Community Mental Health Journal

, Volume 55, Issue 1, pp 51–56 | Cite as

A Comparison of Inpatient Adult Psychiatric Services in Italy and Canada

  • Giuseppe GuaianaEmail author
  • Richard O’Reilly
  • Luigi Grassi
Original Paper


We examine the possibility the Organisation for Economic Co-operation and Development (OECD) bed count for Italy may be an underestimation of the actual beds available. We compared bedded services for mental disorders in two regions in Italy and Canada respectively. We found out that if we consider acute psychiatric beds only, the district of Ferrara has 30 beds (8.5 per 100,000) and the Middlesex and Elgin Counties have 89 beds (16.3 beds for 100,000). However, if we include the rehabilitation beds (that are located within a hospital setting in Ontario and in a residential community setting in Ferrara), we find that the district of Ferrara has 95 beds (27.0 per 100,000) and the Middlesex and Elgin Counties have 176 beds (32.3 per 100,000). As a result, the 10/100,000 beds rate for Italy reported by the OECD is an underestimate compared to figures reported for most other countries, as the beds included are hospital beds only.


Psychiatric admissions Epidemiology Canada Italy 



The authors are indebted to the Dr. Paola Carozza, Chair Integrated Department of Mental Health and Addictive Behavior, Health Authorities, Ferrara. The author also appreciated the assistance of Dr. Jeffrey Reiss and Dr. Sarah Jarmain in retrieving data on the admission to hospitals in London, Ontario.


This research received no specific grant from any funding agency, commercial or not-for-profit sectors.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Departments of Psychiatry and Epidemiology & Biostatistics, Western UniversitySt. Thomas Elgin General HospitalSt. ThomasCanada
  2. 2.Department of Psychiatry, Western UniversityParkwood InstituteLondonCanada
  3. 3.Department of Biomedical and Specialty Surgical Sciences, Institute of PsychiatryUniversity of FerraraFerraraItaly
  4. 4.Integrated Department of Mental Health and Addictive Behavior, University Hospital Psychiatry UnitS. Anna University Hospital and Health AuthoritiesFerraraItaly

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