Contributions of the canadian's approach "client-centered occupational therapy" and of the italian's deinstitutionalization authors for the occupational therapy in mental health

Abstract

The construction of new models for the occupational therapy in mental health is based in dialogue with the propositions's context of the Politics of Mental Health and especially with the introduction of the substitutives services. In this article, starting from the propositions of the "client-centered occupational therapy" and of the Italian's deinstitutionalization authors, we looked for build a dialogue that can guide the adoption of approaches and guidelines for the technical actions of the area. As central points of a new orientation highlighted: 1. the client-centred practice and of the process of construction/reconstruction of life histories; 2. the new type of relationship client-therapist-service; 3. the displacement of the locus the action of the institution for the territory and for the situations of the real life; 4. the new conception of therapeutic project and the rupture with the traditional separation among prevention, treatment and rehabilitation; 5. the importance of the definition of significant goals, built, explicited and shared with the users; 6. the institution of criteria to evaluate and the development of the continuous evaluation of the process.