S. Marino et al., THE PROVISION OF PSYCHIATRIC-CARE IN SOUTHERN ITALY - RESULTS FROM THE PSYCHIATRY IN SOUTHERN ITALY SERVICES (DE PISIS) SURVEY, International Journal of Social Psychiatry, 42(3), 1996, pp. 181-192
Objective: To describe structural features, attenders' characteristics
and intervention habits in a large sample of Community Mental Health
Departments (CMHDs) in Southern Italy. Design and setting: 1) Survey o
f resources and organization features of collaborating CMHDs; 2) Unrep
licated registration of all attenders and of therapeutic interventions
during an index week. Results: A self-selected sample of 47 CMHDs in
Southern Italy recruited 3845 patients during the last week of October
1992. Participating CMHDs were serving a socially deprived and severe
ly ill population: 45.8% of attenders had 8 years or less of formal ed
ucation; only 18.9% were employed, 30.9% of diagnoses were of the schi
zophrenia spectrum group and 23% of the affective disorders group. Six
ty-eight per cent of patients were being treated with psychotropic dru
gs, while only 19% received rehabilitative interventions. The activity
of CMHDs were oriented more towards the control of active symptomatol
ogy than towards rehabilitation. A significantly higher proportion of
patients receiving a schizophrenia-spectrum disorder diagnosis were fo
und in contact during the index week with those CMHDs providing both r
esidential and semiresidential (day-hospital, community center) facili
ties.