6 Listen to the recording and write the missing information in the spaces provided.
Mental Health Services in Italy are organised as follows:
- .................................................................................................................................................
It consists of structures and services that are aimed at supporting care, assistance and the safeguard of mental health issues within the area of competence of each ASL (Azienda Sanitaria Locale, i.e. local health service).
The DSM can provide:
- .................................................................................................................................................
- Semi-residential services: day centres / centri diurni (CD)
- Residential services: structures which can provide either therapeutic rehabilitation or social rehabilitation
- .................................................................................................................................................
Other institutions providing care are university clinics and private institutions.
Residential services are for people with psychiatric illnesses who, on the basis of a diagnosis, are sent there by a CSM to be given customised therapy. These are not places where patients live. There are usually no more than 20 patients per structure and are easily accessible to prevent isolation.
- .................................................................................................................................................
- Psychiatric Diagnosis and Care Services are local hospital services where voluntary or compulsory treatment is administered by admitting patients. They feature no more than 16 beds and have rooms for rehabilitative activities.
- .................................................................................................................................................
- Day hospitals are semi-residential assistance areas providing diagnosis and short/middle term rehabilitation therapy. They can be located inside hospitals and are connected with all the previously mentioned services. They are open at least 8 hours a day, 6 days a week.
7 Read the following texts (1–5) and match each of the situations (a–e) with the most suitable mental health service by writing the corresponding letter in the space provided.
1. Mental Health Centres are the closest to the community. They coordinate all local prevention, care and rehabilitation initiatives (e.g. psychotherapy, diagnosis, alcohol and drug abuse counselling, family counselling, cooperation with schools and charities, etc.). They work 12 hours a day, 6 days a week. □
2. Day Centres are semi-residential structures located within the territory for therapeutic and rehabilitative purposes. They operate to improve self-care, daily activities and social contact often giving patients the chance to find a job. □
3. Residential services are for people with psychiatric illnesses who, on the basis of a diagnosis, are sent there by a CSM to be given customised therapy. These are not places where patients live. There are usually no more than 20 patients per structure and are easily accessible to prevent isolation. □
4. Psychiatric Diagnosis and Care Services are local hospital services where voluntary or compulsory treatment is administered by admitting patients. They feature no more than 16 beds and have rooms for rehabilitative activities. □
5. Day hospitals are semi-residential assistance areas providing diagnosis and short/middle term rehabilitation therapy. They are open at least 8 hours a day, 6 days a week.
a. Ryan started drinking heavily two years ago. Now he is at risk of losing his job and has accepted his wife's advice to see health care workers.
b. Gina has been sent there by the Mental Health Centre for a few weeks' rehabilitation therapy.
c. Angie has been diagnosed with schizophrenia by the Mental Health Centre and needs to receive therapy. She lives with her parents at home.
d. Fiona became homeless because of prolonged unemployment. She has poor hygiene and no clean clothes. Some people have taken her to the local community services.
e. Sean was arrested by the police then diagnosed by a psychiatrist. His personality disorders may harm himself and others. He was forcefully sent there.
GLOSSARY
back-up: di supporto
to bear: farsi carico
broad: ampio
burden: fardello
commitment: impegno
to deliver: fornire, erogare
Department of Mental Health: Reparto di Igiene Mentale
fairly: abbastanza
inconsistent: discontinuo
nation-wide: su scala nazionale
outcome: risultato
overall: complessivamente
provision: offerta
to run (qui): gestire, amministrare
to undergo: subire