The “Quadrilatero”: a new organizational model of early intervention for young-adult patients settled in an Italian Department of Mental Health

Poster C43, Saturday, October 22, 11:30 am - 1:00 pm, Le Baron

Vito Mirizio1, Luisella Ferraris1, Ivana Mazzotti1, Marta Scandurra1, Elena Pappagallo1, Giuseppe Mancini1, Giuliana Rocchetti1, Angelo Ricciardi1, Marcella Fagioli1, Andrea Narracci1; 1ASL ROMA 1

In this paper we present preliminary data collected from a new organizational model called “Quadrilatero” (namely “Quadrilateral”). This model has been conceived and progressively settled in Rome (Italy) over the last three years, within the Department of Mental Health ASL Roma 1. The “Quadrilatero” provides a multidisciplinary set of early intervention facilities for young-adult patients, optimizing the cooperation between services without increasing costs. The four services involved are: 1) an open-door psychotherapeutically-oriented service called “Colpo d’Ala”, specifically designed to facilitate the access of young-adults patients and/or their relatives to public mental health services, aimed to detect psychological problems from mild to severe-degrees at their early stages; 2) an high-intensity treatment therapeutic community called “Ripa Grande”, dedicated to the acute treatment of young-adult patients, following the discharge from a psychiatric ward or referred from a community mental health team; the latter two services represent respectively the third and the fourth pole of the “quadrilater”. The four équipes of the “Quadrilatero” share a synchronic protocol of intervention, including a systematic monitoring of the new-patients intake procedures, a follow-up of each patient, increasing the quality of treatments and potentially reducing the DUP. The “Quadrilatero” represent a unique organizational model in the Italian panorama of early intervention mental health services. We report our preliminary data showing the effectiveness of this organizational approach, including a reduction of the patients’ age at their first contact. Finally, we provide an initial attempt of comparison with data derived from other early intervention models.

Topic Area: Service System Development and Reform

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