were the most important predictors in almost all subjective domains; these variables should be important targets for treatment.
Reassessing treatment environments after two decades: client and staff perceptions of an Italian community mental health service environment, then and now
- Authors:
- BURTI Lorenzo, ANDREONE Nicola, MAZZI Mariangela
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.199-210.
- Publisher:
- Springer
Community-based psychiatric services and programs developed in accordance with the 1978 Italian psychiatric reform have now been in operation for a quarter of a century. The paper presents the results of a study in which three treatment environments of South-Verona, i.e. a general hospital psychiatric ward, a community mental health center (CMHC) and two residential facilities have been investigated using the Ward Atmosphere Scale (WAS) and the Community Oriented Programs Environment Scale (COPES). Staff and patient ratings have been collected in the three environments thus allowing comparisons between respondents and settings. For the ward and the CMHC, whose staff had already been interviewed almost twenty years before, a comparison between studies was also possible. Results seem to show that original policies, attitudes and staff commitment have successfully survived the passage of time with only minor adjustments and that the single-staff module of South-Verona may have effectively contributed in this respect.
Integrating evaluative research and community-based mental health care in Verona, Italy
- Authors:
- TANSELLA Michele, BURTI Lorenzo
- Journal article citation:
- British Journal of Psychiatry, 183(8), August 2003, pp.167-169.
- Publisher:
- Cambridge University Press
The South Verona Psychiatric Case Register, covering the area served by the community-based mental health service monitors all contacts that South Verona adult residents have with in-patient services (including private psychiatric clinics and hospitals) and community mental health services. The Register and ad hoc surveys provide a basis for studies of service use and patterns of care over time. The following studies have been completed: longitudinal patterns of care; in-patient care prior and subsequent to the Italian psychiatric reform; long-stay and long-term patients; comparisons between South Verona services and other Italian and European services with a different system of care; exploring the relationship between population socio-demographic characteristics and service use; identification of the operational criteria of continuity of care; studies of mortality among psychiatric patients.