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INTERNATIONAL SCHOOL - Franca and Franco Basaglia
Second module - October 22-27, 2012
Trieste, via Weiss 5 - Dipartimento di Salute Mentale
SERVICES PEOPLE NEED
A rationale for a fully integrated, person-centered mental health system of care.
WHO CC for Research and Training in MH Trieste - Azienda per i Servizi Sanitari n.1 “Triestina”
Funded by Regione Friuli Venezia Giulia, under the Patronage of Province and Municipality of Trieste
In partnership with WHO Geneva and Copenhagen; International Mental Health Collaborating Network - IMHCN
The school is organised in two parts:
The International Course
Comprehensive Community Services. Learning and practising
From 22 th to 25th of October
The International Conference
Why Change? Creativity and Innovation in mental heath development
From 26th to 27th of October
The WHO Collaborating Centre for Research and Training in Mental Health – MHD is proposing a second module of the International School which is part of the workplan agreed with the WHO for 2009-2013.
The first module’s topic (19-24 of September 2011) focused specifically on supporting rehabilitation and social inclusion of people with mental health problems still interned or treated basically in psychiatric hospitals.
The Ottawa, Caracas and Helsinki declarations, as well as the EU’s Green Paper and the Pact on Mental Health and Well-being stated that the old psychiatric hospitals should be replaced with more adequate and modern care methods provided by community based services.
The decade-long activity in the field of development cooperation and the widespread renown of the Friuli Venezia Giulia’s mental health system, in particular for what concerns Trieste, the pilot centre of the Italian mental health reform and recovery of social and civil rights for people with mental health problems, have generated a massive demand for training from professionals all over the world. The Mental Health Departement indicated as Lead for service development by WHO Europe in 2004, will host the European WHO Collaborating Centres Meeting on 6-7 November 2012.
This second module will focus on putting learning into practice based on the particular needs of participants in implementing change from institutions and their practices into community mental health services and a whole life recovery approach.
Aim: To learn from the Trieste experience and the international success practices of deinstitutionalisation and service development.
To provide practical on the job service and clinical placements on learning how to achieve deinstitutionalisation and community mental health services and practices.
Method: Lectures, seminars and workgroups, service and clinical practical placements, tutored visits to the services and programmes of the Mental Health Department, videos and written material.
“COMPREHENSIVE COMMUNITY SERVICES. Learning and practising”
(on days 1-4)
Participants to outline in advance their particular needs in aspects of community work and development that can be implemented in their practice and services over time.
The Trieste international school program to respond to these needs in devising the practical program for groups of managers, psychiatrists, nurses, social workers, etc.
From this a tailored made programme for each group can be designed to specifically relate to people’s own job and the learning and experience they require from the programme in order to develop their role and further benefit their service developments and their users.
An introduction for all participants on the 1st day will focus on strategic, historical, organisational aspects of the transition from the institution to a community comprehensive service system. This will highlight the need to change the thinking, change the practice and change the system by demonstrating how this was done in Trieste and some other services in the world.
Examples of community mental health services from IMHCN members will also be introduced and presented throughout the module and particularly in the last two days open conference.
Each day there will be lectures, seminars and workgroups.
Also there will be practical service and clinical placements in each part of the service with staff from Trieste. These can take the form of clinical tutorials and observation of day to day practice on different topics. These would be most useful for practitioners. There would also be service placements with course participants and staff in pairs or in small groups, again on different topics.
The participants can choose which topics to follow during the course (on day 4), based on their particular need in developing their role and services.
They will be several topics related to deinstitutionalisation and community mental health development including:
- working with people in crisis,
- planning and management of change in deinstitutionalisation and community mental health systems development,
- devising person centered recovery plans,
- continuity of care,
- building trusting relationships,
- rehabilitation and habilitation of users,
- employment opportunities,
- social and cultural programmes,
- suicide prevention,
- working with families, working with people in the criminal justice system,
- partnerships with the community organisations and groups,
- managing difficult clinical situations.
Participants will be offered opportunities through discussions to connect with their own working context (using real-life, operational examples experienced in visits and on the job practical service and clinical placements), the deinstitutionalisation examples in Trieste with their own national and local situations.
Further visits to other demonstration sites can be offered by the IMHCN after this course.
Professional / job Streams
· 20 field teachers as personal tutors involved – they explain what they do in the real world, leading 2 participants who will be shadowing them in the day-to-day operation in the service.
· At the beginning of each day there will be a discussion / reflection on what they observed.
· Contents are: experience in management, in management of change and service development, operational management of present service, clinical work. People will be organised per profession / language / learning objectives. There will be also group experiences with simulation.
On day 4
How to set up a Community based service:
How to develop:
1) a MDT
2) a 24 hour CMHC
3) a recovery plan
4) crisis approach
5) work with total institutions
1) How to develop a multidisciplinary team (MDT):
2) How to develop a 24 hour community mental health centre in the real world?
3) How people can be trained to whole life and recovery?
4) How to meet the needs of people in crisis?
5) How to deal with existing large institutions in order to phase them out?
Developing me and my services (see Participants’questionnaire)
“WHY CHANGE? Creativity and Innovation in mental health development”
(on days 5-6)
The International Conference on the last two days can be seen as complementary to the course.
It will be open to other participants and will provide an updated view on innovative programmes on main
topics of community based services.
Change the thinking: the new challenges. Human rights in mental health, stigma and discrimination, public health approach, deinstitutionalisation and recovery.
What is ‘community’ psychiatry? Paradigm change.
Change the practice: initiatives and programmes. Toward a recovery practice.
The community based service: examples of good practices, programmes and components. Integration of mental health into primary care, family burden, job placement and social coops, community alternatives to acute and crisis services, supported housing, community involvement, social activities, forensic issue, user focus.
Why change the system? Learning from other service change experiences worldwide.
What about the model? Sustainability of mental health care in the community.
1. Comprehensive Community Services. Learning and practising
2. Why Change? Creativity and Innovation in mental heath development
Teachers and speakers
|DSM - Via Weiss 5 - 34128 Trieste - Italy - Tel. (+39) 040 399 7350 Fax (+39) 040 399 7363 - e-mail: email@example.com|