Residential Facilities as the New Scenario of Long-Term Psychiatric Care

Giovanni de Girolamo; Mariano Bassi


Curr Opin Psychiatry. 2004;17(4) 

In This Article


Studies included in this review have been identified through Medline, using the key words 'residential facilities' or 'residences', and limiting the search to English language articles published from 2000 onwards. We also inspected the reference lists of published articles. We excluded all articles dealing with residential facilities for children and adolescents, substance abusers and the elderly. Although we are aware that many residential facilities for the elderly may host aged mentally ill, generally also showing cognitive impairment, this topic needs a separate, specific analysis.

We also excluded a few papers in which the term 'residential facility' (or 'intermediate facility') referred (arguably in an inappropriate fashion) to very large institutions, which should be considered variants of traditional asylums, with up to 100-400 beds.[1,2,3] Studies which focused on residential facilities with more than 60 beds have consequently been excluded from this review.

The paper is organized under the traditional headings used for quality evaluation in the health field, that is structure (input) data (e.g. service provision, number of personnel, etc.), process data (e.g. how these facilities operate, rules, etc.) and outcome data (e.g. longitudinal and quality of life (QOL) studies, qualitative studies, etc.). Data on residents' characteristics have been grouped in the input section.


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