Environments for the care, treatment, and rehabilitation of persons with mental disorders have taken many forms, ranging from sheltered and isolated asylums to mainstream community-based programs with specialized supports. Since the 1960s, and concurrent with the civil rights movement for mental patients, providing treatment outside of mental institutions in the least restrictive setting has been emphasized by mental health advocates and supported by several legal decisions in the United States (1). However, one challenge that has arisen is the need to balance the requirement of delivering treatment in the least restrictive setting with the behest of providing comprehensive psychiatric rehabilitation services that are well coordinated and continuously available. One solution to this dilemma has been to embed psychiatric rehabilitation tehniques within a residential program, such as was done with good outcomes at Soteria House (2) and in social learning programs in the 1970s (3). However, despite these and several other successful efforts to provide residential alternatives to long-term hospitalization (4), in most parts of the United States the provision of psychiatric rehabilitation services is not linked to housing. In this column, Dr. Guazzelli and his colleagues from the University of Pisa describe a program that combines the basic philosophy of providing a long-term, community-based residential alternative to hospitalization with a commitment to the use of evidencebased psychiatric rehabilitation techniques. They also report the results of an evaluation of twoyear outcomes for program residents with schizophrenia.

Outcomes of patients with schizophrenia in a family-style, residential, community based program in Italy

Palagini L
Secondo
;
2000

Abstract

Environments for the care, treatment, and rehabilitation of persons with mental disorders have taken many forms, ranging from sheltered and isolated asylums to mainstream community-based programs with specialized supports. Since the 1960s, and concurrent with the civil rights movement for mental patients, providing treatment outside of mental institutions in the least restrictive setting has been emphasized by mental health advocates and supported by several legal decisions in the United States (1). However, one challenge that has arisen is the need to balance the requirement of delivering treatment in the least restrictive setting with the behest of providing comprehensive psychiatric rehabilitation services that are well coordinated and continuously available. One solution to this dilemma has been to embed psychiatric rehabilitation tehniques within a residential program, such as was done with good outcomes at Soteria House (2) and in social learning programs in the 1970s (3). However, despite these and several other successful efforts to provide residential alternatives to long-term hospitalization (4), in most parts of the United States the provision of psychiatric rehabilitation services is not linked to housing. In this column, Dr. Guazzelli and his colleagues from the University of Pisa describe a program that combines the basic philosophy of providing a long-term, community-based residential alternative to hospitalization with a commitment to the use of evidencebased psychiatric rehabilitation techniques. They also report the results of an evaluation of twoyear outcomes for program residents with schizophrenia.
2000
Guazzelli, M; Palagini, L; Giuntoli, L; Pietrini, P
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2497099
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 8
social impact