Wilma Angela Renata di Napoli, Davide Scordato, Olaf Andreatta, Stefania Biasi, Roberta Pederzolli, Claudio Agostini
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引用次数: 0
摘要
“FareAssieme”是一种面向康复的社区精神病学模式,自1999年以来由特伦托精神卫生服务处实施。该方法的基础是使用者和家庭成员的积极参与,特别强调经验知识——从精神疾病和康复的生活经验中获得的见解——作为提高护理和康复过程质量的资源。该模型的核心是有组织地整合同伴支持专家(ESPs, Esperti in Support to tra Pari),即有个人或家庭心理困扰经历的人,他们已经获得了稳定的生活平衡,并制定了有效的应对策略。esp嵌入精神卫生服务(SSM)的所有领域,包括社区小组、危机服务(地区和医院)、住宅环境和前台活动。他们的角色是通过叙述分享和情感亲近来支持他人的康复之旅。esp有助于提高用户参与度,改善服务环境,增加对供应商的信任。事实证明,它们在吸引最初对治疗有抵抗力的个体方面特别有效,从而促进了更强大的治疗联盟。该模式还促进了参与式规划小组(GPP)的成立,这是一个由用户、家庭、社会服务提供者和专业人员组成的审议机构,该小组制定了若干操作准则,以规范和传播社会服务机制内的共享做法。“FareAssieme”是一种参与性的、以康复为导向的精神病学的有效模式。它突出了精神卫生服务中经验知识的变革价值,并为消除耻辱的努力和包容性护理途径的共同建设做出了有意义的贡献。
"FareAssieme". A MODEL OF PARTICIPATORY CO-PRODUCTION BY USERS AND FAMILIES IN MENTAL HEALTH SERVICES.
"FareAssieme" is a recovery-oriented community psychiatry model that has been implemented by the Mental Health Service of Trento since 1999. The approach is grounded in the active involvement of users and family members, with particular emphasis on experiential knowledge - the insights derived from lived experience of mental illness and recovery - as a resource for improving the quality of care and rehabilitation processes. At its core, the model involves the structured integration of Peer Support Experts (ESPs, Esperti in Supporto tra Pari), individuals with personal or familial experience of psychological distress who have attained a stable life balance and developed effective coping strategies. ESPs are embedded across all domains of the mental health service (SSM), including community teams, crisis services (territorial and hospital-based), residential settings, and front-office activities. Their role is to support others in their recovery journeys through narrative sharing and emotional proximity. ESPs have contributed to enhanced user engagement, improved service climate, and increased trust in providers. They have proven particularly effective in engaging individuals initially resistant to treatment, thereby facilitating stronger therapeutic alliances. The model also fostered the creation of the Participatory Planning Group (GPP), a deliberative body comprising users, families, ESPs, and professionals, which has developed several Operational Guidelines to standardize and disseminate shared practices within the SSM. "FareAssieme" stands as a validated model of participatory, recovery-oriented psychiatry. It highlights the transformative value of experiential knowledge within mental health services and makes a meaningful contribution to anti-stigma efforts and the co-construction of inclusive care pathways.
期刊介绍:
Psychiatria Danubina is a peer-reviewed open access journal of the Psychiatric Danubian Association, aimed to publish original scientific contributions in psychiatry, psychological medicine and related science (neurosciences, biological, psychological, and social sciences as well as philosophy of science and medical ethics, history, organization and economics of mental health services).