Indagine sulle attività riabilitative in Lombardia : un progetto della Società Italiana di Riabilitazione Psicosociale, sezione regionale (SIRP-LO)

This paper shows the results of a survey on rehabilitative activities in Mental Health services done in Lombardy (Italy). The study started on the necessity to investigate the state of the art of rehabilitation in the real world, going beyond theoretical settings, evidences and adaptation to required standards, involving psychiatry professionals and investigating experiences with old and new techniques, as well as peculiar motivations and languages of rehabilitative knowledge and practices. The participants in the survey was one-fifth of public services and one-third of private ones, with a quite homogeneous distribution in provinces; there are 904 collected forms. The resulting data, even with the limits of this study, show that in rehabilitation services in Lombardy more than a half of activities are oriented to making in daily life and socialization, through acquisition of basic skills; these data correspond with the targets of residential services, that invest substantial resources in the recovery of functioning in daily life to promote further development paths to autonomy. Data from activities dedicated to specific recovery of cognitive, emotional and relational competences, by means of specific techniques, are no more than one-fifth of rehabilitative activity; data on vocational rehabilitation and family-focused interventions are few available. The good response and the interest that survey obtained stimulated many reflections within the promoter Scientific Society and Mental Health services that joined i