CRV – Gruppo Pd Veneto: “The region must change the organizational model of mental health” – Press release – Veneto

(Arv) Venice March 29, 2022 – The regional councilor of the Democratic Party, Anne-Marie Bigon, vice-president of the Health and Social Commission, representing the Pd Veneto group, in a press conference, today at the Palazzo Ferro Fini, returned “to denounce the serious lack of resources, health personnel and services adequate in the mental health sector”. The adviser asked the Veneto region “to change its organizational model, which should no longer be based on institutionalized long-term care psychiatry, but on the immediate care of the patient so that he is quickly initiated on a course of treatment and rehabilitation, with the goal of healing.The model of “nearby psychiatry” must be revived, which is also indicated in the Regional Social Health Plan 2019/2023, but in fact ignored. A community psychiatry that must be centered on the territory and on the physical, psychological and mental health of all citizens We denounce once again how the reorganization of the companies of the ULSS has led to a reduction of the territorial structures: for the services of mental health, we have gone from 21 Departments to 9 and from 29 Operational Units to 20. This takes on even more seriousness if we reflect on how the pandemic has aggravated the mental distress: a survey by the International Labor Organization on Covid showed that one in two young people, between the ages of 18 and 29, is subject to depression and anxiety. Today we have provided concrete data to back up our demands”. of the health board – In addition, the Region must offer more services to the territory, and of better quality, meeting the needs of families returning to the center, which must be followed. The fundamental problem is that the Veneto region does not guarantee mental health and therefore must stop claiming full respect for essential levels of assistance, because this is not true “. “We ask to put mental health back at the center – concluded Anna Maria Bigon – which I remember the World Health Organization defined “a state of well-being in which each individual realizes his or her potential, is able to cope with stressful life events, to work productive way and thus make a contribution to the community”. Also according to the WHO, “mental distress is a central issue for health and socio-health systems. We ask the Region to translate all this into concrete facts”.

dr. Andrea Angelozzi, psychiatrist, former director of the Mental Health Department of Treviso and Venice, illustrated some elaborate data, which photograph the mental health situation in Veneto. “Very worrying data – stressed Angelozzi – which were requested and therefore provided by the Veneto Region and from the elaboration of which it is clear that there is an absolute poverty of resources compared to the national average, which also translates into poor performance. There are also profound differences between individual local realities: it seems that in Veneto there is an infinity of psychiatry and infinite organizational models. Therefore, it is legitimate to to wonder if the Region really has a common model of services to guarantee to citizens who need them”. Angelozzi notably underlined “the inconsistency of the data provided on the situation of the staff, whose total staffing is clearly lower than the national average Overall, to reach the 2019 national rates, which indicated an expenditure of 3% from the National Health Fund, thus far from the 5% indicated by the national documents and r regional as the correct reference standard, and remembering that Veneto was at 2.24% of the FSR, the workforce of Veneto 2020 would be lacking, compared to the national average: 122 doctors; 98 psychologists; 28 social workers; 18 educators; 18 administration. On the contrary, the number of nurses (plus 36) is higher than the national average and that of OTA/OSS staff (plus 251) is much higher. Performance analysis also highlights a significant gap from Ulss to Ulss, with aspects that can often be correlated to size and type of staff.” “And I highlight another aspect that emerges from the study of the data provided – concluded Dr. Andrea Angelozzi – In Veneto there is a rate of 23.5% more beds than the average for the rest of the Italy in the public sphere, whereas this rate is 10 times higher (more than 981.1%) in the case of beds in private establishments”.

Cristina Ceriani, referent of the mental health committee of Verona, drew attention to “the serious difficulties encountered by families who are caring for a patient suffering from mental disorders. I want to give voice to all those invisible people who claim to have adequate answers to their urgent care needs. Because we talk too little about mental health in Veneto. We cannot afford to leave alone families facing bigger problems than themselves. And we denounce loud and clear the lack of services and personnel in the territories, which also causes the emergency services to be overcrowded”.

Tiberius Monari, regional coordinator of the Mental Health Observatory FP CGIL doctors and NHS managers, asked to “bring the user’s needs back to the center in order to build an adequate care pathway. An interprofessional working table must be designed, starting precisely from the needs of patients and their families, to create adequate care pathways for all forms of psychiatric pathology, guaranteeing professional resources adapted to needs. Even before the pandemic, the data provided indicated that only half of health care needs could be met. And, in recent years, the situation has worsened. The constitutional right to health and to receive adequate care is thus threatened. Because not only is the quantity of guaranteed services important, but above all their quality. There should be a Department for 250,000 inhabitants, instead of one for every million”.

Salvatore Lihard, member of CoVeSaP, recalled how “at the end of January 2022, with Councilor Bigon, we presented two separate requests for access to data relating to Mental Health, concerning staff, users, local services and hospitalizations. Compared to the data requested, relating to the years 2019, 2020 and 2021, the Region only provided those for 2019 and 2020, however partially. In any case, from the study of these data, it is clear that there is a serious shortage of resources and personnel in Veneto. We have repeatedly asked to be heard by the Council’s Fifth Committee, responsible for health and social issues, but to no avail. In our opinion, there are four aspects where Veneto is absolutely lacking: financial resources; staff of health professionals; planning (a new vision of mental health is needed because adequate resources and programs are lacking to deal with mental disorders); information and communication with the Veneto region (as evidenced by the patchy and confusing data provided). For this reason, on Saturday April 9, we will be in Padua to defend public health and not leave people alone with their health needs”.


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