66 research outputs found
Development of community mental health services: the case of Emilia‑Romagna italian region
Italian psychiatry has gained International attention
after its radical reform of 1978, which
established the progressive closure of mental
hospitals and the establishment of community
services throughout the country. However it is
technically inappropriate to talk about Italian
psychiatry as the devolution process has
transferred to the regions all competences
about policy, planning and evaluating health
services. This explains the variety of “community
psychiatries” that can be found along the
peninsula and the reasons of interest that can
arise from their comparison.
The development of community psychiatry
in Emilia‑Romagna,
a region of 4 million
inhabitants in Northern Italy, has proceeded
through two partially overlapping phases of
deinstitutionalization (1978‑1997)
and development
of integrated mental health departments
(1990‑2008).
The analysis of raw data
about allocation of resources and professional
capital development give way to tentative comparisons
with the current Portuguese situation
of implementation of a similar reform.
In 2006 the regional Council launched a three
year project aimed at rethinking the welfare
system and the integration of social and health
services, considering the dramatic social and
demographic changes occurring in the region.
This project has implied also a three year process
of redrafting mental health policy finalised
in the Emilia‑Romagna
Mental Health Action
Plan 2009‑2011
approved by the council in March 2009. It basically follows two strategies:
integration of health and social services and
further qualification of health services. The former
is pursued through a reshaping of the planning
and commissioning bodies of both health
and social services, previously separated and
now merging. They are taking responsibility on
many issues related to mental health care, such
as prevention, mental health promotion, supported
employment, supported housing, subsidies,
self‑help.
The improvement of community
services is an objective to be achieved through
formal accreditation and quality assurance
mechanisms and through a widespread system
of participation of users and carers to all levels
of planning and monitoring
Cognitive and social functioning correlates of employment among people with severe mental illness
We assess how social and cognitive functioning is associated to gaining employment for 213 people diagnosed with severe mental illness taking part in employment programs in Andalusia (Spain). We used the Repeatable Battery for the Assessment of Neuropsychological Status and the Social Functioning Scale and conducted two binary logistical regression analyses. Response variables were: having a job or not, in ordinary companies (OCs) and social enterprises (SEs), and working in and OC or not. There were two variables with significant adjusted odds ratios for having a job: “attention” and “Educational level”. There were five variables with significant odds ratios for having a job in an OC: “Sex”, “Educational level”, “Attention”, “Communication”, and “Independence-competence”. The study looks at the possible benefits of combining employment with support and social enterprises in employment programs for these people and underlines how both social and cognitive functioning are central to developing employment models
How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy
BACKGROUND:
Quality of working life includes elements such as autonomy, trust, ergonomics, participation, job complexity, and work-life balance. The overarching aim of this study was to investigate if and how quality of working life affects Compassion Fatigue, Burnout, and Compassion Satisfaction among mental health practitioners.
METHODS:
Staff working in three Italian Mental Health Departments completed the Professional Quality of Life Scale, measuring Compassion Fatigue, Burnout, and Compassion Satisfaction, and the Quality of Working Life Questionnaire. The latter was used to collect socio-demographics, occupational characteristics and 13 indicators of quality of working life. Multiple regressions controlling for other variables were undertaken to predict Compassion Fatigue, Burnout, and Compassion Satisfaction.
RESULTS:
Four hundred questionnaires were completed. In bivariate analyses, experiencing more ergonomic problems, perceiving risks for the future, a higher impact of work on life, and lower levels of trust and of perceived quality of meetings were associated with poorer outcomes. Multivariate analysis showed that (a) ergonomic problems and impact of work on life predicted higher levels of both Compassion Fatigue and Burnout; (b) impact of life on work was associated with Compassion Fatigue and lower levels of trust and perceiving more risks for the future with Burnout only; (c) perceived quality of meetings, need of training, and perceiving no risks for the future predicted higher levels of Compassion Satisfaction.
CONCLUSIONS:
In order to provide adequate mental health services, service providers need to give their employees adequate ergonomic conditions, giving special attention to time pressures. Building trustful relationships with management and within the teams is also crucial. Training and meetings are other important targets for potential improvement. Additionally, insecurity about the future should be addressed as it can affect both Burnout and Compassion Satisfaction. Finally, strategies to reduce possible work-life conflicts need to be considered
Homicide et schizophrénie : à propos de 14 cas de schizophrénie issus d’une série de 210 dossiers d’expertises psychiatriques pénales pour homicide
International audienceLa publicité de quelques crimes commis par des schizophrènes tend à stigmatiser et à généraliser dans l'opinion publique la peur liée à la pathologie schizophrénique. Or, 95 % des meurtriers ne présentent pas les critères diagnostiques de schizophrénie
A multi-element psychosocial intervention for early psychosis (GET UP PIANO TRIAL) conducted in a catchment area of 10 million inhabitants: study protocol for a pragmatic cluster randomized controlled trial
Multi-element interventions for first-episode psychosis (FEP) are promising, but have mostly been conducted in non-epidemiologically representative samples, thereby raising the risk of underestimating the complexities involved in treating FEP in 'real-world' services
Community mental health in Italy today.
Editorial to the special issue on Italian Psychiatry
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