Good practice services

L’Organizzazione Mondiale della Sanità di Ginevra, Dipartimento di Salute Mentale e Abuso di Sostanze ha chiesto al Centro Collaboratore OMS di Trieste per la Ricerca e la Formazione in Salute Mentale – Dipartimento di Salute Mentale, ASUI Trieste  di ospitare,  nell’ambito del progetto “QualityRights”, il gruppo di lavoro “Mental Health Service Guidance – Recovery, people-centred & human rights-oriented approaches in mental health” per la realizzazione di un documento-guida che identifichi servizi di salute mentale territoriali che si basino sui seguenti presupposti:

  • centralità della persona
  • evitamento della coercizione
  • risposta alle esigenze delle persone
  • supporto alla recovery
  • promozione dell’autonomia e dell’inclusione, in linea con gli standard
  • internazionali dei diritti umani.

List of confirmed Speakers

  • Abdul Kadir Abu Bakar, Permay Hospital (Malaysia)
  • Ahonen Jorma, Open Dialogue (Finland)
  • Ahongbonon Grégoire, Association Saint Camille de Lellis di Bouaké (Ivory Coast)
  • Amaddeo Francesco, Health services, Health Care research – Verona University (Italy)
  • Asquini Mauro, Director MHD AAS3 “Alto-Collinare- Medio Friuli” (Italy)
  • Baker Paul, IMHCN (UK)
  • Barnabà Marina, MHD ASUI Trieste (Italy)
  • Berndsen Jan, Director Mental Health Europe MHE, Utrecht (The Netherlands)
  • Bertoli Marco, Director MHD AAS2 Gorizia (Italy)
  • Bertoni Maria Angela, Director MHD ASUI Udine (Italy)
  • Bisikiewicz Regina, Polish Institute of Open Dialogue (Poland)
  • Bon Silva, contemporary historian – Art.32 (Italy)
  • Bonavigo Tommaso, MHD ASUI Trieste (Italy)
  • Bonn Renzo, Former head MHD ASUI Udine (Italy)
  • Botter Valentina, MHD ASUI Trieste (Italy)
  • Cangiano Pablo, Director Social Cooperative “Duemilauno” (Italy)
  • Casadio Roberta, IMHCN Consultant (UK)
  • Castelpietra Giulio, Friuli Venezia Giulia Region (Italy)
  • Cecconi Stefano, “Stop Opg” Committee (Italy)
  • Chisholm Daniel, Head Noncommunicable diseases and life-course, WHO Regional Office Europe (Copenhagen)
  • Chondros Panagiotis, President EPAPSY (Greece)
  • Colapietro Roberto, MHD ASUI Trieste (Italy)
  • Corleone Franco, Authority for Rights of Inmates Toscana Region, (Italy)
  • D’Ambrosi Gabriella, MHD ASUI Trieste (Italy)
  • David Liron, ENOSH (Israel)
  • Del Giudice Giovanna, CoPerSaMM Franco Basaglia (Italy)
  • Dell’Acqua Peppe, Former head MHD ASUI Trieste (Italy)
  • Fantuzzi Claudia, MHD ASUI Trieste (Italy)
  • Fioritti Angelo, Director MHD Bologna (Italy)
  • Flaker Vito, University of Ljubljana (Slovenia)
  • Funk Michelle, WHO Geneva
  • Furlan Morena, Friuli Venezia Giulia Region (Italy)
  • Gaiatto Giovanni, Director Community Mental Health Center/REMS Maniago (Italy)
  • Goljevscek Serena, MHD ASUI Trieste (Italy)
  • Gopikumar Vandana, The Banyan, WHOCC Board (India)
  • Grasso Luciano, National Director of Mental Health Services (Argentina)
  • Impagnatiello Matteo, Director Community Mental Health Center MHD ASUI Trieste (Italy)
  • Jenkins John, CEO IMHCN (UK)
  • Jones Richard, Hywel Dda University Health Board (Wales)
  • Jovic Vladimir, International Aid Network, Belgrade (Serbia)
  • Kendall Tim, National Clinical Director for Mental Health (UK)
  • Kole Martijn, Manager Lister academie/ adviseur RvB Lister (The Netherlands)
  • Leonori Luigi, SMES – Europa Mental Health Social Exclusion (Belgium)
  • Lloyd Warren, Hywel Dda Univeristy Health Board (Wales)
  • Luchetta Chiara, MHD ASUI Trieste (Italy)
  • Magliano Lorenza, Associate Professor – Campania University (Italy)
  • Mahomed Faraaz, Harvard School of Public Health/Open Society Foundations (USA)
  • Marin Izabel, MHD ASUI Trieste (Italy)
  • Zulian Nicola, Social Cooperative “Germano” Trieste (Italy)
  • Mezzina Roberto, Director MHD ASUI Ts – Head WHOCC, Trieste (Italy)
  • Morrison Kerry, Stanton Fellow, Los Angeles (USA)
  • Murko Melita, WHO Regional Office Europe (Copenhagen)
  • Muusse Christien, Trimbos Instituut (The Netherlands)
  • Njenga Michael, Users and Survivovrs of Psychiatry (Kenya)
  • Norbedo Alessandro, MHD ASUI Trieste (Italy)
  • Oretti Alessandra, Deputy Director SPDC MHD ASUI Trieste (Italy)
  • Paci Elisabetta, “Luna e l’altra” Gender Association Trieste (Italy)
  • Pellegrini Pietro, Director MHD Parma (Italy)
  • Pfeiffer Jan, Ministry of Health (Czech Republic)
  • Ridente Pina, Former Director Community Mental Health Center MHD ASUI Trieste (Italy)
  • Rippa Arturo, MHD ASUI Trieste (Italy)
  • Roelandt Jean-Luc, WHOCC Lille (France)
  • Rojo Emilio, Mental Health Catalunya (Spain)
  • Romero Celeste, ATE (Argentina)
  • Rossi Giovanni, pshychiatrist SPDC No Restraint (Italy)
  • Rotelli Franco, Former General Director ASUI Trieste (Italy)
  • Ruffin Anthony, HOME Team Skid Row (USA)
  • Ruggeri Mirella, Verona University, WHO Collaborating Centre, Verona (Italy)
  • Runciman Olga, Psychovery (Denmark)
  • San Pio Jesus Maria, Mental Health Catalunya (Spain)
  • Santoro Francesca, MHD Trieste (Italy)
  • Saraceno Benedetto, Nova University of Lisbon, WHOCC Board (Switzerland)
  • Sashi Sashidharan, Warwick University (UK)
  • Saullo Alessandro, MHD AAS2 “Alto Isontino” (Italy)
  • Savarese Gaetano, MHD ASUI Udine (Italy)
  • Seabra Sade Rossana, UNESP (Brazil)
  • Serra Sergio, CEFEC (Italy)
  • Sherin Jonathan, Director Los Angeles County Department of Mental Health, LA (USA)
  • Silvestri Francesco, President and CEO International Initiative for Mental Health Leadership (IIMHL) & International Initiative for Disability Leadership (IIDL)
  • Sipala Michele, Peer Support Worker Social Cooperative “Germano” Trieste (Italy)
  • Sosic Bojan, Fenik Association (Bosnia and Herzegovina)
  • Speh Daniela, MHD ASUI Trieste (Italy)
  • Stanojković Milan, Special Psychiatric Hospital “Gornja Toponica” (Serbia)
  • Starace Fabrizio, Director MHD Modena (Italy)
  • Stylianidis Stelios, EPAPSY (Greece)
  • Tesolin Fulvio, Director MHD AAS5 Pordenone (Italy)
  • Visintin Marco, MHD AAS2 “Alto Isontino” (Italy)
  • Walters Kathryn, Aneurin Bevan University Health Board (UK)
  • Warriner Rob, Walsh Trust (New Zealand)
  • Zanfini Roberto, Director SPDC MHD Ravenna (Italy)
  • Zanus Paola, Director Community Mental Health Center MHD AAS2 Gorizia (Italy)
  • Zinkler Martin, Heidenheim General Hospital (Germany)

Monday 23rd September – Day 1

Chair: Roberto Mezzina

  • ASUITs  – Antonio Poggiana, Special Commissioner of ASUITs (Italy)
  • World Health Organization – Dévora Kestel, video message from the Director of the Department of Mental Health and Substance Abuse (Geneva)
  • World Health Organization – Michelle Funk, Coordinator Mental Health Policy and Service Development (Geneva)
  • World Health Organization – Dan Chisholm, Programme Manager for Mental Health in the WHO Regional Office for Europe (Copenhagen)
  • WFMH  – Alberto Trimboli, President of WFMH (Argentina)
  • IMHCN – John Jenkins CEO IMHCN (UK)
  • Human Rights Watch – Shanta Rau Barriga, Director of the Disability Rights Program (Bruxelles)
  • MHE – Jan Berndsen, President of MHE (The Neatherlands)

9.45 a.m. – 10.40 a.m. Plenary Session:  

Introduction of Quality Rights and good practice service guidance,Michelle Funk (Geneva)

11.00 a.m. – 13.00 p.m. Plenary Session: Responding to Crises

Chair/discussant:  Roberto Mezzina

  • Alternatives to hospital, Martin Zinkler (Germany)
  • Open dialogue, Jorma Ahonen (Finland)
  • Home treatment and hospitality at 24 Hrs CMH Centers, Matteo Impagnatiello / Francesca Santoro / Serena Goljevscek / Christien Muusse (Italy/The Netherlands) abstract / presentation 1 / presentation 2 /
  • No restraint approach in hospital Permai, Anita Abu Bakar (Malaysia)

General discussion

2:00 p.m. – 6:00 p.m.  Plenary Session: Good Practice Service presentation and discussion (b)

2:00 p.m. – 3:00 p.m. Peer Support

Chair/discussant: Jan Berndsen

  • Enik Recovery College: 100% peer run innovation, Martijn Kole (The Netherlands) 
  • Working with Voices, Olga Runciman (Denmark)
    3:00 p.m. – 4:00 p.m.  Primary care and support in community

Chair/discussant: Mirella Ruggeri

  • The Banyan: Home Again, (video) Vandana Gopikumar / Pina Ridente (India/Italy)
  • Psychosocial Care Centers in Brazil (CAPS), Rossana Seabra Sade (Brazil)
  • Homelessness HOME Team, Anthony Ruffin / Kerry Morrison (USA)

4:30 p.m. -6:00 p.m. Plenary Session: Good Practice Service presentation and discussion (c)

Networks and services providing multisectoral supports

Chair/discussant: Peppe Dell’Acqua

  • Lille coordinated network of Services, Anastasia Cornet / Gery Kruhelski  
  • Walsh Trust New Zealand, (video) Rob Warriner (New Zealand)
  • Changing Narratives- reaching out to marginalized communities within the Mental Health System – ENOSH, Liron David (Israel) 

Presentation of the proposal of Franco Basaglia Equipe and Trieste psychiatric community as a candidate for the Nobel Peace Prize, Mauro Barberis / Gianni Peteani / Marco Puntin (Italy)

Tuesday 24th September – Day 2

Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. 

9:00 a.m. – 10:30 a.m. Plenary Session: Trieste today and the regional developments

Chair/discussant: Angelo Fioritti 

  • Trieste coordinated network of services: whole life, recovery and citizenship for 50 years, Roberto Mezzina (Italy) 
  • 24hrs Community Mental Health Centers: an operation manual or more?, Claudia Fantuzzi / Daniela Speh / Gabriella D’Ambrosi (Italy) 
  • The Regional Mental Health System, Marco Bertoli / Mauro Asquini / Maria Angela Bertoni / Fulvio Tesolin / Giulio Castelpietra (Italy) 

11:00 a.m. – 1:00 p.m. Plenary Session: Local & global: co-production and innovation

Chair/discussant: Fabrizio Starace

  • Personal Health Budget: means for integration but in the hands of whom?, Morena Furlan / Arturo Rippa / Pablo Cangiano (Italy)
  • The experience of open door forensic units in the Friuli Venezia Giulia Region, Alessandro Norbedo (Italy) 
  • The experience of Recovery House: recovery and empowerment pathways, Roberta Casadio / Michele Sipala / Nicola Zulian / Izabel Marin (Italy) 
  • Gender sensitive approach in community mental health : actions and perspectives, Marina Barnabà / Valentina Botter / Paola Zanus / Elisabetta Paci (Italy) 

Conclusion: “The global impact of the Trieste model of Community Services”, Fran Silvestri / Tim Kendall (Uk / New Zealand) 

11:00 a.m – 1:00 p.m. Parallel Session: Selected International Good Practices (Eng)

Venue: Spazio Rosa

Chair/discussant: Renzo Bonn

  • Crisis Team “Tandemplus”, Patrick Janssens (Belgium) 
  • Human Rights Watch, Shanta Rau Barriga (Bruxelles) 
  • Institution, coercion and trauma, Thomas Emmenegger (Switzerland / Italy)  
  • Community as Therapy: Beyond Integrated Care, Ralph Aquila / Gilberto D’Ubaldi / Guido Valentino (USA / Italy) 
  • Open Dialogue in Trieste MHD: process of implementation, critical issues and perspectives, Pina Ridente (Italy)  
  • Open Dialogue: Experiences from the Counseling Service of Addison County in Vermont (USA), Alexander Smith / Robert Jimerson (USA)  
     

2:00 p.m. – 4:00 p.m. Plenary Session: Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. Twinning Collaboration: International experiences

John Jenkins

  • The experience in Wales: Hywell Dda and Aneurin Bevan Health Boards, Daniela Speh / John Jenkins / Warren Lloyd / Richard Jones (UK / Italy) 
  • Los Angeles: T.R.I.E.S.T.E. Project, Jonathan Sherin / Kerry Morrison / Roberto Mezzina / Tommaso Bonavigo (USA / Italy) 
  • Italy-Slovenia: EGTC – GO (European Group of Territorial Cooperation) – Health project – Zdravstvo – Mental Health,  Bogdan Tušar / Alessandro Saullo / Marco Visintin (Slovenia / Italia) 
  • Poland: Summary of 4 years co-operation and how it influenced the reform of Polish Mental Health System, Regina Bisikiewicz (Poland)

14-16 WHO QUALITYRIGHT WORKING GROUP (Engllsh)

Venue: Room Clinica Psichiatrica

Closed meeting coordinated by Melita Murko and Dan Chisholm

Who Europe QualityRights projectInter-country project meeting – planning and review meeting with EURO country focal points to discuss next phase.

4:30 p.m. – 6:15 p.m. Plenary Session: From Humanization to Deinstitutionalization

Chair/discussant: Vladimir Jovic 

  • QualityRights: country presentations and general discussion, Melita Murko / Dan Chisholm (Geneva)
  • Recommendations on the phasing out of psychiatric hospitals: results from a qualitative research, Roberto Mezzina / Tommaso Bonavigo (Italy) 

General discussion

4:30 p.m. – 6:15 p.m. Plenary Session: From Humanization to Deinstitutionalization

Chair/discussant: Vladimir Jovic

  • QualityRights: country presentations and general discussion, Melita Murko / Dan Chisholm (Geneva)
  • Recommendations on the phasing out of psychiatric hospitals: results from a qualitative research, Roberto Mezzina / Tommaso Bonavigo (Italy)

Wednesday 25th September – Day 3

Countrywide and region-wide reforms

Chair/discussant: Benedetto Saraceno

9:00 a.m – 10:30 a.m. Plenary Session East to West, South to North

  • Czech Republic: the national strategy according to European MH Action Plan, Jan Pfeiffer
  • Serbia: the national strategy of deinstitutionalization, Milan Stanojkovich 
  • Kenya: Establishing good practice in rights-based approaches to mental health, Faraaz Mahomed
  • Ivory Coast: Unchaining people with mental health issues, Gregoire Ahongbonon

11:00 a.m. – 1:00 p.m. WHO QUALITYRIGHT WORKING GROUP (English)

Venue: Mental Health Direction ROOM B
Closed meeting coordinated by Michelle Funk 
Good Practice Service Guidance Workshop on WHO Best Practice Services and next steps.

11:00 a.m – 12:00 p.m. Plenary Session Italy

Chair/discussant: Francesco Amaddeo

  • Overcoming of Forensic Hospitals: the good practices of REMS, Pietro Pellegrini / Stefano Cecconi / Franco Corleone (Italy)  
  • From a restraint to a no restraint psychiatric ward, Alessandra Oretti / Giovanni Rossi / Roberto Zanfini / Vito D’Anza (Italy)  

12:00 p.m. – 1:00 p.m. Plenary Session Empowerment

Chair/discussant: Lorenza Magliano

  • Empowerment: the networks of stakeholders in Europe (Lille), Jean Luc Roelandt / Simon Vasseur-Bacle (France)  
  • Get Active for Mental Health, a shared National project in Catalonia that enhances recovery in  the community, Maria J. San Pío / Emilio Rojo (Spain) 
  • Promoting user participation in Greece – Examples of good practices from EPAPSY, Panagiotis Chondros (Greece) 

COMMUNITY MENTAL HEALTH IS GAINING GROUND IN FRANCE 

Strengthening international cooperation for system reform

2:00 p.m. – 4:45 p.m.  Parallel Sessions 

A – Latin America and Spain (Spanish-Italian)

Venue: Room Ugo Guarino

Chair/discussant: Renzo Bonn / Giovanna Del Giudice

  • Approach of socio-sanitary inclusion of mental health in the General Hospital, Silvia Raggi/Alberto Trimboli et al. – Hospital Alvarez Buenos Aires (Argentina) 
  • Argentina: Por un Pais sin Manicomios, Celeste Romero / Chiara Luchetta / Roberto Colapietro (Argentina / Italy)
  • The Avilés model for the implantation of assertive community treatment and crisis resolution teams in Spain, Juan José Martìnez Jambrina (Spain) 
  • Daily life in the expression of hearing voices: the narrative of people attended at mental health service n Belem do Para, Maria de Nazareth Malcher / Adelma Pimentel (Brazil)
  • A model of community mental health: Home care and intensive support for psychiatric crisis management Rossana Maria Seabra Sade (Brazil) 

Round table with video connections from Latin America countries

 

B – Europe and beyond (English) 

Venue: Direction MH Dep. Rooms A & B

Chair/discussant: John Jenkins / Paul Baker

  • An empirical ethics approach to Trieste mental healthcare, Christien Muusse (The Netherlands) 
  • Machines of exclusion and inclusion, Vito Flaker (Slovenia) 
  • Social Firms Europe CEFEC, Sergio Serra (Italy)
  • The Role and Value of Mental Health Service Users’ Association in Fostering and Promoting Recovery, Bojan Sosic et al. – (Bosnia and Herzegovina) 
  • Equity and equality: A Community network to ensure the acces to mental health care of “the last”, Massimo Marsili (France) 
  • Teaching Old Gods New Tricks, Rob Warriner (New Zealand) 
  • “Good Practices” means “Open doors with no restraints” and really “community based”, Theodoros Megaloeconomou (Greece) 
  • The hostel program – Recovery oriented care for people with long term drug addiction, within housing facilities and ambulatory care, Ronald Kemp (The Netherlands) 
  • To promote Dignity and Wellbeing, guaranteeing accessibility – quality – sustainability of social/health services for person, Luigi Leonori (Belgium) 
  • A project for improving standard of care and human rights in psychiatric hospital in Iran, Maryam Tabatabaei (Iran) 

 

C – The person’s say: programs and practices in whole life domains

Venue: Franca e Franco Basaglia Theatre – Simultaneous translation available (Italian – English)

Chair/discussant: Mirella Ruggeri/Silva Bon abstract 

 1 . The right to work

  • Social cooperatives societies and citizens’ social integration, Stefania Grimaldi (Italy) 
  • A pilot study of a shared decision-making program to improve antipsychotic drug treatment, Fabio Panariello / Dalmonte Giulia et al. (Italy)
  • Peer support in Community MHC: The Bologna 2013-2017 program and current situation, Francesca Guzzetta / A. Cattani et al. (Italy) 
  • The fusion Model: Integrating Recovery Into High Octane Crisis Care (It can be done!), Charles T.Browning / Shannon Jacard (USA)

3. The right to be equal in front of the law

  • Supported decision making and personal budget models, Wilfried Kainz (Austria) 

4. The right to indipendent living and community participation

  • Using people power to change the culture of Mental Health, Matthew Holzmann  (USA)
  • The right to live in the Community is a Human Right, Judith Klein (USA) 
  • Building a Healthy Community in a City that Cares, Ofelia Altomare (Italy)

2:00 p.m. – 4:45 p.m.   WHO QUALITYRIGHTS WORKING GROUP (English) 

Venue: Room Clinica Psichiatrica 

Closed meetings coordinated by Melita Murko and Dan Chisholm

 WHO Service Guidance / WHO Europe QualityRights – Market place for Innovation and Exchange

5:00 p.m. – 6:00 p.m.  Plenary Session

Chair/discussant: Roberto Mezzina 

  • The Future of Mental Health, Benedetto Saraceno / Franco Rotelli (Italy)
  • Best Poster Award, Elisabetta Pascolo Fabrici (Italy)
  • Next steps for WHO and international partners, Michelle Funk (Geneva)

Poster Session 23rd – 25th September

Best Poster Award on Wednesday 25th

Visiting DTC Project – Democratic Peer accreditation for democratic therapeutic communities, Simone Bruschetta – Visiting DTC Project Legacoopsociali (Italy)

Family foster home (IESA): The way home, S. Conti, C. Conti et al. – MHD Azienda USL Bologna (Italy)

The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos, Alessandro Barberio, Maria Episkopou et al. – Medecins Sans Frontieres (Greece)

The psychosocial Clubhouses are built on human rights and support for recovery and social inclusion of people with mental disorders, Hanninen Esko – Clubhouse Europe/ Finnish Clubhouse coalition (Finland)

Knowledge, expression of subjectivity and democracy in the group: the experience of emancipation and growth of a group of people in “Maddalena” CMHC, Pietro Zolli/Annalisa Parrini et al. – MHD Trieste (Italy)

Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste, Pietro Zolli et al. – MHD Trieste (Italy)

The project “mens sana in corpore sano”. Improving treatments quality for people with severe mental disorder: health care and local territory network accessibility, Pietro Zolli et al. – MHD Trieste (Italy)

Application of fractal drawing in vocational rehabilitation, Elen Ursic – Racio d.o.o. (Slovenia)

 

Best Poster Award:  The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos 

Special Mention:Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste,Pietro Zolli et al. – MHD Trieste (Italy)