title: ["Socialization in real environment" in the rehabilitative interventions of a Psychiatric Unit of Lombardia Region: history, methodology, activities, and critical aspects].
abstract: BACKGROUND
  The activities of rehabilitation and social reintegration related to work placement have been an important component in the rehabilitation practices of the Psychiatry Unit n. 20 (UOP 20) of the Spedali Civili Hospital of Brescia because of a deeply rooted culture of industrial work among the inhabitants of the served area.
  
  
  METHODS
  Through the analysis of the individualized tools and the routines adopted to satisfy the needs for rehabilitation and risocialization, with reference to the axis "work", of people followed by the UOP 20, the methods of definition and realization of the paths of Socialization in Real Environment (SAR) have been developed.
  
  
  RESULTS
  A research conducted over a period of six years highlighted the therapeutic significance of SAR rehabilitation pathways. We found a general improvement in the quality of life of patients followed and the possibility of access to real work market for some of them through the empowerment of individuals and communities and the constant and long-lasting commitment of service and local communities to the integration and implementation of resources (both of patients and of life contexts).
  
  
  CONCLUSIONS
  Local experience is compared with the broader landscape of the interventions on employment in people with psychiatric disorders to highlight similarities and differences in order to facilitate the building of a common language and to promote the continuous improvement of rehabilitative practices and interventions.
authors.affiliation: Unità Operativa di Psichiatria n. 20 Gardone VT, Dipartimento di Salute Mentale, Azienda Ospedaliera Spedali Civili di Brescia.
authors.forename: Monica
authors.initials: M
authors.lastname: Roversi
authors.affiliation: Unità Operativa di Psichiatria n. 20 Gardone VT, Dipartimento di Salute Mentale, Azienda Ospedaliera Spedali Civili di Brescia - Dipartimento di Scienze Cliniche e Sperimentali, Università di Brescia.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vita
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods; D062309:Community Integration / Q000523:psychology*; D004651:Employment / Q000523:psychology*; D006778:Hospitals, Psychiatric; D006801:Humans; D007558:Italy; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology; D012050:Rehabilitation, Vocational / Q000523:psychology*; D012917:Social Adjustment; D012944:Social Support; D016896:Treatment Outcome; D014938:Work Capacity Evaluation