| Mental Health Model with community mental health services in the process of connecting with the Hospital System. |
Chile (1852–2022) |
Mixed (Community in process of deinstitutionalization since 1955) |
The development of the community care model allows available care resources, whether public or private, to be applied to mental health disorders and psychiatric diseases of the population of a certain geographical area in a coordinated and integrated, giving priority to community and participatory strategies, according to the realities and needs of each gender and sociocultural group. According to this model, the axis of organizational support is the community mental health and psychiatry team. It consists of Rural Posts of 1,162 Offices APS 596 Community Centers Mental Health 38 Psychiatry Clinics 57 Day Hospitals 40 Short Stay Psych. General Hospital 19 Psychiatric Hospitals (1) 5 Forensic Psychiatry Services 3 Day Centers 25 Protected Homes 85 Protected Residences 21 Private Psychiatric Clinics 31 |
2.14% of Total GDP (33.3% hospital network and 64% for the rest of the community benefits; Who-Diprece,2007) and with 0.1 psychiatrists per 1,000 inhabitants, equivalent to 1 psychiatrist per 10,000 inhabitants or 100 schizophrenic patients, of whom between 19 and 35 patients will require hospitalization per year by medical psychiatric personnel. |
(33–35) |
| The institutionalized hospital mental health system integrated into the community network-called Geographic Sectorization. |
Francia |
Integrated hospitalization model Geographic sectorization |
In France it is organized according to a geographical sectorization policy. An adult psychiatry center covers an area of 95,000–150,000 inhabitants, while a child and youth psychiatry center cover an area of 140,000–210,000 inhabitants (or ~40,000 young people under 16 years of age). It consists of eight hospital complexes distributed around population density in French Institutions—GHU Hospital Sainte Anne Hospital Maison Blanche Hospital Perray Vacluse ASM 13 Hospitals de Saint Maurice Psicologic Medical centers (CPM) |
According to the OECD report, in 2021 15% of GDP Francthe e allocates the item to Mental Health (0.23 psychiatrists, 0.49 psychologists and 0.98, nurses per 1,000 inhabitants, that is, 2 psychiatrists, 5 psychologists, and 10 nurses per 10,000 inhabitants). |
(29, 36–38) |
| United Kingdom (UK) |
UK |
Institutionalized Trans-Community Psychiatric Model |
There is a statement, contained in the modernization of mental health services, that health law for England and Wales would change with a view to forcing people at risk with mental health problems problems complying with community treatment, along with efforts to create a new category of mental illness, “danger-severe and severe personality disorder” (38) also announced was a plan to address service deficiencies by establishing new types of community equipment (38), including those that intensive, “assertive outreach” services, with a mandate interact proactively with people at risk. More generally, the identification of the system failure was reflected in actions aimed at correcting the deficiencies through the top-down implementation of standards and frameworks [(28, 31, 39), 45] and clinical guidelines (for example, for care and treatment of people with schizophrenia |
According to the OECD report, 2021 10% in of GDP. |
(40, 41) |
| Community health model in Italy |
(1978 Trieste-2022 Italia). |
Deinstitutionalized community mental health module. |
The community psychiatry model in Italy began in Trieste in 1978 in 1978 in Italy, when the application of the psychiatric reform law began, which launched a national process to eliminate psychiatric hospitals “The strength of this system lies in the Mental Health Centers, which operate 24 h a day in four geographical areas of the city, each with eight beds. The Centers provide medical and social care, psychosocial rehabilitation and treatment for acute episodes. For people who need long-term help, apartments (with 55 beds) have been created that accommodate small groups, in a pleasant environment. The Enabling and Residence Service coordinates these apartments, the habilitation and social integration activities, internado en un Hospital Psiquiátrico Judicial,” with workshops and projects throughout the city. By creating job opportunities, it has been possible to guarantee effective integration into the social environment. The number of Compulsory Sanitary Treatments, with an average of 8 per 100,000 inhabitants in the last 10 years, is the lowest recorded in Italy. This then means that no citizen of Trieste is found |
According to the OECD report, 2021 3.4% GDP Italy of allocates the item to Mental Health (0.23 psychiatrpsychiatristsychologists and 0.98, nurses per 1,000 inhabitants, that is, two psychiatrists, five psychologists and 10, nurses per 10,000 inhabitants) |
(39) |