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Beyond the Mental Hospital: Crisis Intervention and Continuity of Care in Trieste. A Four Year Follow-Up Study in a Community Mental Health Centre

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  • Roberto Mezzina
  • Daniela Vidoni

Abstract

A sample group of 39 new patients with acute and severe crises underwent a 4-year follow-up study at the community mental health center in Trieste (CMHC). The CMHC is a full-time service, open 24 hours a day and 7 days a week, and is fully integrated into a network of services which has completely replaced the preexisting mental hospital. Evaluation shows: 1) a generally good outcome of the initial crisis; 2) a low relapse rate; 3) a tendency towards favourable long-term outcomes. In terms of practice, voluntary and compulsory hospitalization were avoided in favor of short-term day and night support in the CMHC. There were no suicides, no crimes, no drop-outs. Social adjustment remained unchanged. Accessibility and continuity of care were favored by not separating special crisis services. Instead, crisis intervention was integrated into a comprehensive Mental Health Service offering a wide range of preventive and rehabilitative responses. The study demonstrates that the mental health services in Trieste are able to cope with acute crises without psychiatric hospitalization.

Suggested Citation

  • Roberto Mezzina & Daniela Vidoni, 1995. "Beyond the Mental Hospital: Crisis Intervention and Continuity of Care in Trieste. A Four Year Follow-Up Study in a Community Mental Health Centre," International Journal of Social Psychiatry, , vol. 41(1), pages 1-20, March.
    • Handle: RePEc:sae:socpsy:v:41:y:1995:i:1:p:1-20
    DOI: 10.1177/002076409504100101
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    References listed on IDEAS

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    1. Benedetto Saraceno & Gianni Tognoni, 1989. "Methodological Lessons From the Italian Psychiatric Experience," International Journal of Social Psychiatry, , vol. 35(1), pages 98-109, March.
    2. Franca Ongaro Basaglia, 1989. "The Psychiatric Reform in Italy: Summing Up and Looking Ahead," International Journal of Social Psychiatry, , vol. 35(1), pages 90-97, March.
    3. Hoult, John & Rosen, Alan & Reynolds, Ingrid, 1984. "Community orientated treatment compared to psychiatric hospital orientated treatment," Social Science & Medicine, Elsevier, vol. 18(11), pages 1005-1010, January.
    4. Thomas L. Chiu & Chuck Primeau, 1991. "A Psychiatric Mobile Crisis Unit in New York City: Description and Assessment, with Implications for Mental Health Care in the 1990S," International Journal of Social Psychiatry, , vol. 37(4), pages 251-258, December.
    5. Renato Frisanco, 1989. "The Quality of Psychiatric Care Since the Reform Law: the 'Censis' Survey," International Journal of Social Psychiatry, , vol. 35(1), pages 81-89, March.
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