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Law 180 eliminated psychiatric hospitals for the care of people with chronic psychosis in Italy. After 30 years, we review the consequences for the practice of psychiatry in Italy and parallels for England and Wales. We argue that the substitution of legal/political direction for clinical leadership means psychiatrists may cease to merit the privileges and responsibilities of being doctors.

Original publication

DOI

10.1192/bjp.bp.109.070433

Type

Journal article

Journal

Br J Psychiatry

Publication Date

10/2010

Volume

197

Pages

261 - 262

Keywords

England, Health Care Reform, Hospitals, Psychiatric, Humans, Italy, Mental Health Services, Physician's Role, Psychiatry