Abstract
In the light of the government's decision to delay the implementation of its Community Care' programme the author argeous for the de-institutional isation of psychiatric hospitals before psychiatric patients are discharged into hostile communities and before those communities thernselves become hospitals. Drawing on his experience and study in holy the author reviews the legislative, historical and theoretical aspects of the Italian exper ience of psychiatric reform and suggests that by having to take on e forced step back in the implementation of policy we can take two steps forward in the right direction for the development of a genuinely community-based mental health policy.
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