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Psychiatric rehabilitation. An open-network orientation

Published online by Cambridge University Press:  11 October 2011

Lorenzo Burti  and
Ernesto Guerriero
Lorenzo Burti*
Affiliation:
Department of Medicine and Public Health, Section of Psychiatry, University of Verona, Verona
Ernesto Guerriero
Affiliation:
Department of Medicine and Public Health, Section of Psychiatry, University of Verona, Verona
*
Address for correspondence: Professor L. Burti, Department of Medicine and Public Health, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, Piazzale L.A. Scuro 10, 37134 Verona. Fax: +39-045-500.873. E-mail: [email protected]
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Abstract

Summary

Objective – To discuss the difficulties encountered in providing rehabilitation to multi-problematic clients, and possible remedies. Method – The principles of psychiatric rehabilitation are outlined in the frame of the bio-psycho-social model and in the light of long-term follow-up studies. The limits of professional services and the importance of natural networks for successful rehabilitation and social adjustment are highlighted. Results – Worker cooperatives and consumer self-help associations seem to successfully complement health and social services in meeting the complex needs of this population. Conclusions – The integration of formal and informal networks of care is a major challenge and a relatively neglected, but important area of interest in contemporary psychiatric rehabilitation.

Declaration of Interest: no conflict of interests.

Keywords

community networkspsychiatric rehabilitationself-help groupssocial adjustment
Type
Invited Papers
Information
Epidemiology and Psychiatric Sciences , Volume 12 , Issue 3 , September 2003 , pp. 160 - 166
Copyright
Copyright © Cambridge University Press 2003

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References

REFERENCES

Adams, C., Wilson, P. & Bagnall, A.M. (2000). Psychosocial interventions for schizophrenia. Quality in Health Care 9, 251–256.CrossRefGoogle ScholarPubMed
Anthony, W.A. & Liberman, R.P. (1986). The practice of psychiatric rehabilitation: historical, conceptual and research base. Schizophrenia Bulletin 12, 542–559.CrossRefGoogle ScholarPubMed
Bleuler, M. (1972). Die schizophrenen Geistesstruengen im Lichte langjaehriger Kranken und Familiengeschichten. Thieme: Stuttgart.Google Scholar
Burti, L., Amaddeo, F., Ambrosi, M., Bonetto, C., Cristofalo, D., Ruggeri, M. & Tansella, M. (submitted for publication). Community based psychiatric treatment with and without attendance of a self-help group.Google Scholar
Carpenter, W.T. Jr & Strauss, J.S. (1991) The prediction of outcome in schizophrenia. IV: eleven-year follow-up of the Washington IPSS cohort. Journal of Nervous and Mental Disease 179, 517–525.CrossRefGoogle ScholarPubMed
Chamberlin, J. (1979). On Our Own. McGrow-Hill: New York (Trad, it.: Da Noi Stessi. Primerano: Roma, 1990).Google Scholar
Ciompi, L. & Miiller, C. (1976). Lebensweg und Alien der Schizophrenen. Eine katamnestiche Langzeistudie bis ins Senium. Springer: Berlin.CrossRefGoogle Scholar
Ciompi, L., Dauwalder, H.P. & Ague, C. (1979). Ein Forschungsprogramm zur Rehabilitation psychisch Kranker III. Laengsschnittuntersuchung zum Rehabilitationserfolg und zur Prognostik. Nervenarzt 50, 366–378.Google Scholar
Corrigan, P.W., Calabrese, J.D., Diwan, S.E., Keogh, C.B., Keck, L. & Mussey, C. (2002). Some recovery processes in mutual-help groups for persons with mental illness; I: Qualitative analysis of program materials and testimonies. Community Mental Health Journal 38, 287–301.CrossRefGoogle ScholarPubMed
DeSisto, M.J., Harding, C.M., McCormack, R.V., Ashikaga, T. & Brooks, G.W. (1995a). The Maine and Vermont three-decade studies of serious mental illness: I. Matched comparison of cross-sectional outcome. British Journal of Psychiatry 167, 331–338.CrossRefGoogle ScholarPubMed
DeSisto, M.J., Harding, C.M., McCormack, R.V., Ashikaga, T. & Brooks, G.W. (1995b). The Maine and Vermont three-decade studies of serious mental illness: II. Longitudinal course comparisons. British Journal of Psychiatry 167, 338–342.CrossRefGoogle ScholarPubMed
Gruenberg, E.M. (1967). The social breakdown syndrome. American Journal of Psychiatry 123, 12–20.CrossRefGoogle ScholarPubMed
Harding, C.M., Brooks, G.W., Ashikaga, T., Strauss, J.S. & Breier, A. (1987a). The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample and overall status 32 years later. American Journal of Psychiatry 144, 718–726.Google ScholarPubMed
Harding, C.M., Brooks, G.W., Ashikaga, T., Strauss, J.S. & Breier, A. (1987b). The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry 144, 727–735.Google ScholarPubMed
Hiiber, G., Gross, G., Schuttler, T. & Linz, M. (1980). Longitudinal studies of schizophrenic patients. Schizophrenia Bulletin 6, 592–605.CrossRefGoogle Scholar
Mosher, L.R. & Burti, L. (2002). Psichiatria Territoriale. Una Guida Pratica. Centro Scientifico Editore: Torino.Google Scholar
Spivak, M. (1977). Towards a systematisation of a social competency approach to rehabilitation: Theory and definitions. Israel Annals of Psychiatry and Related Disciplines 15, 289–299.Google Scholar
Spivak, M. (1987). Introduzione alia riabilitazione sociale. Teoria, tecnologia e metodi di intervento. Rivista Sperimentale di Freniatria 111,522–574.Google Scholar
Strauss, J.S. & Carpenter, W.T. (1977). Prediction of outcome in schizophrenia. III. Five-year outcome and its predictors. Archives of General Psychiatry 34, 159–163.CrossRefGoogle ScholarPubMed
Tansella, M. & Burti, L. (1999). The Italian Psychiatric Reform. A Century of Psychiatry, Vol. 2 (ed. Freeman, H.), pp. 257–260. Mosby-Wolfe Medical Communications: London.Google Scholar
Tansella, M., Amaddeo, F., Burti, L., Garzotto, N. & Rugged, M. (1998). Community-based mental health care in Verona, Italy. In Mental Health in our Future Cities (ed. Goldberg, D. and Thornicroft, G.), pp. 239–262. Psychology Press: Hove (UK).Google Scholar
Tsuang, M., Woolson, R. & Fleming, J. (1979). Long-term outcome of major psychoses, I: Schizophrenia and affective disorders compared with psychiatrically symptom-free surgical conditions. Archives of General Psychiatry 36, 1295–1301.CrossRefGoogle ScholarPubMed
Warner, R. (1994). Recovery from Schizophrenia (2nd ed.). Routledge: London.Google Scholar
World Health Organization (1973). Report of the International Pilot Study of Schizophrenia. World Health Organization: Geneva.Google Scholar
World Health Organization (1979). Schizophrenia. An International Follow-up Study. Whiley: Chichester.Google Scholar
World Health Organization (2001). ICF. The International Classification of Functioning, Disability and Health. World Health Organization: Geneva.Google Scholar
Zusman, J. (1966). Some explanations of the changing appearance of psychotic patients. In Evaluating the Effectiveness of Community Mental Health Services (ed. Gruenberg, E.M.). Millbank: New York.Google Scholar