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Focus on Mental Health Care Reforms in Europe: A One-Day Census of Acute Psychiatric Inpatient Facilities in Italy: Findings From the PROGRES-Acute Project

Dr. Gaddini is a psychiatrist and Ms. Biscaglia is a psychologist in the Mental Health Unit, Agency for Public Health, Lazio Region, Via di Santa Costanza 53, 00198, Rome, Italy (e-mail: gaddini{at}asplazio.it). Ms. Bracco is a social worker and Dr. Norcio is a psychiatrist in the Department of Mental Health, ASL (Local Health Trust) Triestina, Trieste, Italy. Dr. de Girolamo is a psychiatrist in the Department of Mental Health, ASL of Bologna, Bologna, Italy. Dr. Miglio is a statistician in the Faculty of Statistics, University of Bologna, Italy. Dr. Rossi is a psychiatrist in the Department of Mental Health, ASL of Perugia, Perugia, Italy. Ms. Rucci is a statistician at the Western Psychiatric Institute and Clinic, University of Pittsburgh. Dr. Santone is a psychiatrist at the Psychiatric Clinic of the United Hospitals of Ancona and at Polytechnic University of Marche, Ancona, Italy. Matt Muijen, M.D., Ph.D., is editor of this column.

On May 8, 2003, a survey was conducted of all inpatients at 369 psychiatric facilities for adult acute patients in all Italian regions except Sicily. The estimated point prevalence rate of admissions was 18.3 per 100,000 adult population. There were 305 involuntarily admitted patients (3.8%, or .70 per 100,000 population). Large differences between public and private facilities were found in age and gender distribution: the proportion of men age under age 35 was larger in public facilities, and the proportion of women age 65 and older was larger in private facilities. In Italy, monitoring and evaluation of community services, at both the local and national levels, is essential for policy development, implementation, and evaluation.

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