WHO: ‘One billion people with mental health conditions. Investment is inadequate’

Entering the Land of Fools and looking after them

World Mental Health Day. There is a growing number of books featuring stories from mental asylums

L’ex manicomio di Colorno

4' min read

Translated by AI
Versione italiana

Key points

  • The Land of Fools
  • Inside the Volterra mental hospital
  • It’s been a hundred days since I last came back
  • The Night of San Servolo
  • The WHO report
  • Stigma and prison
  • Mario Tobino

4' min read

Translated by AI
Versione italiana

‘Mad people weren’t just called “mad” and nothing more. They had names that you could learn and remember.’ As is often the case, a child’s discoveries can leave a deeper impression than dozens of figures. So, on the eve of World Mental Health Day, 10 October, alongside the alarming figures from the WHO – one billion people worldwide with mental health conditions, rising costs to the global economy, particularly in terms of lost productivity, and funding that has remained stagnant for the past ten years, averaging 2 per cent of healthcare budgets – it is the power of literature that throws open the doors to a subject as difficult as it is increasingly crucial. Indeed, there is a growing number of books – novels and more besides – capable of offering a glimpse into the unsettling world of ‘madness’. A world that has been shunned and repressed for years, hidden from view and from public consciousness; locked away behind the walls of mental asylums.

The Land of Fools

One was in Colorno, transformed into the ‘Palace of a Hundred Windows’ in the imaginative world of Gianna, the protagonist of “Il Paese dei Matti” (Bompiani, 208 pages, 16 euros) by Federica Iacobelli. Through the eyes of a little girl from 1944, who actually lived in the lower Emilia region, and her friendship with the ‘prince’ Mario, we are drawn into the depths of the war-mad, confined within the grand palace from which coffins emerge, unaccompanied by anyone. Except for Gianna and her cat, named Gatto. And one cannot help but reflect on these consequences of war – of all wars, throughout history. With the magic of an almost fairy-tale-like language, characteristic of someone whose profession is to write from a child’s perspective, Iacobelli unveils the unspeakable nature of that palace, and with it the abyss of all prison-hospitals, such as the one in Volterra. 

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Inside the Volterra mental hospital

‘We’re living in the same era, and this gigantic building contains everything,’ says Ferruccio, the nurse, in Luisa Pessina’s book , *Perché gli ulivi nascono storti* (Minimum Fax, 147 pages, 17 euros): ‘the mentally ill, criminals, orphans, tuberculosis sufferers, prostitutes, the poor’. Along with a few women who cause a stir. Or who are paying the price for a nasty road accident, a surgical operation that never took place, and ailments hastily confined behind impenetrable walls.

It’s been a hundred days since I last came back

This is the story of Rosa, the protagonist of *Cento giorni che non torno/ Storie di pazzia, di ribellione e di libertà* (A Hundred Days Without Returning: Stories of Madness, Rebellion and Freedom), the gripping journey by Valentina Furlanetto (Laterza, 288 pages, 20 euros), a journalist at Radio24, through the parallel lives of her maternal grandmother and Franco Basaglia, a contemporary and fellow regional native, to whom we owe the closure of the mental asylums in 1978. With the style of an investigative report and the rhythm of a novel, the reader is taken on a journey into the conditions within psychiatric hospitals. And, at the same time, into the widespread denial surrounding the issue of mental illness.

The Night of San Servolo

Daniela Stefanutto also passes through those gates in her own way, with her family-centred, ensemble-style story – *E prese fra le dita la notte* (Lindau, 272 pages, €18.50), centred on the San Servolo mental hospital in the Venetian lagoon and the prejudices surrounding psychiatric disorders. These issues continue to be inadequately addressed in terms of both financial and cultural investment.

The WHO report

The latest reports from the WHO in 2025 confirm this: mental health problems are the second leading cause of long-term disability globally, with enormous costs in terms of treatment, lost productivity and social support. The WHO estimates that fewer than 10 per cent of countries have fully transitioned to community-based care models, and the disparity in funding for care between rich and poor countries is vast. The result is the shocking figure for suicides: 727,000 in 2021. This is the leading cause of death among young people in all countries and economic contexts. And despite efforts, ‘progress in reducing this mortality rate is too slow’, they warn. At present, experts predict there will be a decline of only 12 per cent by 2030, the deadline set by the United Nations pfor the target of reducing suicides by a third.

Stigma and Prison

Greater sensitivity to this issue, in all its many facets, and an awareness of what has happened in Italia in the not-too-distant past are essential prerequisites, first and foremost, for recognising the problem. And to dispel the stigma that continues to surround mental illness. An emergency – amongst other emergencies – even in prison.

Mario Tobino

Sometimes stories – accounts of lives closer to our own than we realised – become a seed destined to take root deep within us. With the realisation – to quote Mario Tobino, a doctor and writer, whose novels inspired the hit Rai1 series ‘Le libere donne’, which states that ‘gloomy melancholy, the architecture of paranoia, and the chains of obsession still exist even if the asylum closes’. We simply need to choose to see the ‘mad’ and look after them. Just as little Gianna does.

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