A Tale of Two Cities: The Exploration of the Trieste Public Psychiatry Model in San Francisco

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• 作者：Elena Portacolone ; Steven P. Segal ; Roberto Mezzina…
• 关键词：Anthropology ; Mental Health ; Basaglia ; World Health Organization
• 刊名：Culture, Medicine and Psychiatry
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：39
• 期：4
• 页码：680-697
• 全文大小：391 KB
• 参考文献：Athena, McLean 2010 The Mental Health Consumers/Survivor Movement in the United States. In A Handbook for the Study of Mental Health. T.L. Scheid and T. Brown, eds. Pp. 461-477. Cambridge: Cambridge University Press.
  Basaglia, Franco, and Franca Basaglia Ongaro 1975 Crimini di Pace: Ricerche sugli Intellettuali e sui Tecnici come Addetti all’Oppressione. Torino: G. Einaudi.
  Franco Basaglia and FrancaBasaglia Ongaro (1981) Scritti 2 vols. Torino: Einaudi.
  Basaglia, Franco, and Franca Basaglia Ongaro 2005 L’Utopia della Realtà. Torino: Giulio Einaudi.
  Boccellari, A., et al. 2007 Characteristics and psychosocial needs of victims of violent crime identified at a public-sector hospital: data from a large clinical trial. Gen Hosp Psychiatry 29(3):236-43.CrossRef
  Chandler, Daniel, et al. 1997 Mental health costs, other public cost, and family burden among mental health clients in capitated integrated service agencies. The Journal of Mental Health Administration 24(2):178-188.CrossRef
  Daly, Mary, and Richard V. Burkhauser 2003 The Supplemental Security Income Program. In Means-Tested Transfer Programs in the United States. R.A. Moffitt, ed. Chicago: University of Chicago Press.
  Dell’Acqua, G., and M.G. Cogliati Dezza 1985 The end of the mental hospital: a review of the psychiatric experience in Trieste. Acta Psychiatrica Scandinavica 316:45-69.CrossRef
  Drake, R. E., et al. 1996 The New Hampshire study of supported employment for people with severe mental illness. J Consult Clin Psychol 64(2):391-9.CrossRef
  AnneMarie Erwert 2014 SF rents up more than 3 times higher than national average. In San Francisco Gate, 2014. San Francisco: San Francisco Chronicle.
  Doris J. James, and Lauren J. Glaze 2006 Mental health problems of prison and jail inmates. In Burea of Justice Statistics Special Report. pp. 1-12. Washington D.C.: U.S. Department of Justice—Office of Justice Programs.
  Mechanic, David. 1990 Deinstitutionalization: An appraisal of reform. Annual Review of Sociology 16(90):301-327.CrossRef
  Medicaid.Gov 2015 Health Homes, Medicaid.Gov. http://?www.?medicaid.?gov/?Medicaid-CHIP-Program-Information/?By-Topics/?Long-Term-Services-and-Supports/?Integrating-Care/?Health-Homes/?Health-Homes.?html . Accessed 29 Apr 2015.
  Mezzina, Roberto. 2007 Trieste in California—Report on a Visit to San Francisco, September 2007. Trieste: Trieste Mental Health Department.
  Mezzina, Roberto 2014 Community mental health in Trieste and beyond. The Journal of Nervous and Mental Disease 202(6):440-445.CrossRef
  Mezzina, R., and D. 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. The International Journal of Social Psychiatry 41(1):1-20.CrossRef
  Okin, Robert L. 1983 The Future of State Hospitals: Should There Be one? American Journal of Psychiatry 140:577.CrossRef
  Okin, Robert L. 1995 Testing the Limits of Deinstitutionalization. Psychiatric Services 46(6):569-574.CrossRef
  Okin, Robert L., et al. 2000 The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med 18(5):603-8.CrossRef
  Alan Rosen, Paul O’Halloran, Roberto Mezzina 2012 International Trends in Community Mental Health Services. In H.L.E.A. McQuistion, ed., Handbook of Community Psychiatry. pp. 389-404. New York: Springer.CrossRef
  Scheper-Hughes, N., and A. M. Lovell 1986 Breaking the circuit of social control: lessons in public psychiatry from Italy and Franco Basaglia. Soc Sci Med 23(2):159-78.CrossRef
  Scheper-Hughes, N., and Anne Lovell, eds. 1987 Psychiatry Inside Out: Selected Writings of Franco Basaglia. New York: Columbia University Press.
  Segal, Steven P. 1979 Community care and deinstitutionalization: a review. Social work 24(6):521-7.
  Segal, Steven P. 1989 Civil commitment standards and patient mix in England/Wales, Italy, and the United States. The American Journal of Psychiatry 146(2):187-93.CrossRef
  Segal, Steven P., and L. Jacobs (2013) Deinstitutionalization. In Encyclopedia of Social Work. Oxford: National Association of Social Workers and Oxford University Press
  Stein, L. I., and M. A. Test 1980 Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation. Arch Gen Psychiatry 37(4):392-7.CrossRef
  Sullivan, G., A. Burnam, and P. Koegel 2000 Pathways to homelessness among the mentally ill. Social Psychiatry and Psychiatric Epidemiology 35(10):444-50.CrossRef
  Sweet, Tom 1999 The Wellspring of the ClubHouse Model for Social and Vocational Adjustments of Persons with Severe mental Illness. Psychiatric Services 59(11):1473-1476.
  Tomes, Nancy. 2006 The patient as a policy factor: a historical case study of the consumer/survivor movement in mental health. Health Aff (Millwood) 25(3):720-9.CrossRef
  World Health Organization, 2001 Mental Health in Europe, Stop Exclusion, Dare to Car
• 作者单位：Elena Portacolone (1) (2) (3)
  Steven P. Segal (3)
  Roberto Mezzina (4)
  Nancy Scheper-Hughes (5)
  Robert L. Okin (6)
  
  1. Institute for Health and Aging, University of California, San Francisco, USA
  2. Institute for the Study of Societal Issues, University of California, Berkeley, USA
  3. Mack Center on Mental Health and Social Conflict, University of California, Berkeley, USA
  4. Trieste Department of Mental Health, Trieste, Italy
  5. Anthropology Department, University of California, Berkeley, USA
  6. Department of Psychiatry, University of California, San Francisco, USA
  
• 刊物类别：Humanities, Social Sciences and Law
• 刊物主题：Social Sciences
  Anthropology
  Public Health
  Psychiatry
  Sociology
  Clinical Psychology
  
• 出版者：Springer Netherlands
• ISSN：1573-076X

文摘

According to the World Health Organization (WHO), the “Trieste model-of public psychiatry is one of the most progressive in the world. It was in Trieste, Italy, in the 1970s that the radical psychiatrist, Franco Basaglia, implemented his vision of anti-institutional, democratic psychiatry. The Trieste model put the suffering person—not his or her disorders—at the center of the health care system. The model, revolutionary in its time, began with the “negation-and “destruction-of the traditional mental asylum (‘manicomio-. A novel community mental health system replaced the mental institution. To achieve this, the Trieste model promoted the social inclusion and full citizenship of users of mental health services. Trieste has been a collaborating center of the WHO for four decades with a goal of disseminating its practices across the world. This paper illustrates a recent attempt to determine whether the Trieste model could be translated to the city of San Francisco, California. This process revealed a number of obstacles to such a translation. Our hope is that a review of Basaglia’s ideas, along with a discussion of the obstacles to their implementation, will facilitate efforts to foster the social integration of persons with mental disorders across the world. Keywords Anthropology Mental Health Basaglia World Health Organization