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意大利的精神康复模式:来自意大利心理社会康复协会(SIRP)调查的结果。

Psychiatric rehabilitation patterns in Italy: Results from the Italian Society of Psychosocial Rehabilitation (SIRP) survey.

作者信息

Viganò Caterina, Ariu Cassandra, Barbieri Deborah, Goffredi Alessia, Ferrara Luca, Rea Federico, Barlati Stefano, Vita Antonio

机构信息

Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.

Psychiatry 2 Unit, ASST Fatebenefratelli Sacco Milan, Milan, Italy.

出版信息

Front Psychiatry. 2023 Feb 22;14:1130811. doi: 10.3389/fpsyt.2023.1130811. eCollection 2023.

Abstract

INTRODUCTION

Psychiatric rehabilitation can be considered a bidirectional technique, designed to allow patients to achieve their personal target, focusing on the individuals' strengths and challenges related to these targets and also on the community organizations in which they will live them out. Unfortunately, psychiatric rehabilitation is too often not considered a first line treatment. Moreover, rehabilitation has been confused with a generic and rough practice, consisting of extemporary actions and aimless entertainments designed to fill "the time passing".

METHODS

The aim of this study was to increase the knowledge and awareness about the state of the art of different systems of management and funding of psychosocial rehabilitation in the Italian "real-world" rehabilitative settings, using a specifically developed questionnaire.

RESULTS

The data obtained are positive for some aspects of the rehabilitation interventions, in particular for the use of validated tools for the evaluation and revision of projects and for the trend to work on a team, even though the scarcity of evidence-based rehabilitation interventions applied in Italian psychiatric services is less encouraging.

CONCLUSION

This survey presents, at least partially, the "real-world" of rehabilitation in Italy so that we can lay the foundations for the definition of an updated, validated and shared network of what is implemented in the context of psychiatric rehabilitation.

摘要

引言

精神康复可被视为一种双向技术,旨在帮助患者实现个人目标,关注与这些目标相关的个人优势和挑战,以及他们将在其中实践这些目标的社区组织。不幸的是,精神康复常常未被视为一线治疗方法。此外,康复已与一种笼统而粗糙的做法相混淆,这种做法由临时行动和旨在打发“时间流逝”的无目的娱乐组成。

方法

本研究的目的是通过使用专门设计的问卷,提高对意大利“现实世界”康复环境中不同心理社会康复管理和资助体系的最新情况的认识和了解。

结果

所获得的数据在康复干预的某些方面是积极的,特别是在使用经过验证的工具进行项目评估和修订以及团队合作趋势方面,尽管意大利精神科服务中应用的循证康复干预措施较少,这一点不太乐观。

结论

本次调查至少部分呈现了意大利康复的“现实世界”,以便我们能够为定义一个在精神康复背景下实施的最新、经过验证且共享的网络奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef88/9992193/22dedecd180c/fpsyt-14-1130811-g001.jpg

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