The Trieste Model of Community Mental Health
Utopia and Reality
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Beschreibung
This book offers the first comprehensive, English‑language account of the development, principles, and contemporary significance of the Trieste model—one of the world’s most influential examples of community mental health care, a WHO model of excellence. Emerging from the radical deinstitutionalisation initiated in Italy in the 1960s and 1970s, the Trieste experience has become an essential reference point for global debates on mental health reform, human rights, and the transition from institutional to community‑based systems of care.
Bringing together over seventy contributors with long-standing clinical, academic, and policy engagement, the volume critically examines how Trieste created and sustained an alternative to psychiatric hospitals through open‑door, no‑restraint practices, 24/7 community mental health centres, social cooperatives, supported housing, personalised budgets, and rights‑based approaches to crisis care. The book situates these developments within the broader history of psychiatry, the philosophy of deinstitutionalisation, and international movements for equity, citizenship, and recovery.
Across its sections, the volume analyses the history, the theoretical foundations, and key components of the Trieste system; evaluates available evidence on outcomes, effectiveness, and service sustainability; and explores attempts to adapt and translate the model in diverse national contexts. It also addresses contemporary threats to community mental health services and reflects on the enduring tensions between care and control, professional authority and user participation, and utopian aspiration and organisational reality.
Providing an authoritative synthesis of fifty years of practice, theory, and lived experience, this book is an essential resource for researchers, clinicians, policymakers, and practitioners concerned with community mental health, social psychiatry, deinstitutionalisation, and rights‑based service transformation worldwide.
This book offers the first comprehensive, English‑language account of the development, principles, and contemporary significance of the Trieste model—one of the world’s most influential examples of community mental health care, a WHO model of excellence. Emerging from the radical deinstitutionalisation initiated in Italy in the 1960s and 1970s, the Trieste experience has become an essential reference point for global debates on mental health reform, human rights, and the transition from institutional to community‑based systems of care.
Bringing together over seventy contributors with long-standing clinical, academic, and policy engagement, the volume critically examines how Trieste created and sustained an alternative to psychiatric hospitals through open‑door, no‑restraint practices, 24/7 community mental health centres, social cooperatives, supported housing, personalised budgets, and rights‑based approaches to crisis care. The book situates these developments within the broader history of psychiatry, the philosophy of deinstitutionalisation, and international movements for equity, citizenship, and recovery.
Across its sections, the volume analyses the history, the theoretical foundations, and key components of the Trieste system; evaluates available evidence on outcomes, effectiveness, and service sustainability; and explores attempts to adapt and translate the model in diverse national contexts. It also addresses contemporary threats to community mental health services and reflects on the enduring tensions between care and control, professional authority and user participation, and utopian aspiration and organisational reality.
Providing an authoritative synthesis of fifty years of practice, theory, and lived experience, this book is an essential resource for researchers, clinicians, policymakers, and practitioners concerned with community mental health, social psychiatry, deinstitutionalisation, and rights‑based service transformation worldwide.
Demonstrates how the Trieste model builds a comprehensive, rights‑based alternative to institutional psychiatry Examines 50 years of community mental health practice to show what makes the Trieste experience effective and adaptable Brings together diverse expert perspectives to guide researchers and practitioners in transforming mental health systems
Autor*in
Roberto Mezzina
Themen in »The Trieste Model of Community Mental Health«
Trieste model Deinstitutionalisation Community mental health care Franco Basaglia Human rights in mental health Open‑door psychiatry Social psychiatry Citizenship and psychosocial disability Post‑asylum mental health systems Community‑based rehabilitation (CBR)