Recently there has been increasing emphasis in recovery-oriented care in the delivery of mental health services. Recovery-oriented practice should promote self-efficacy, which is the perception to control and to determine meaning in life. This study focuses on the day care community centre of Casa del Giovane and its recovery-oriented services in cooperation with the Psychiatric Unit of Pavia: Innovative Project TR66. The analysis refers to data collected over a 10-year period, beginning in 2010 to the last clinical scale collection in December 2020. The first aim was to compare each user at two time points: their first and latest data collection dates and to observe changes in the recovery and/or quality of life domains. The second aim was to correlate time and the difference of the scores, as a positive correlation between time and the considered scales was hypothesised. In order to evaluate the improvements of the subjects, the instruments used were: GAF (Global Assessment Scale), CGI (Clinical Global Impression), WSAS (Work and Social Adjustment Scale), WHOQOL (World Health Organisation Quality of life), DREEM (Developing Recovery Enhancing Environment Measure) and the Social Network Test. The purpose of this study was to evaluate whether recovery-oriented practice as delivered by the Innovative Project TR66 is effective and can make a significant difference for service users to become more aware of their resources and to live their life to their full potential. The results from the analysis were promising and it was possible to conclude that for as long as the subjects are in the recovery-oriented day care, their perception of quality of life and the quality of their relationship will improve. In conclusion this study proved how the TR66 Innovative Project is effective, and that the recovery-oriented strategy implemented at day care of Casa Del Giovane can promote hope and personal growth, as well as all the elements seen to be fundamental in the journey to Recovery.
Vi è stata di recente una crescente enfasi nella recovery-oriented care nei servizi di salute mentale. La pratica recovery-oriented dovrebbe promuovere l'autoefficacia, che è la percezione di saper controllare e determinare il significato della vita. Questo studio si concentra sul centro diurno della comunità di Casa del Giovane e sul suo servizio recovery-oriented in collaborazione con l'Unità di Psichiatria di Pavia: il Progetto Innovatico TR66. L'analisi si riferisce a dati raccolti in un periodo di 10 anni, dall'inizio nel 2010 all'ultima raccolta nel dicembre 2020. Il primo obiettivo era confrontare ciascun utente in due momenti diversi: la sua prima e la sua ultima raccolta di dati e osservare possibili miglioramenti nel dominio della recovery e/o della qualità della vita. Il secondo obiettivo è stato quello di correlare il tempo alla differenza dei punteggi, in quanto è stata ipotizzata una correlazione positiva tra il tempo e le scale considerate. Per valutare i miglioramenti dei soggetti gli strumenti utilizzati sono stati: GAF (Global Assessment Scale), CGI (Clinical Global Impression), WSAS (Work and Social Adjustment Scale), WHOQOL (World Health Organization Quality of life), DREEM (Developing Recovery Enhancing Environment Measure) e il Social Network Test. Lo scopo di questo studio era dimostrare che la pratica recovery-oriented fornita dal Progetto Innovativo TR66 è efficace e può fare la differenza affinché gli utenti del servizio diventino più consapevoli delle proprie risorse e vivano la loro vita al massimo del loro potenziale. I risultati dell'analisi sono stati promettenti ed è stato possibile concludere che fino a quando i soggetti parteciperanno al progetto del centro diurno, la loro percezione della qualità della vita e la qualità della loro relazioni miglioreranno. In conclusione questo studio ha dimostrato come il Progetto Innovativo TR66 sia efficace e che la strategia di recovery attuata presso Casa Del Giovane possa favorire la speranza e la crescita personale, nonché tutti gli elementi ritenuti fondamentali nel percorso di recovery.
Recovery in Community Care: The Experience of Casa Del Giovane
CATANIA, VERONICA
2020/2021
Abstract
Recently there has been increasing emphasis in recovery-oriented care in the delivery of mental health services. Recovery-oriented practice should promote self-efficacy, which is the perception to control and to determine meaning in life. This study focuses on the day care community centre of Casa del Giovane and its recovery-oriented services in cooperation with the Psychiatric Unit of Pavia: Innovative Project TR66. The analysis refers to data collected over a 10-year period, beginning in 2010 to the last clinical scale collection in December 2020. The first aim was to compare each user at two time points: their first and latest data collection dates and to observe changes in the recovery and/or quality of life domains. The second aim was to correlate time and the difference of the scores, as a positive correlation between time and the considered scales was hypothesised. In order to evaluate the improvements of the subjects, the instruments used were: GAF (Global Assessment Scale), CGI (Clinical Global Impression), WSAS (Work and Social Adjustment Scale), WHOQOL (World Health Organisation Quality of life), DREEM (Developing Recovery Enhancing Environment Measure) and the Social Network Test. The purpose of this study was to evaluate whether recovery-oriented practice as delivered by the Innovative Project TR66 is effective and can make a significant difference for service users to become more aware of their resources and to live their life to their full potential. The results from the analysis were promising and it was possible to conclude that for as long as the subjects are in the recovery-oriented day care, their perception of quality of life and the quality of their relationship will improve. In conclusion this study proved how the TR66 Innovative Project is effective, and that the recovery-oriented strategy implemented at day care of Casa Del Giovane can promote hope and personal growth, as well as all the elements seen to be fundamental in the journey to Recovery.È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
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https://hdl.handle.net/20.500.14239/13032