Beyond the mental hospital : crisis intervention and continuity of care in Trieste. A four year follow-up study in a community mental health centre.
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.
Mots-clés Pascal : Centre santé, Santé mentale, Traitement communautaire, Psychiatrie communautaire, Etude longitudinale, Evolution, Récidive, Internement, Accessibilité, Soin, Italie, Europe, Homme
Mots-clés Pascal anglais : Health center, Mental health, Community treatment, Community psychiatry, Follow up study, Evolution, Relapse, Mentally ill commitment, Accessibility, Care, Italy, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0224328
Code Inist : 002B18H05B. Création : 09/06/1995.