General hospital psychiatry in Italy: On the hospitalization of psychiatric patients and consultation-liaison psychiatry after Law 180, 1978

The type of psychiatric assistance carried out in Italy before Basaglia's views gained ground—that is, before 1968, when his book L'Istituzione Negata was published—is first described. The “Democratic Psychiatry” movement he launched was the mainspring of Law 180 (1978), known to have led to the closing of asylums. This law has brought about moves to create new mental health community services covering wide areas, the setting up of special diagnosis and care sections in general hospitals responsible for compulsory adminssions—and overcrowding in private clinics and University clinics within general hospitals. The role of the psychiatric ward (opposed by the supporters of “Democratic Psychiatry”) and of consultation-liaison psychiatry within the ambit of the general hospital is then discussed in the light of our experience.