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"FareAssieme". A MODEL OF PARTICIPATORY CO-PRODUCTION BY USERS AND FAMILIES IN MENTAL HEALTH SERVICES
Wilma Angela Renata di Napoli1, Davide Scordato1, Olaf Andreatta2
1Trento, Mental Health Center, Azienda Provinciale per i Servizi Sanitari, Trento, Italy.
The "FareAssieme" model integrates Peer Support Experts (ESPs) into community psychiatry, leveraging lived experience to enhance care. This participatory approach improves user engagement and fosters inclusive recovery pathways.
Area of Science:
- Community Psychiatry
- Mental Health Services Research
- Patient-Centered Care
Background:
- The
- FareAssieme
- model, implemented since 1999, emphasizes user and family involvement in recovery-oriented community psychiatry.
- Experiential knowledge from lived experience is central to improving care quality and rehabilitation.
Purpose of the Study:
- To evaluate the impact of the
- FareAssieme
- model on mental health service delivery.
- To assess the role and effectiveness of Peer Support Experts (ESPs) within a community psychiatry framework.
Main Methods:
- Structured integration of Peer Support Experts (ESPs) across all mental health service domains.
- Formation of a Participatory Planning Group (GPP) with users, families, ESPs, and professionals.
- Development of Operational Guidelines for standardized, shared practices.
Main Results:
- ESPs enhanced user engagement, improved service climate, and increased trust in providers.
- The model proved effective in engaging treatment-resistant individuals, strengthening therapeutic alliances.
- The GPP developed guidelines, promoting standardized and disseminated shared practices.
Conclusions:
- The
- FareAssieme
- model is a validated approach to participatory, recovery-oriented psychiatry.
- Experiential knowledge significantly contributes to mental health services, anti-stigma efforts, and co-constructed care pathways.
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