LEARNING OUTCOMES

To know the history and evolution of psychiatric and rehabilitative thought. To know the basic methodological elements of epidemiology and its applications in psychiatry in the clinical and rehabilitative scope. To learn the principles and methods of psychiatric rehabilitation, definition, objectives, main scientific evidence and intervention models to acquire the theoretical and methodological knowledge of the rehabilitator. To know the basics of the operative models of the psychiatric rehabilitation technician, of the projectuality, of the team work and of the professional deontology.

AIMS AND LEARNING OUTCOMES

The module aims to get the student to acquire:

• knowledge on theoretical contributions of the main authors and on the practices based on scientific evidence in psychiatric rehabilitation
• initial effective communication skills and appropriate technical / scientific language
• independent and critical reflexive study skills

At the end of the course the student will be able to:

• To know the contents related to the concept of recovery and empowerment to start the ability to support and encourage users towards health choices and recovery processes, reinforcing coping skills, self-esteem and enhancing available resources
• To know the issues related to the stigma and the social disability, in order to be able to work with the families and the social context of the subjects in the future, in order to fight them and favor their reintegration into the community with the highest level of social integration possible
• To know for the evaluation of psychic disability and psychosocial discomfort and for the interpretation of outcomes the value of standardized instruments (evaluation scales, interviews, questionnaires)
• To interpret the results of psychiatric research to rehabilitation practice and link resear

TEACHING METHODS

Lectures, with spaces for comparison and active teaching with students. Slide support. Students will be invited to independently research through PubMed relevant and recently published scientific articles concerning the contents of the lessons

SYLLABUS/CONTENT

BASIC PROGRAM

Introduction to Psychiatric Rehabilitation.

Theoretical and methodical aspects of Psychiatric Rehabilitation.

Rehabilitation tools and techniques.

ARGUMENTS TREATED IN THE FRONT LESSONS

- Introduction to Psychiatric Rehabilitation: the scientific and socio-cultural context

- Definitions of Psychiatric Rehabilitation

- Rehabilitation practice and its objectives

- Relationship and rehabilitation

- Rehabilitation and therapeutic process

- Definition of illness, impairment and disability

- ICF, outline

- The major theoretical approaches and the theory of disability

- Social skills and social competence

- Social disability and its evaluation scales.

- Communication and listening: concept of empathy and compliance.

- Definitions of cognitive stereotype, social stereotypes, prejudice, heterophobia, stigma

- M. Spivak and L. Ciompi: comparative theoretical models

- The Recovery process

- Psychiatric Rehabilitation according to the criteria of the theory of vulnerability.

- Liberman's vulnerability factors and SSTs.

- The psychoeducational model

- The expressed emotionality

- Leff and Berkowitz family therapy, outline

- Introduction to Falloon's integrated psychoeducational intervention

- The group. Therapeutic factors according to Yalom

- Examples of tools and techniques: the discussion group. The therapeutic group of assertive training. The guided reading

- EBM rehabilitation interventions in psychiatry and their effectiveness. Overview of research methodology. Pubmed

RECOMMENDED READING/BIBLIOGRAPHY

The slides will not be made available, this is in connection with the goal of developing in the student autonomous and reflective critical study skills on the text indicated below

Exam text:

G. Ba (2003) “ Strumenti e tecniche di riabilitazione psichiatrica e psicosociale”  Franco Angeli, Milano

Recommended texts for personal study::

- F. Basaglia (1982) “Scritti” Einaudi, Torino

- P. Carozza (2006) “Principi di riabilitazione psichiatrica. per un sistema di servizi orientato alla guarigione” Franco Angeli, Milano

- P. Carozza (2000) “Centri diurni e approccio ai processi cronici in psichiatria. Il Metodo Spivak e nuovi modelli di terapia” Franco Angeli, Milano

- B. Dell’Acqua (2005)“Fuori come va? Famiglie e persone con schizofrenia” Editori Riuniti, Roma

- I. Falloon et al. (1992) “Intervento psicoeducativo integrato in psichiatria” Edizioni Erickson, Trento

- R.P. Liberman (1997) “La riabilitazione psichiatrica” Raffaello Cortina Editore, Milano

- R.P. Liberman (2012) “Il recovery dalla disabilità. Manuale di riabilitazione psichiatrica” Giovanni Fioriti Editore, Roma

- F. Pesavento, D. Lamonaca (2003)“L’arte del possibile. Percorsi di riabilitazione nelle strutture intermedie della psichiatria” La Garangola, Padova.

- M. Rabboni (2005) “Dare abitudini, avere abitudini: i valori etici della quotidianità” Italian Journal of Psychopatology, Volume 11, March 2005, Supplement, pagg. 33-34.

- B. Saraceno (1995) “La fine dell’intrattenimento. Manuale di riabilitazione psichiatrica” ETAS libri RCS-Medicina, Milano

- A. Scala (1998) “L’agire riabilitativo. Manuale della riabilitazione psicosociale” Il Pensiero Scientifico Editore, Roma

- M. Slade (2011) “Personal recovery. Teoria e pratica della guarigione personale” Il Pensiero Scientifico Editore, Roma

- M. Farkas (2007) “La concezione attuale della guarigione: che cos’è e qual è il suo significato nei servizi” World Psychiatry 6: 4‐10

- M. Spivak “Socializing interactions in psycosocial rehabilitation programs” Italian Journal of Psychiatry and Behavioural Sciences, vol. 3,  n. 3, 1993

Inoltre i seguenti riferimenti legislativi:

- L. 13 maggio 1978, n.180

- D.P.R. 10 novembre 1999 “P.O. Tutela della Salute Mentale 1998/2000”

- Ministero della Sanità: Decreto 29 marzo 2001, n.182