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METHODS AND TECHNIQUE OF PSYCHIATRIC REHABILITATION AND MULTI PROFESSIONAL ASSESSMENT

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
BARBARA PAESANTI
Credits
9
Didactic period
Secondo Semestre

Training objectives

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Modulo: 53286 - PROGETTAZIONE E LAVORO IN EQUIPE
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PLANNING AND TEAM WORK: a) The student will be able to recognize and explain1 the competences of the different professional profiles that
revolve around the person suffering from mental disorder, to suffer from the roles that make up the multi-professional team of the Mental Health Services.
b. The student will be able to recognize and explain the elements that favor team work or hinder it, in the process of caring for the person suffering from mental disorder, starting from the knowledge of transversal skills.
c. The student will be able to explain the phases and elements of a multi-professional planning in the care context, starting from the description of a care planning.
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Modulo: 53287 - CASE MANAGEMENT
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CASE MANAGEMENT
Case management in psychiatry and rehabilitation. Management of the psychiatric patient organization and management of the rehabilitation setting.
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Modulo: 53306 - ASSESSMENT
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ASSESSMENT
The course aims to deepen the concept of adaptive vs non-adaptive psycho-affective and relational functioning and the evolution of the various forms of psychopathological suffering over time, through a review of empirical studies in the literature.
It is also proposed to investigate some tools to evaluate the effectiveness of the interventions implemented in mental health services aimed at both developmental age and adulthood with references to detainees and in REMS.
The interventions are to be understood in the various types: pharmacological, psychotherapeutic, rehabilitation-functional, social rehabilitation.
At the end of the course, students will acquire interest and ability to evaluate the effectiveness of interventions.
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Modulo: 53307 - INTEGRAZIONE SOCIO-SANITARIA
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SOCIAL-HEALTH INTEGRATION
• Acquire the main national and regional legislative references on the subject of socio-health integration.
• Know the network of social and health services, the characteristics, the actors involved, the activation / functioning methods, the programming and the operational tools.
• Learn the different figures for the protection of frail people: Interdiction, Disability and Support Administrator.
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Modulo: 53308 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PSICHIATRICHE
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GENERAL, CLINICAL AND PSYCHIATRIC NURSING SCIENCES.
Dal Pozzo: Acquisition of knowledge in the field of clinical risk, knowing how to recognize, manage and promptly record sentinel events, knowing the tools of clinical risk.
Silveri: Acquire knowledge on cognitive and functional impairment in severe mental disorders as well as on the main Cognitive Remedy interventions currently present. Acquire basic practical skills in conducting some of the main CR interventions.
Zara:
•Know the main mental health italian legislation
•Acquire the main psychiatric rehabilitation tools: the motivation for change, the interview and the operator / user relationship, the home visit.
• Learn the intervention methods of the psychiatric rehabilitation technician with respect to the Home and Work Axis.
• Understand the role of the Third Sector in working with psychiatric users and the methods of integration.
• Know the areas of expertise of the psychiatric rehabilitation technician and the fields of integration with other health professions.

Prerequisites

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Modulo: 53286 - PROGETTAZIONE E LAVORO IN EQUIPE
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PLANNING AND TEAM WORK
Knowledge of the contents of the "Communication and Relationship" teaching programs - 1st year of the Degree in Psychiatric Rehabilitation Technique.

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Modulo: 53287 - CASE MANAGEMENT
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CASE MANAGEMENT
Knowledge of the different care settings of the DAI SM DP and the private social sector. Theoretical knowledge of the different types of patient care and of the principles of psychiatric rehabilitation. Theoretical knowledge of the elements of the PTRI and of the main recovery oriented rehabilitation interventions.

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Modulo: 53306 - ASSESSMENT
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ASSESSMENT
Knowledge of the characteristics of some diagnostic groups which constitute the most common cases in mental health services relating to developmental age and adulthood.

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Modulo: 53307 - INTEGRAZIONE SOCIO-SANITARIA
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Knowledge of recent health and social legislation.

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Modulo: 53308 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PSICHIATRICHE
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TECCHIATI:
- Knowledge of the diagnostic criteria of Eating and Nutrition Disorders;
- Knowledge of the main assessment tools and transdiagnostic rehabilitation interventions.
ZARA:
Knowledge of the main psychiatric disorders.
SILVERI:
-Knowledge of the main psychiatric disorders.
- Basic knowledge of neuroanatomy and neurophysiology.

Course programme

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Modulo: 53286 - PROGETTAZIONE E LAVORO IN EQUIPE
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PLANNING AND TEAM WORK
• the professional, health and social roles, which revolve around the person suffering from psychiatric disorder;
• the conceptual model of transversal skills in SSM;
• work in multi-professional teams: the perspectives of the group for the individual and of the individual for the group;
• effective communication in team work;
• plan as a team, to enable or rehabilitate: the care project, multidisciplinary planning and by objectives, the matrices of responsibilities.

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Modulo: 53287 - CASE MANAGEMENT
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CASE MANAGEMENT
Case-Management organizational model: origins and first applications.
Competencies, skills and functions of the mental health case manager
Creation of an example of an integrated care path with the involvement of the multidisciplinary team

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Modulo: 53306 - ASSESSMENT
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ASSESSMENT
Notes on multidimensional models in psychiatry and clinical psychology.
Development of multiaxial assessment: symptom axis, re-acquisition axis of social skills, perception axis of family load, adherence / satisfaction axis of the intervention implemented, etc.
With reference to this conceptual framework, the development of some psychodiagnostic tools both for the developmental age and for the adult age.
TAS 20 - CASIG - HAM/D- scala MAST
The practice of the Assessment
In the context of detention and the Execution of Security Measures
Self-harm and/or suicidal risk Presentation and discussion of cases Evaluation and verification tools
Focus: Child maltreatment and abuse - ACE study

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Modulo: 53307 - INTEGRAZIONE SOCIO-SANITARIA
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• Social and health integration: definition and main national and regional regulatory references.
• The network of health and social services: characteristics, methods of access, evaluation tools and planned interventions. Specifically: ASP, health and social districts, social secretariat, Adult / Elderly / Minor area services, multidimensional evaluation, UVG / UVM, evaluation tools (MMSE, BINA, IADL / ADL, ICF).
• National / local socio-health planning: tools, actors, funding. Specifically: national social plan, regional health and social plan, area plans, fund for non self-sufficiency, authorization for the operation and accreditation of services.
• Social-health integration tools: health budget, care allowance. Practical examples of individualized integrated planning (in axes Home, Job, Self care and life supporting)
• Interventions for the protection of vulnerable people: Interdiction, Disability and Support Administrator. Specifically: laws, recipients, methods of appeal, appointment, powers, beneficiaries and duration of the various legal institutions.

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Modulo: 53308 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PSICHIATRICHE
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TECCHIATI:
- Levels of care for the rehabilitation treatment of EDs
- Main guidelines for the treatment of eating disorders
- Assessment tools useful in the rehabilitation treatment of EDs
- EBM intervention protocol of specific cognitive rehabilitation for Anorexia "CRT-AN"
- Psychoeducational interventions and specific DBT oriented strategies for Bulimia and Binge Eating Disorder
- EBM psychoeducation intervention protocols, specific for family members of people with EDs (RPP, New Maudsley Model, Dalle Grave)
- Examples of adaptation and application of transdiagnostic rehabilitation interventions in the context of EDs (Social Skill Training, IMR)
- Prevention interventions foreseen by the Emilia Romagna Region and practical examples of application
ZARA:
- Tools for work inclusion for people with mental illness: traditional model and IPS model.
- Evaluation forms and operational tools for work transition projects (Law 14, Law 68, Tifo and Ips).
- Psychiatric rehabilitation tools: the interview (definition, communication techniques, relational skills, setting, typologies); the operator/user relationship; the home visit (definition, purpose, recipients, phases, operating methods, areas of investigation).
- The model of supported environments: the home axis (definition of supported living, principles and characteristics, users, groups and work tools).
- Professional profile and Core Competence of the Psychiatric Rehabilitation Technician
SILVERI:
- Rationale of Cognitive Remediation interventions and main cognitive functions
- Methods and techniques of Cognitive Remediation
- Learning and information processing strategies
- Neuropsychological assessment tools (MATRICS, BACS, CAI, SCORS,FEIT,TASIT, etc.)
- Styles, techniques and methods of conducting and managing a rehabilitation group.
- Main Cognitive Remediation EBM interventions (IPT, INT, MCT, CAT, CRT, CCT, CogPack, Circuits)

Didactic methods

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Modulo: 53286 - PROGETTAZIONE E LAVORO IN EQUIPE
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PLANNING AND TEAM WORK
Frontal lessons.

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Modulo: 53287 - CASE MANAGEMENT
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CASE MANAGEMENT
Interactive lectures and exercises in small groups

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Modulo: 53306 - ASSESSMENT
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ASSESSMENT
Frontal lesson (in presence / in direct streaming), interactive.

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Modulo: 53307 - INTEGRAZIONE SOCIO-SANITARIA
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Frontal lesson (in presence / in direct streeming).

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Modulo: 53308 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PSICHIATRICHE
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TECCHIATI:
Frontal lesson (in presence / in direct streeming);
interactive;
teamwork.
ZARA
Frontal and interactive lessons (in streeming mode and in presence).
SILVERI
Frontal and interactive lessons (in streeming mode and in presence).

Learning assessment procedures

ASSESSMENT: oral exam consisting of n. 5 questions related to the course contents. Average time required per student 20 - 30 min; the evaluation criteria are related to clarity, precision, practical application capacity, technical rigor.
Cornacchia: written exam in person / online (test with multiple choice and open questions, maximum time required 30-45 minutes).

PLANNING AND TEAM WORK: construction, in itinere, of individual and / or group papers on behalf of the teacher.
CASE MANAGEMENT: The exam consists of the administration of a multiple choice questionnaire with 20 answers (time 1 hour) and the compilation of a term paper concerning the organization and management of a clinical case.
SOCIAL-HEALTH INTEGRATION: online exam. Test with multiple choice questions. Maximum time required 30 minutes.
GENERAL, CLININCAL AND PSYCHIATRIC NURSING SCIENCES:
Dal Pozzo: Written test which involves the production of a written paper concerning the topics covered in class.
Silveri: Oral exam divided into 3 questions on topics addressed during the lessons. Average time required per student 20 minutes.
Zara: written exam in person / online (test with multiple choice and or open questions, maximum time required 30-45 minutes).

THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TEST

Reference texts

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Modulo: 53286 - PROGETTAZIONE E LAVORO IN EQUIPE
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PLANNING AND TEAM WORK
· G.Borsatti “Psicologia di gruppo” 1997, Società Editrice Universo Roma;
· O.Bassetti “Collaborare dialogando” 1996, Rosini Editrice SRL Firenze;
· G.P.Quaglino, S.Casagrande, A.Castellano “Gruppo di lavoro, lavoro di gruppo” prima ed. 1992 (in commercio
dal 1996), Raffaello Cortina Editore;
· R.Anchisi, M.G.Dessy “Manuale di Assertività” 2013 (in commercio dal 2016), Franco Angeli;
· AA.VV. “Le competenze trasversali nelle equipe della salute mentale” 2012, ISFOL;
· AA.VV. “Piano d'azione per la salute mentale 2013-2020” OMS;
· AA.VV. “LG Gestione della salute fisica in adulti con patologie mentali gravi” 2018, OMS;
· AA.VV. “Piano di azioni nazionale per la salute mentale” 2013, Ministero della Salute;
· AA.VV. “Linee d'indirizzo nazionali per la salute mentale” 2008, Ministero della Salute.

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Modulo: 53287 - CASE MANAGEMENT
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CASE MANAGEMENT
Didactic material provided by the teacher

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Modulo: 53306 - ASSESSMENT
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ASSESSMENT
A. Marcoli (2020). The angry child. Fables to understand childhood anger. Mondadori Published by Milano.
Cornacchia: Material provided by the teacher (Lessons and Slides Report)

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Modulo: 53307 - INTEGRAZIONE SOCIO-SANITARIA
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Materials provided by the teacher (slides, legislative sources, clinical cases, operational tools, audiovisual material)

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Modulo: 53308 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PSICHIATRICHE
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TECCHIATI:
Materiali forniti dal docente (slide, casi clinici, strumenti operativi, materiale audiovisivo, riferimenti bibliografici).
ZARA:
Materiali forniti dal docente (slide, casi clinici, strumenti operativi, materiale audiovisivo, riferimenti bibliografici).
SILVERI:
Materiale didattico fornito dal docente (slide, strumenti operativi, riferimenti bibliografici).
Testi:
- “La riabilitazione cognitiva della schizofrenia. Principi, metodi e prove di efficacia”, di A. Vita (a cura). Ed. Springer Verlag (2013)
- “Manuale di clinica e riabilitazione psichiatrica. Dalle conoscenze teoriche alla pratica dei servizi di salute mentale. Riabilitazione psichiatrica (Vol. 2)“, di A. Vita (a cura di), L. Dell'Osso (a cura di), A. Mucci (a cura di). Ed. Giovanni Fioriti Editore (2019)