Community Mental Health Journal

, Volume 42, Issue 3, pp 263–279 | Cite as

The Environment and Staff of Residential Facilities: Findings from the Italian ‘Progres’ National Survey

  • Angelo Picardi
  • Giovanni de Girolamo
  • Giovanni Santone
  • Ian Falloon
  • Angelo Fioritti
  • Rocco Micciolo
  • Pierluigi Morosini
  • Enrico Zanalda


We administered structured interviews to managers and staff of a random sample of 265 Italian psychiatric Residential Facilities (RFs). Most are independent buildings, located in urban and suburban areas. The median number of residents is 10. The few RFs (5.7%) with more than 20 beds have a higher rate of drop-outs and escapes. The average indoor space per resident is 36 square meters, there is often a garden, and residents generally live in two-bed rooms. Most facilities are located within walking distance of shopping centers or recreational facilities. Three-quarters have 24-hour staff coverage. On average, each facility has about 10 full-time equivalent workers, with a staff:resident ratio of 0.92. Most of the professional input is provided by nurses and auxiliary staff. Critical issues to be considered in planning facilities include the physical environment, the size, and the staffing patterns.

Key words

healthcare staff mental health services residential facilities 



Thanks are due to the following project collaborators: F. Amaddeo, C. Barbini, F. Basile, G. Bazzacco, R. Bracco, A. Calvarese, G. Canuso, E. Caroppo, L. Caserta, M. Colangione, S. Damiani, T. De Donatis, F. Di Donato, V. Di Michele, R. Esposito, M. Facchini, S. Ferraro, P. Fracchiolla, P. Gabriele, D. Gallicchio, G. Giardina, A. Greco, F. Grilletti, S. Guzzo, A.M. Lerario, M.R. Marinelli, C. Marino, E. Monzani, F. Picoco, L. Pinciaroli, C.A. Rossetti, P. Rubatta, F. Scorpiniti, V. Scrofani, M. Stefani, A. Svettini, A. Zaffarano, M. Cellini, A. Galli, K. Pesaresi, G. Pitzalis, L. Tarantino. Special thanks are due to Jane Banaszak-Holl, Ph.D., Christine Timko, Ph.D. and Richard Warner, M.D. for their helpful comments.


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Copyright information

© Springer 2005

Authors and Affiliations

  • Angelo Picardi
    • 1
  • Giovanni de Girolamo
    • 1
  • Giovanni Santone
    • 2
  • Ian Falloon
    • 3
  • Angelo Fioritti
    • 4
  • Rocco Micciolo
    • 5
  • Pierluigi Morosini
    • 1
  • Enrico Zanalda
    • 6
  1. 1.Center of Epidemiology and Health Surveillance & PromotionItalian National Institute of HealthRomeItaly
  2. 2.Psychiatric ClinicUnited Hospitals of Ancona and University of MarcheAnconaItaly
  3. 3.University of AucklandAucklandNew Zealand
  4. 4.Program on Mental Health and Pathological DependenceAUSL of RiminiRiminiItaly
  5. 5.Chair of BiostatisticsUniversity of TrentoTrentoItaly
  6. 6.Department of Mental HealthTurinItaly

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