{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:59:19Z","timestamp":1791511159536,"version":"4.3.4"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>More than 40 years after the approval of Law 180, Italy remains the only country to have entirely replaced psychiatric hospitals with a comprehensive, community-based mental health system. Driven by the vision of Franco Basaglia, this transformative reform moved psychiatric care away from institutionalization toward a model rooted in human rights, autonomy, and social inclusion. Although pioneering, the implementation was uneven, constrained by limited financial and human resources, and initially hindered by the absence of systems to evaluate care outcomes. Recent nationwide studies have revealed significant shortcomings in continuity of care, limited access to psychosocial interventions, and variability in treatment quality for conditions including personality, bipolar, depressive, and psychotic disorders. Internationally, the Italian model has significantly influenced mental health reforms in Latin America. In Brazil, the development of the Centros de Aten\u00e7\u00e3o Psicossocial reflected Basaglia\u2019s principles but is now challenged by service overload and a lack of inpatient alternatives. Paraguay has recently adopted progressive legislation promoting community care and deinstitutionalization, while Peru has implemented legal frameworks to integrate mental health into the general health system, although progress remains gradual. These diverse experiences underscore the Italian reform\u2019s global relevance and the complexities of translating its principles into practice.<\/jats:p>","DOI":"10.4103\/ipj.ipj_133_25","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T12:01:57Z","timestamp":1759492917000},"page":"528-532","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Basaglia\u2019s psychiatric reform: A bridge between Italy and Latin America"],"prefix":"10.4103","volume":"34","author":[{"given":"Antonio","family":"Ventriglio","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Torales","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Asunci\u00f3n, Facultad de Ciencias M\u00e9dicas, Grupo de Investigaci\u00f3n Sobre Epidemiolog\u00eda de los Trastornos Mentales, Psicopatolog\u00eda y Neurociencias, San Lorenzo"},{"name":"Vicerrector\u00eda de Investigaci\u00f3n y Postgrado, Universidad de Los Lagos, Osorno, Chile"},{"name":"Universidad Sudamericana, Facultad de Ciencias de la Salud, Pedro Juan Caballero, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s","family":"Caycho-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Facultad de Psicolog\u00eda, Universidad Cient\u00edfica del Sur, Lima"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Hualparuca-Olivera","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda, Universidad Continental, Huancayo, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana","family":"Ricci","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Giallanella","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costanza","family":"Gaggiano","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Mauricio","family":"Castaldelli-Maia","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Medical School, FMABC Health University Center, Santo Andr\u00e9"},{"name":"Department of Psychiatry, Medical School, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/0020764016645624","article-title":"Community mental health services and responsibility of psychiatrists in Italy: Lessons for the globe","volume":"62","author":"Catanesi","year":"2016","journal-title":"Int J Soc Psychiatry"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1177\/0020764016642491","article-title":"The impact of Basaglia on Brazilian psychiatry","volume":"62","author":"Castaldelli-Maia","year":"2016","journal-title":"Int J Soc Psychiatry"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1600-0447.2007.01088.x","article-title":"The long journey of monitoring and evaluating a new mental health service. 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