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The Perception of Quality of Care and Respect of Human Rights in Mental Health Facilities Among Health Workers Over Time in Sardinia, Italy

Bibliographic Data

ID24224979
AuthorsAlessandra Perra (0000-0001-5791-1655, University of Cagliari, Monserrato, Italy), Viviana Forte (0000-0002-3764-3179, University of Cagliari, Monserrato, Italy), Federico Contu (0000-0003-0454-8527, University of Cagliari, Monserrato, Italy), Elisa Cantone (0009-0001-5049-4614, University of Cagliari, Monserrato, Italy), Michela Atzeni (0000-0002-0645-3006, Department of Medicine and Surgery, University “Kore” of Enna, Italy), Antonio Egidio Nardi (0000-0002-2152-4669, Universidade Federal do Rio de Janeiro), Mauro Giovanni Carta (0000-0003-0706-9687, University of Cagliari, Monserrato, Italy)
Year2026
Pages207640261489820-207640261489820
Publication date2026-10-08
Open AccessNo
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00207640261489820
PMID42847923
OpenAlexW7221032082
LanguageEN
References cited24

OBJECTIVES: To examine changes in mental health workers' (MHWs) perceptions of human rights protection and job satisfaction before, during, and after the COVID-19 pandemic in Italy (Sardinia). STUDY DESIGN: Comparative analysis of three cross-sectional surveys conducted at different time points. METHODS: Three cross-sectional surveys were carried out among MHWs working in community mental health services in Italy (Sardinia) in 2019 (pre-COVID), 2022 (during COVID), and 2025 (post-COVID). Participants completed the Well-Being at Work and Respect for Human Rights Questionnaire (WWRR). Items 1 to 6 (Likert scale 1-6) assessed job satisfaction and perceived respect for human rights, while item 7 evaluated perceived staff shortages. Comparisons across surveys were performed using ANOVA and χ2 tests. RESULTS: < .001). Satisfaction with work and organizational aspects improved across the three periods, along with perceptions of respect for users' and staff human rights. Satisfaction with available resources peaked in 2022 and declined in the post-pandemic period. The perceived need for psychologists and rehabilitation professionals remained consistently high, while the perceived shortage of nurses and physicians decreased over time. CONCLUSIONS: Perceived respect for human rights and job satisfaction among MHWs showed a sustained improvement after the COVID-19 pandemic, supporting the resilience of Italy's community psychiatry model. Ongoing concerns regarding resources underscore the need for renewed investment in human capital.

Community mental health services · COVID-19 pandemic · Job satisfaction · mental health professionals · organizational well-being · perceived quality of care · Sardinia · staff shortage · COVID-19 and Mental Health · Healthcare professionals’ stress and burnout · Psychiatric care and mental health services

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