RECOVERY & MENTAL HEALTH Claudia Corti & Nicolò Negro

we now come to the second point of this workshop

where all of the psychologists in the cognitive rehabilitation of

the patient, despite the fact that nature has tried to

preserve and safeguard the integrity of a brain by protecting

it with the cranial box, it can still be subject

to various problems that require rapid intervention in order to

avoid the evolution of the latter into chronic or debilitating

disorders. The can seriously compromise the degree of personal autonomy,

cerebrovascular accidents, such as drugs, brain injuries caused by tumors

or trauma degenerative infectious disease are all possible causes of

impairment of the brain structures and related cognitive functions.

Cognitive functions are abilities organized by the brain, but regulate

the individual's relationship with the external environment.

Were acquired from birth and need to be constantly reinforced

to maintain their functionality impact in the event of damage

thanks to brain plasticity, they can be re enable the

through numerous specific rehabilitation tools, some of which we will

now explore together if cognitive tests are not rehabilitated, they

constitute a real and concrete obstacle to functional recovery, considerably

limiting individuals possibilities of social and professional reintegration.

The neuro psychological assessment first of all, makes it possible

to identify these deficits with deficits and to carry out

an assessment but not only about weights, the seriousness and

the purpose.

Iveness of these disorders, but also and above all, highlights

the capacities but have remained preserved, ending that in order

to direct.

But taking into account and optimist the recovery of the

deficient functions, what has just been said is of great

importance because even if a cognitive functions are often often

considered and analysed as separate and specific at an autonomous

entities, they are actually connected and in some circumstances even

super impossible.

But they are all indistinctly necessary to allow men to

understand and interact with the surrounding world.

Therefore, it is only after now correct in europe psychological

assessment, but it's possible to set up a neurocognitive rehabilitation

in order to increase cognitive fashioning, finance where possible.

Or stabilised cognitive deficits and continue to stimulate other cognitive

abilities to slow down the course of the disease and

the consequent mental decline.

Here is an example of an instrument that is commonly

used by psychologists to identify the presence or absence of

the cognitive cognitive decline and which leads to an initial

consideration of the patient's functioning through the index of global

cognitive efficiency.

Unfortunately, this is the italian version of the test but

we will try to explain it anyway.

Memorial cognitive assessment than mocha, for example is a first

starting point to establish if and how to set up

a more complete and in depth evaluation of specific cognitive

abilities. As you can visually see, several domains are assessed.

For example, the first exercise evaluates the visuals, patient and

executive functions.

The psychologists asked the patient to join following the sketched

example the numbers to the letters in a shining order,

alternating each number with the corresponding letter.

So the correct answer to this exercise will therefore be

one a.

To be three c.

40 and five e.

This test continues with two trials in which the patient

is asked to copy the Cube presented a both and

then to graphically represent o'clock.

We will have the numbers inside and two point the

hands at 10 past 11 president task.

Our fault followed by a naming task in which the

patient is asked to name these animals.

So the first is a lion, The 2nd Rina Charles

and the last is a camera.

Memory is been assessed by presenting five words that are

repeated twice and that the patient must have been a

recall after being distracted by other exercises.

Them, there are the attentional functions.

First of all, all the all the psychologists will have

to ask the patient to repeat a segments of number

after having presented it and immediately afterwards we'll have to

ask him to repeat a new segments.

But in reverse, starting from the last number.

This task is called digit forward and backward and you

can also try to eat at home by gradually increasing

the difficulty.

For example start with a sequence of pre number then

increase to four and so on.

You will probably notice that you will be able to

memorize more number in the digit forward, bending the backward,

continuing the analysis of this test.

That psychologists will have to evaluate the patient's language through

the reputation of two sentences and through academic fluency test

in which the patient we will have to say in

one minute as many words as possible.

Starting with a certain letter, person and city names are

always excluded.

This test is often used for the rehabilitation of aphasic

patients patients.

I also often asked to recall semantic categories of words,

for example, or vegetable names rather than or for like

animals. Yeah.

Finally the capacity for abstraction through a task of searching

for similarities between objects and finally orientation in space and

time are assessed.

Mhm. Now, please post the video and try to administer

the market test just presented to someone or to yourself

in order to start handling this diagnostic tool, we now

come to the last type of intervention, the one that

in some ways we can define us the least Orthodox

namely that psychotherapists who moves within the community.

But what is meant by community in this regard, it

is possible to differentiate the community or society which involves

an individual into two macro categories.

Thanks to the identification of all those factors which influence

the individual and which in turn are influenced by individual

proximal factors and distal factors.

And it's on this continuum that the community psychotherapist moves,

he identifies according to the context, the different factors that

can in some way be concomitant to the onset of

a mental disorder and the different contexts referred to the

main areas into which society can be divided.

The social determinants, the economic determinant, the different living contexts,

the environmental one and finally, the cultural determinant within this,

it's possible to find the factors both distal and proximal,

that have, that have been most identified as a responsible

for mental disorders, liver of schooling, social support, presence of

traumatic events such as natural or industrial disasters or conflicts,

employment income, disparity and demographic differences such as age, ethnicity

and gender, as well as diversity in the community and

gender record within these numerous factors we thought to bring

under a more practical lens the most clarifying examples of

the psychotherapists engagement in society from the perspective of prevention

of mental disorders and promotion of mental health.

The first of these concerns the promotion of mental wellbeing

in schools where spaces are introduced for learning skills such

as social emotional learning, effective literacy, emotional intelligence and resilience.

These programs aim to foster the development of social emotional

competencies and skills in order to reduce the incidents of

aggressive or impulsive behavior, bowling inappropriate sexual behavior and prevent

alcohol and substance dependence an addiction.

These programs could be helpful introducing the occurance of mental

disorders, young people such as depression, schizophrenia or eating disorders.

A second, very important example concerns the promotion of mental

health in the workplace, where activities which can be oriented

both to the work organization and to the mental health

means of individual workers have the priority objective of developing

the skills necessary to prevent and manage the risk of

work related stress by improving the working climate, social relations

in the workplace and the sense of belonging into the

group. A final example, perhaps the most precise concerns the

not in education, employment, north training or need population, that

is that group of people aged between 19 and 29

who are not studying, not working and not undergoing any

work related training and represent high prevalence rates of psychiatric

disorders, mood disorders, personality disorders, psychosis, substance use disorders or

suicidal disruptive and antisocial behaviors.

The most specific case of intervention and needs concerns the

project of Google Italy, which has activated more than 303,000

internships as digitals in Italians more in medium sized enterprises.

This project aims to create a beer truth win win

system in which the in for Matic skills of this

population are exploited and made available to small and medium

sized enterprises, which can thus increase their turnover by gaining

access to new market segments.

We have come now to the list exercise in which

we ask you to imagine and drew up a project

similar to the one just observed by google Italy, setting

out its advantages objectives and clinical relevance.

We hope at this point that the workshop we present,

it has been useful to you.

The remaining minutes of this half hour spent together can

be used to carry out the proposed exercises.

This is the biography.

We use them.

We reported.

For possible reference.

If you have any questions or concerns, please contact us

at the following address addresses.

Sorry, thank you for your for your protection.

Thank you for your attention

RECOVERY & MENTAL HEALTH Claudia Corti & Nicolò Negro

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