By Monday patients with mental disabilities guests for more than 72 months of Therapeutic Communities should be assisted resigned and the municipality must take charge. Pena configuration of loss of revenue to the region. The order, the last leg of a winding path and maimed sector reorganization of mental health, was sent Wednesday by the ASP to the CTA and the building of the Elephants. A potential bomb considering the social issues of the town of Etna, where there are 171 people on Monday in danger of being put to the door by the communities in which they lived until now. In many cases, without an alternative place to go, or to follow a path of rehabilitation.
The Regional Department of Health has identified the municipalities competent bodies to continue to assist patients through service lighter (with a maximum number of patients and a reduced presence of lower professionals), as residential communities, groups flat, protected structures or assistance in family . However, the single fund that would have to secure funding, inserted in ‘ Article 19 of the Regional Financial has been challenged by the commissioner of the state, as most of the stability law , and not repeated in the budget measure. A real headache for local authorities. Even if these patients were to remain in the CTA, the municipalities would still have to take charge. Catania it would be an expense of € 11 million , according to calculations by the Directorate of Social Policy Fiorentino Trojan horse , who yesterday meeting Lucia Borsellino and Joseph Bruno , new commissioner for the Family. “Beyond the lack of regional funds, which complicates the situation, the fact remains that we would not, however, sufficient facilities to accommodate these people. We are discussing and we will find a solution, but the ultimatum of the ASP can not be met , “says Trojan horse. The decision of the Department of Health is part of the plan of reorganization Health in Sicily and came after a series of directives, regulations and memoranda of understanding in preparation for the approval of the famous article 19. A tool that was supposed to fill a historical gap for the region, regulating health and social integration – ie, services for those patients who are no longer or even competence, but they still need health care – and by setting up a special fund only. “Without this article, the reorganization has remained incomplete and dell’assessorato Directive which provides for the divestiture by the CTA in patients with more than 72 months of stay has become a bomb,” the complaint Francis Lirosi , president of the Regional Coordination mental health which brings together 40 associations between houses, family and social cooperatives. “And ‘as if one breaks a leg, but he was denied him fossilises the rehabilitation period,” he continues. Hence the challenge: “At this point better reopen the asylums ,” writes King Co. Sa. M. in a statement. “It ‘obvious that we are opposed to mental hospitals, but we face a glass ceiling in the Region, with whom do we speak?” You ask Lirosi. On a regional total of 50 therapeutic communities assisted the Catania province has a population of 17. Of these, only one, in Caltagirone, is totally public. The other sixteen are private and affiliated with the Asp. Anomaly that arises from the fact that there were no asylums in Catanese and these structures have been born earlier than the rest of Sicily. In addition, the communities in the province of Etna can accommodate up to 40 patients, while elsewhere the maximum is 20. “ The limit of stay has always been – explains Lirosi – before he was 30 months, then was increased to 54, now 70, but has never been observed . Now, however, the commissioner Borsellino has introduced the principle of loss of revenue if you continue in abuse and this changes things. It would be good, because at the moment the system is blocked and many people waiting to get into a CTA. “ From the 17 communities in the province of Catania Monday should be discharged 400 people. “But no one will be thrown out “, reassures Trojan horse after yesterday’s meeting in Palermo. “The health and social facilities of the town which should take care of patients is insufficient, there is actually where to put these people. It ‘a serious problem that can not be solved by ultimatums. Theoretically, a notice should be done ad hoc, or should be relocated where there is room: Trapani, or Reggio Calabria. A deportation for people who in some cases live for thirty years in the same building . But – said the commissioner – we’re working to reach an agreement that goes in another direction. “ [Photos Cesvot]
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