Roversi Monica, Vita Antonio
Unità Operativa di Psichiatria n. 20 Gardone VT, Dipartimento di Salute Mentale, Azienda Ospedaliera Spedali Civili di Brescia.
Unità Operativa di Psichiatria n. 20 Gardone VT, Dipartimento di Salute Mentale, Azienda Ospedaliera Spedali Civili di Brescia - Dipartimento di Scienze Cliniche e Sperimentali, Università di Brescia.
Riv Psichiatr. 2015 Jul-Aug;50(4):181-7. doi: 10.1708/2002.21648.
The activities of rehabilitation and social reintegration related to work placement have been an important component in the rehabilitation practices of the Psychiatry Unit n. 20 (UOP 20) of the Spedali Civili Hospital of Brescia because of a deeply rooted culture of industrial work among the inhabitants of the served area.
Through the analysis of the individualized tools and the routines adopted to satisfy the needs for rehabilitation and risocialization, with reference to the axis "work", of people followed by the UOP 20, the methods of definition and realization of the paths of Socialization in Real Environment (SAR) have been developed.
A research conducted over a period of six years highlighted the therapeutic significance of SAR rehabilitation pathways. We found a general improvement in the quality of life of patients followed and the possibility of access to real work market for some of them through the empowerment of individuals and communities and the constant and long-lasting commitment of service and local communities to the integration and implementation of resources (both of patients and of life contexts).
Local experience is compared with the broader landscape of the interventions on employment in people with psychiatric disorders to highlight similarities and differences in order to facilitate the building of a common language and to promote the continuous improvement of rehabilitative practices and interventions.
由于服务区域居民中根深蒂固的工业工作文化，与工作安置相关的康复和社会重新融入活动一直是布雷西亚市立医院第20精神科（UOP 20）康复实践的重要组成部分。
通过分析为满足UOP 20所治疗患者在“工作”方面的康复和重新融入社会需求而采用的个性化工具和常规方法，开发了在真实环境中实现社会化路径（SAR）的定义和实现方法。
一项为期六年的研究突出了SAR康复路径的治疗意义。我们发现，通过增强个人和社区的能力，以及服务机构和当地社区对资源整合与实施（包括患者资源和生活环境资源）的持续长期投入，接受治疗的患者生活质量普遍得到改善，其中一些患者有机会进入实际工作市场。
将当地经验与针对精神疾病患者就业干预的更广泛情况进行比较，以突出异同点，从而促进构建共同语言，并推动康复实践和干预措施的持续改进。
