Mental health: no nurses, half care

This is what emerges from the Report of the Ministry of Health, dated at the end of 2021, which reports on the 2020 surveys.

Without nurses, there is no help for Mental Health. Speak clearly the last Report of the Ministry of Healthdated the end of 2021, which reports on the 2020 surveys: in psychiatric services services provided by local services were 8,299,120, with an average of 12.3 services per user. Overall, 79.6% of interventions are carried out on site, 8.9% at home and the rest on an external site. And the main operators are nurses (42.7%) and doctors (34.7%).

33% of the interventions are represented by nursing activities at home and on the territory, 22.8% by psychiatric activities, 11.4% by territorial rehabilitation and resocialization activities, 6.6% by coordination and 6.3% through daily living activities, 6.2% through psycho-psychotherapeutic activities. The rest is family activities and support activities.

Nursing staff is the most represented professional figure (44.8% of the 28,807 units in public psychiatric operating theaters), followed by medical staff (18.4%, psychiatrists and other specialties), ota/oss (11 .2%), professional educators and psychiatrists. rehabilitation technicians (7.5%), psychologists (6.7%), social workers (4.0%).

In 2020, the number of operators engaged in mental health services amounted to 40,983 units, of which 70.3% were in public services. Overall, at the national level, the ratios between nurses and doctors and between doctors and psychologists are respectively equal to 2.5 and 2.3.

12,176 staff units work in the health institutions affiliated with the Department of Mental Health, and of these 27% are ota/oss, 23.1% nurses, 18.9% professional educators and technicians in psychiatric rehabilitation, 7.1% of doctors, 5.8% of psychologists.

Doctors are particularly present at the main headquarters of the DSM (39.0% of the total workforce), while at home the services refer for 70.0% to nurses.

In general, 33.0% of interventions are represented by nursing activities at home and on the territory, 22.8% by psychiatric activities, 11.4% by rehabilitation and territorial resocialization activities,
6.6% of coordination activities and 6.3% of daily life assistance activities, 6.2% of psycho-psychotherapeutic activities. The rest is family activities and support activities.

With regard to treatments related to patients diagnosed with schizophrenia and other functional psychoses the services most provided in 2020 are home and community nursing care (39.1%), territorial rehabilitation and resocialization (13.8%) and psychiatric activity (17.0%).

For treatments related to patients diagnosed with depression the most frequent services are psychiatric activity (31.6%), home and community nursing care (28.0%), territorial rehabilitation and resocialization activities (8.6%), psychological activities and psychotherapeutics (8.4%).

For the diagnosis of mania and bipolar affective disorder the services most provided are home and community nursing care (35.7%), psychiatric activity (23.4%), territorial rehabilitation and resocialization activities (9.7%).

For the diagnosis of personality and behavioral disorders the most frequent services are home and community nursing care (30.7%), psychiatric activity (22.3%), rehabilitation and local resocialization (11.4%).

For the diagnosis of neurotic and somatoform syndromes the services most provided are psychiatric activity (31.9%), home and community nursing care (21.5%), psychological and psychotherapeutic activity (13.9%), and finally rehabilitation and territorial resocialization (8.1%).

For the remaining diagnoses (alcoholism and drug addiction, other psychiatric disorders, dementia and organic mental disorders, personality and behavioral disorders, mental retardation) are generally observed higher frequencies for nursing care at home and on the territory and for psychiatric activity.

The Report also highlights the large share of psychological and psychotherapeutic services for “other mental disorders” (20.7%) and home and community nursing care for “mental retardation” (34.9%) and for “personality and behavioral disorders” (30.7%). ).

Consult the report of the Ministry of Health

Nurse Times Editorial Team

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