Journal title PSICOTERAPIA E SCIENZE UMANE
Author/s Pietro Pellegrini
Publishing Year 2023 Issue 2023/1 Language Italian
Pages 8 P. 59-66 File size 87 KB
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The crisis of psychiatric care has to be seen within the crisis of the entire welfare system. Neolib-eralism has changed the social contract, and the drive towards individualism and privatization has reduced citizens’ rights. Italian community psychiatry, without psychiatric hospitals and judicial psychiatric hospitals, is underfunded and lacks an adequate number of mental health profession-als, a situation that leads to the closure of many services; patients risk abandonment and poverty, and the relevance of social determinants of health is often forgotten. Psychiatry is reduced to the role of supporting the maintenance of law and order with forms of neo-institutionalization. Mental health should be the responsibility of all health and social workers, with an organization based on a stepped care model and with specific pathways. Italian community psychiatry must be defended as an investment, through alliances with patients, families and society at large, in order to develop social capital and community welfare.
Keywords: Mental health; Crisis of psychiatric care; Italian law no. 180/1978; Public welfare; Social determinants
Pietro Pellegrini, Il futuro dei Servizi psichiatrici in "PSICOTERAPIA E SCIENZE UMANE" 1/2023, pp 59-66, DOI: 10.3280/PU2023-001006