Community Mental Health Care in Trieste and Beyond: An “Open Door–No Restraint” System of Care for Recovery and Citizenship

@article{Mezzina2014CommunityMH,
  title={Community Mental Health Care in Trieste and Beyond: An “Open Door–No Restraint” System of Care for Recovery and Citizenship},
  author={Roberto Mezzina},
  journal={The Journal of Nervous and Mental Disease},
  year={2014},
  volume={202},
  pages={440–445}
}
  • R. Mezzina
  • Published 2014
  • Medicine
  • The Journal of Nervous and Mental Disease
Abstract Since Franco Basaglia’s appointment in 1971 as director of the former San Giovanni mental hospital, Trieste has played an international benchmark role in community mental health care. Moving from deinstitutionalization, the Department of Mental Health (DMH) has become a laboratory for innovation on social psychiatry, developing a model that can be defined as the “whole system, whole community” approach. The DMH provides care through a network of community services but also places great… Expand
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References

SHOWING 1-10 OF 64 REFERENCES
Beyond the Mental Hospital: Crisis Intervention and Continuity of Care in Trieste. A Four Year Follow-Up Study in a Community Mental Health Centre
TLDR
It is demonstrated that the mental health services in Trieste are able to cope with acute crises without psychiatric hospitalization and a tendency towards favourable long-term outcomes. Expand
Crisis Resolution and Home Treatment in Mental Health: Home treatment and ‘hospitality’ within a comprehensive community mental health centre
TLDR
This chapter describes the local strategy for crisis intervention, which integrates crisis management into the work of 24-hour community mental health centres in Trieste, Italy, allowing maintenance of continuity of care and flexible access to a wide range of community interventions. Expand
International Trends in Community Mental Health Services
A global survey of community-orientated mental health reforms and services is presented. We cannot hope to provide an exhaustive international survey in such a short space, so we will describeExpand
“A life in the community”: Italian mental health reform and recovery
TLDR
Four strategies used in the Italian Reform to actualize this vision of “a life in the community” are described: creating two-way streets between the mental health system and the broader community, establishing social cooperatives with joining forces with other citizens' groups, and working toward community inclusion on a person-by-person basis. Expand
From Participation to Citizenship: How to Regain a Role, a Status, and a Life in the Process of Recovery
This article analyzes the role of social factors in recovery from psychosis, which can be helpful as well as hinder the process of recovery. Informants found their roles as psychiatric patientsExpand
Users' Satisfaction with Mental Health Services
TLDR
Users in Concepcion, Sheffield and Trieste show a considerable adherence to the more traditional and institutionalised ways of offering services and the levels of satisfaction were very high considering the conditions in which the help was delivered. Expand
Attitudes of Professional Mental Health Workers to Psychiatry
TLDR
The information collected showed that the Italian professionals had the highest level of satisfaction with their work, showed most tolerance of deviant behaviour in the community, the least acceptance of diminished responsibility in law and a non- traditional view of psychiatry. Expand
Social Network Intervention in Patients with Schizophrenia and Marked Social Withdrawal: A Randomized Controlled Study
TLDR
The activation of social networks as an activity integrated with standard psychiatric care is practicable, without added economic and organizational costs, and appears to produce an effect persisting well beyond its implementation. Expand
THE END OF THE MENTAL HOSPITAL: A review of the psychiatric experience in Trieste
TLDR
The paper describes this dramatic and innovative transformation, the rearrangement of wards, the abolition of shock therapies, the establishment of many flats and group homes, and the starting of a cleaning cooperative employing ex‐patients to do the work they previously did as “ergotherapy”. Expand
Deinstitutionalization, another way: the Italian mental health reform.
The article describes the Italian experience of deinstitutionalization in psychiatry, a reform which has attracted international recognition as being the only instance of an industrial societyExpand
...
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4
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