摘要：This paper intends to evaluate the mental health system in Italy thirty years after the
psychiatric reform, using epidemiological evidence on the prevalence of mental disorders and the features
of primary care and community mental health services (data from five Regions). The network
of community mental health facilities appears to be complete as concerns Residential Facilities and
Community Mental Health Centres, and less complete as concerns General Hospital Psychiatric
Units. Substantial variation exists between Regions and between disorders, the treatment gap being
smaller for schizophrenic than for mood disorders. High quality information is essential to improve
mental health care; therefore, it should be systematically collected and extensively used to prime over
the next decade a virtuous circle of positive changes
关键词：mental health system, community care, Italy, psychiatric reform, treated prevalence.
