Good Practice Services:
Promoting Human Rights & Recovery in Mental Health

September 23-26, 2019 Trieste

The meeting is organized by WHO Collaborating Centre for Research and Training in Mental Health ASUI Trieste with World Health Organization and will feature WHO QualityRights Programme, its implementation in Europe and globally,  as well as the new  WHO initiative to identify examples of good practice community based services that respect the rights and promote recovery.

Services and supports that:

  • are people-centred
  • operate without coercion
  • respond to people’s needs
  • support recovery
  • promote autonomy and inclusion in line with international human rights standards.

The Trieste model and its regional developments will be presented as an example of whole system change.

The meeting will also include:

  • WHO QualityRights overview and global implementation
  • WHO Euro QualityRights country presentations
  • Meetings between national focal points and the experts of best practice modules
  • The Trieste model and its implementation in the Region and else where in the world
  • Recommendations of the phasing out of psychiatric hospitals
  • Empowerment networks
  • Good practices of social enterprises and job placement
  • International cooperation (California, Argentina, UK, The Netherlands, Czech Republic and Serbia among others)
  • Study visits to Services in Trieste and the Region (on request-few places available)

The Programme/Il Programma

Scientific Boards


Sede dell’incontro/ Meeting venue: Teatrino “Franca e Franco Basaglia”, Parco Culturale di San Giovanni – Trieste (Italy)

Lingua  inglese / italiano – Language English / Italian

E’ prevista la traduzione in simultanea / Simultaneous translation available

Leggi tutto “info&registration”


WHO Geneva, Department of Mental Health and Substance abuse has asked WHO CC of Trieste to host, within the “QualityRights Project” framework, the working group Mental Health Service Guidance – Recovery, people-centered & human rights-oriented approaches in mental health for the development of a guidance that will document community-based mental health services …. (read more)

L’ Organizzazione Mondiale della Sanità di Ginevra, Dipartimento di Salute Mentale e Abuso di Sostanze ha chiesto al Centro Collaboratore OMS di Trieste per la Ricerca e la Formazione in Salute Mentale – Dipartimento di Salute Mentale, ASUI Trieste  di ospitare,  nell’ambito del progetto “QualityRights”, il gruppo di lavoro Mental Health Service Guidance – Recovery, people-centred & human rights-oriented approaches in mental health per la realizzazione di un documento-guida che identifichi servizi di salute mentale territoriali … (leggi tutto)

Good Practice Services (Sept 2019)



Monday 23rd September – Day 1


9.00a.m. – 9.45 a.m. Welcome 

Chair: Roberto Mezzina

  • ASUITs  – Antonio Poggiana, Special Commissioner of ASUITs (Italy)
  • World Health Organization – Dévora Kestel, video message from the Director of the Department of Mental Health and Substance Abuse (Geneva)
  • World Health Organization – Michelle Funk, Coordinator Mental Health Policy and Service Development (Geneva)
  • World Health Organization – Dan Chisholm, Programme Manager for Mental Health in the WHO Regional Office for Europe (Copenhagen)
  • WFMH  – Alberto Trimboli, President of WFMH (Argentina)
  • IMHCN – John Jenkins CEO IMHCN (UK)
  • Human Rights Watch – Shanta Rau Barriga, Director of the Disability Rights Program (Bruxelles)
  • MHE – Jan Berndsen, President of MHE (The Neatherlands)

9.45 a.m. – 10.40 a.m. Plenary Session:  

Introduction of Quality Rights and good practice service guidance, Michelle Funk (Geneva) presentation 



11.00 a.m. – 13.00 p.m. Plenary Session: Responding to Crises

Chair/discussant:  Roberto Mezzina

General discussion



2:00 p.m. – 6:00 p.m.  Plenary Session: Good Practice Service presentation and discussion (b)

2:00 p.m. – 3:00 p.m. Peer Support

Chair/discussant: Jan Berndsen

  • Enik Recovery College: 100% peer run innovation, Martijn Kole (The Netherlands) abstract / presentation
  • Working with Voices, Olga Runciman (Denmark) abstract

3:00 p.m. – 4:00 p.m.  Primary care and support in community

Chair/discussant: Mirella Ruggeri


4:30 p.m. -6:00 p.m. Plenary Session: Good Practice Service presentation and discussion (c)

Networks and services providing multisectoral supports

Chair/discussant: Peppe Dell’Acqua

  • Lille coordinated network of Services, Anastasia Cornet / Gery Kruhelski  presentation 
  • Walsh Trust New Zealand, (video) Rob Warriner (New Zealand)
  • Changing Narratives- reaching out to marginalized communities within the Mental Health System – ENOSH, Liron David (Israel) abstract / presentation 

Presentation of the proposal of Franco Basaglia Equipe and Trieste psychiatric community as a candidate for the Nobel Peace Prize, Mauro Barberis / Gianni Peteani / Marco Puntin (Italy) info


Tuesday 24th September – Day 2

Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. 

9:00 a.m. – 10:30 a.m. Plenary Session: Trieste today and the regional developments

Chair/discussant: Angelo Fioritti presentation

  • Trieste coordinated network of services: whole life, recovery and citizenship for 50 years, Roberto Mezzina (Italy) abstract / presentation 
  • 24hrs Community Mental Health Centers: an operation manual or more?, Claudia Fantuzzi / Daniela Speh / Gabriella D’Ambrosi (Italy) abstract / presentation 
  • The Regional Mental Health System, Marco Bertoli / Mauro Asquini / Maria Angela Bertoni / Fulvio Tesolin / Giulio Castelpietra (Italy) abstract / presentation 1 / presentation 2


11:00 a.m. – 1:00 p.m. Plenary Session:  Local & global: co-production and innovation

Chair/discussant: Fabrizio Starace

  • Personal Health Budget: means for integration but in the hands of whom?, Morena Furlan / Arturo Rippa / Pablo Cangiano (Italy) abstract / presentation 1 / presentation 2 / presentation 3
  • The experience of open door forensic units in the Friuli Venezia Giulia Region, Alessandro Norbedo (Italy) presentation
  • The experience of Recovery House: recovery and empowerment pathways, Roberta Casadio / Michele Sipala / Nicola Zulian / Izabel Marin (Italy) abstract / presentation
  • Gender sensitive approach in community mental health : actions and perspectives, Marina Barnabà / Valentina Botter / Paola Zanus / Elisabetta Paci (Italy) abstract / presentation

Conclusion: “The global impact of the Trieste model of Community Services”, Fran Silvestri / Tim Kendall (Uk / New Zealand) abstract


11:00 a.m – 1:00 p.m. Parallel Session: Selected International Good Practices (Eng)

Venue: Spazio Rosa

Chair/discussant: Renzo Bonn

  • Crisis Team “Tandemplus”, Patrick Janssens (Belgium) abstract / presentation
  • Human Rights Watch, Shanta Rau Barriga (Bruxelles) abstract / presentation
  • Institution, coercion and trauma, Thomas Emmenegger (Switzerland / Italy) abstract / presentation 
  • Community as Therapy: Beyond Integrated Care, Ralph Aquila / Gilberto D’Ubaldi / Guido Valentino (USA / Italy) abstract / presentation
  • Open Dialogue in Trieste MHD: process of implementation, critical issues and perspectives, Pina Ridente (Italy) abstract / presentation 
  • Open Dialogue: Experiences from the Counseling Service of Addison County in Vermont (USA), Alexander Smith / Robert Jimerson (USA) abstract / presentation 


2:00 p.m. – 4:00 p.m. Plenary Session: Whole system change: discussing the Trieste model and the implementation of an open door no restraint system. Twinning Collaboration: International experiences

Chair/discussant  John Jenkins

  • The experience in Wales: Hywell Dda and Aneurin Bevan Health Boards, Daniela Speh / John Jenkins / Warren Lloyd / Richard Jones (UK / Italy) abstract / presentation 1 / presentation 2 / presentation 3
  • Los Angeles: T.R.I.E.S.T.E. Project, Jonathan Sherin / Kerry Morrison / Roberto Mezzina / Tommaso Bonavigo (USA / Italy) abstract / presentation
  • Italy-Slovenia: EGTC – GO (European Group of Territorial Cooperation) – Health project – Zdravstvo – Mental Health,  Bogdan Tušar / Alessandro Saullo / Marco Visintin (Slovenia / Italia) abstract / presentation 1/ presentation 2 
  • Poland: Summary of 4 years co-operation and how it influenced the reform of Polish Mental Health System, Regina Bisikiewicz (Poland) abstract / presentation



Venue: Room Clinica Psichiatrica

Closed meeting coordinated by Melita Murko and Dan Chisholm

Who Europe QualityRights project Inter-country project meeting – planning and review meeting with EURO country focal points to discuss next phase.


4:30 p.m. – 6:15 p.m. Plenary Session: From Humanization to Deinstitutionalization

Chair/discussant: Vladimir Jovic  abstract 

  • QualityRights: country presentations and general discussion, Melita Murko / Dan Chisholm (Geneva) presentation
  • Recommendations on the phasing out of psychiatric hospitals: results from a qualitative research, Roberto Mezzina / Tommaso Bonavigo (Italy) abstract  / presentation 

General discussion


Wednesday 25th September – Day 3

Countrywide and region-wide reforms

Chair/discussant: Benedetto Saraceno

9:00 a.m – 10:30 a.m. Plenary Session East to West, South to North

  • Czech Republic: the national strategy according to European MH Action Plan, Jan Pfeiffer  presentation
  • Serbia: the national strategy of deinstitutionalization, Milan Stanojkovich abstract / presentation 
  • Kenya: Establishing good practice in rights-based approaches to mental health, Faraaz Mahomed abstract / presentation 
  • Ivory Coast: Unchaining people with mental health issues,  Gregoire Ahongbonon


11:00 a.m. – 1:00 p.m.  WHO QUALITYRIGHT WORKING GROUP (English)

Venue: Mental Health Direction ROOM B

Closed meeting coordinated by Michelle Funk presentation

Good Practice Service Guidance Workshop on WHO Best Practice Services and next steps.


11:00 a.m – 12:00 p.m. Plenary Session Italy

Chair/discussant: Francesco Amaddeo

12:00 p.m. – 1:00 p.m. Plenary Session Empowerment

Chair/discussant: Lorenza Magliano

  • Empowerment: the networks of stakeholders in Europe (Lille), Jean Luc Roelandt / Simon Vasseur-Bacle (France) abstract / presentation 
  • Get Active for Mental Health, a shared National project in Catalonia that enhances recovery in  the community, Maria J. San Pío / Emilio Rojo (Spain) abstract / presentation
  • Promoting user participation in Greece – Examples of good practices from EPAPSY, Panagiotis Chondros (Greece) abstract / presentation 



Strengthening international cooperation for system reform

2:00 p.m. – 4:45 p.m.  Parallel Sessions 

A – Latin America and Spain (Spanish-Italian)

Venue: Room Ugo Guarino

Chair/discussant: Renzo Bonn / Giovanna Del Giudice

  • Approach of socio-sanitary inclusion of mental health in the General Hospital, Silvia Raggi/Alberto Trimboli et al. – Hospital Alvarez Buenos Aires (Argentina) abstract 
  • Argentina: Por un Pais sin Manicomios, Celeste Romero / Chiara Luchetta / Roberto Colapietro (Argentina / Italy)
  • The Avilés model for the implantation of assertive community treatment and crisis resolution teams in Spain, Juan José Martìnez Jambrina (Spain) abstract
  • Daily life in the expression of hearing voices: the narrative of people attended at mental health service n Belem do Para, Maria de Nazareth Malcher / Adelma Pimentel (Brazil) abstract 
  • A model of community mental health: Home care and intensive support for psychiatric crisis management Rossana Maria Seabra Sade (Brazil) abstract

Round table with video connections from Latin America countries


B – Europe and beyond (English) 

Venue: Direction MH Dep. Rooms A & B

Chair/discussant: John Jenkins / Paul Baker

  • An empirical ethics approach to Trieste mental healthcare, Christien Muusse (The Netherlands) abstract  / presentation 
  • Machines of exclusion and inclusion, Vito Flaker (Slovenia) abstract  / presentation 
  • Social Firms Europe CEFEC, Sergio Serra (Italy) abstract
  • The Role and Value of Mental Health Service Users’ Association in Fostering and Promoting Recovery, Bojan Sosic et al. – (Bosnia and Herzegovina) abstract / presentation 
  • Equity and equality: A Community network to ensure the acces to mental health care of “the last”, Massimo Marsili (France) abstract / presentation 
  • Teaching Old Gods New Tricks, Rob Warriner (New Zealand) abstract / presentation 
  • “Good Practices” means “Open doors with no restraints” and really “community based”, Theodoros Megaloeconomou (Greece) abstract / presentation
  • The hostel program – Recovery oriented care for people with long term drug addiction, within housing facilities and ambulatory care, Ronald Kemp (The Netherlands) abstract / presentation
  • To promote Dignity and Wellbeing, guaranteeing accessibility – quality – sustainability of social/health services for person, Luigi Leonori (Belgium) abstract /presentation
  • A project for improving standard of care and human rights in psychiatric hospital in Iran, Maryam Tabatabaei (Iran) abstract / presentation 


C – The person’s say: programs and practices in whole life domains

Venue: Franca e Franco Basaglia Theatre – Simultaneous translation available (Italian – English)

Chair/discussant: Mirella Ruggeri/Silva Bon abstract 

 1 . The right to work

  • Social cooperatives societies and citizens’ social integration, Stefania Grimaldi (Italy) abstract

2. The right to health

  • A pilot study of a shared decision-making program to improve antipsychotic drug treatment, Fabio Panariello / Dalmonte Giulia et al. (Italy) abstract
  • Peer support in Community MHC: The Bologna 2013-2017 program and current situation, Francesca Guzzetta / A. Cattani et al. (Italy) abstract / presentation
  • The fusion Model: Integrating Recovery Into High Octane Crisis Care (It can be done!), Charles T.Browning / Shannon Jacard (USA) abstract / presentation 

3. The right to be equal in front of the law

4. The right to indipendent living and community participation

  • Using people power to change the culture of Mental Health, Matthew Holzmann  (USA) abstract / presentation 
  • The right to live in the Community is a Human Right, Judith Klein (USA) abstract
  • Building a Healthy Community in a City that Cares, Ofelia Altomare (Italy) abstract 


2:00 p.m. – 4:45 p.m.   WHO QUALITYRIGHTS WORKING GROUP (English) 

Venue: Room Clinica Psichiatrica 

Closed meetings coordinated by Melita Murko and Dan Chisholm

 WHO Service Guidance / WHO Europe QualityRights – Market place for Innovation and Exchange

5:00 p.m. – 6:00 p.m.  Plenary Session

Chair/discussant: Roberto Mezzina presentation

The Future of Mental Health, Benedetto Saraceno / Franco Rotelli (Italy) abstract

Best Poster Award, Elisabetta Pascolo Fabrici (Italy)

Next steps for WHO and international partners, Michelle Funk (Geneva)



Poster Session 23rd – 25th September 


Best Poster Award on Wednesday 25th

Visiting DTC Project – Democratic Peer accreditation for democratic therapeutic communities, Simone Bruschetta – Visiting DTC Project Legacoopsociali (Italy)

Family foster home (IESA): The way home, S. Conti, C. Conti et al. – MHD Azienda USL Bologna (Italy)

The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos, Alessandro Barberio, Maria Episkopou et al. – Medecins Sans Frontieres (Greece)

The psychosocial Clubhouses are built on human rights and support for recovery and social inclusion of people with mental disorders, Hanninen Esko – Clubhouse Europe/ Finnish Clubhouse coalition (Finland)

Knowledge, expression of subjectivity and democracy in the group: the experience of emancipation and growth of a group of people in “Maddalena” CMHC, Pietro Zolli/Annalisa Parrini et al. – MHD Trieste (Italy)

Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste, Pietro Zolli et al. – MHD Trieste (Italy)

The project “mens sana in corpore sano”. Improving treatments quality for people with severe mental disorder: health care and local territory network accessibility, Pietro Zolli et al. – MHD Trieste (Italy)

Application of fractal drawing in vocational rehabilitation, Elen Ursic – Racio d.o.o. (Slovenia)


Best Poster Award :  The “Lesvos Syndrome”: PTSD with psychotic symptoms among migrants attending the MH clinic of Medecins Sans Frontieres in Lesvos 

Special Mention: Il lavoro con le famiglie e il protagonismo dei familiari nel DSM di Trieste, Pietro Zolli et al. – MHD Trieste (Italy)