NON-PROFITNON-PROFITFOUNDATIONFOUNDATION

ROSA DEI VENTIROSA DEI VENTI

THERAPEUTIC COMMUNITYTHERAPEUTIC COMMUNITY

For adolescents with For adolescents with personality disorders personality disorders

Casnate con Bernate (Co)Casnate con Bernate (Co)

ORIGINSORIGINS►In 1997 the non-profit In 1997 the non-profit Association Rosa dei Venti opened Association Rosa dei Venti opened a Therapeutic Community for a Therapeutic Community for adolescents with personality adolescents with personality disorders; at that time it was disorders; at that time it was located in Erba, between the located in Erba, between the cities of Lecco and Como, and cities of Lecco and Como, and since 2008 has been based in since 2008 has been based in Casnate con Bernate, just south Casnate con Bernate, just south of Comoof Como

ORIGINS OF OUR NAMEORIGINS OF OUR NAME

►Since ancient times the Since ancient times the rosa dei ventirosa dei venti (wind rose) has allowed mankind to (wind rose) has allowed mankind to orientorient himself in physical space; in himself in physical space; in the same way, our idea of orientation the same way, our idea of orientation refers to the inner, emotional and refers to the inner, emotional and psychic space of adolescents in the TC, psychic space of adolescents in the TC, who are often disoriented and suffering who are often disoriented and suffering from deprivation. Orientation also from deprivation. Orientation also refers to our goal of helping residents refers to our goal of helping residents find a sustainable individual directionfind a sustainable individual direction

RESIDENTSRESIDENTS

►We can accommodate up to 8 adolescents We can accommodate up to 8 adolescents of both sexes between the ages of 13 of both sexes between the ages of 13 and 18 in the TC. These young people and 18 in the TC. These young people are affected by both psychic and are affected by both psychic and affective disorders, more specifically affective disorders, more specifically by psychopathologies diagnosed as by psychopathologies diagnosed as borderline personality disorders; borderline personality disorders; these are increasingly prevalent and these are increasingly prevalent and are often viewed with less and less are often viewed with less and less tolerance and a little bit of feartolerance and a little bit of fear

PRIMARY TASKPRIMARY TASK

►The objective if the CT is to activate and The objective if the CT is to activate and facilitate a learning process from facilitate a learning process from experiences and therapy which are experiences and therapy which are organised around the daily life activities organised around the daily life activities of the TC, and to provide a container and of the TC, and to provide a container and its contents for the adolescents which are its contents for the adolescents which are suitable to their modes and language/age suitable to their modes and language/age groupgroup

THE HOUSETHE HOUSE►The house is located in the town centre, The house is located in the town centre, close to the city of Como, the lakes and close to the city of Como, the lakes and the mountainsthe mountains

In seeking the ideal location for the TC In seeking the ideal location for the TC we addressed many issues such as the size we addressed many issues such as the size of the town, the surrounding of the town, the surrounding neighbourhood, the proximity of socially neighbourhood, the proximity of socially constructive or dangerous locales, the constructive or dangerous locales, the architecture and the interior and exterior architecture and the interior and exterior layout of the house layout of the house

The living roomThe living room

THE LENGTH OF STAYTHE LENGTH OF STAY►The length of stay in the TC is The length of stay in the TC is finite and temporary, the maximum finite and temporary, the maximum stay is three years: this helps us to stay is three years: this helps us to better define and maintain the better define and maintain the identity of the therapeutic community identity of the therapeutic community for adolescents as an intermediate for adolescents as an intermediate and transitory structure, and, as one and transitory structure, and, as one patient stated at the end of a patient stated at the end of a plenary assembly: “we have come here plenary assembly: “we have come here in order to learn how to leave…”in order to learn how to leave…”

DEFINITION OF THE DEFINITION OF THE TC:TC:

VALUES AND BASE THEORIESVALUES AND BASE THEORIES

..► The therapeutic community is a living entityThe therapeutic community is a living entity► It is an open system that is demarcated by a It is an open system that is demarcated by a

membrane/boundary which both separates it from and membrane/boundary which both separates it from and maintains contact with the outside world, the maintains contact with the outside world, the adolescents’ family and relatives, public agencies, adolescents’ family and relatives, public agencies, and the general public: this boundary, if and the general public: this boundary, if “sufficiently” maintained and supervised, is “sufficiently” maintained and supervised, is fundamental for the success of the treatment fundamental for the success of the treatment provided in the TC as well as for the general health provided in the TC as well as for the general health of the systemof the system

► It is a place where present-day difficulties and It is a place where present-day difficulties and challenges regarding cohabitation are significantly challenges regarding cohabitation are significantly amplified by the resident adolescents’ ages and by amplified by the resident adolescents’ ages and by their specific problemstheir specific problems

..►It is a place of research and action where It is a place of research and action where we try to integrate educational experiences we try to integrate educational experiences with therapeutic approaches and to sustain with therapeutic approaches and to sustain and realise both individual and common and realise both individual and common projects; the elements of the internal and projects; the elements of the internal and external networks are involved “in their external networks are involved “in their own unique ways”, including the adolescent own unique ways”, including the adolescent and his/her parents, from the sending and his/her parents, from the sending institution to the staff of the TC institution to the staff of the TC

►It is imperative that we assume the It is imperative that we assume the social social responsibilityresponsibility of containing, holding of containing, holding together, and putting back together the together, and putting back together the fragments of the personality of the fragments of the personality of the adolescent who is in our careadolescent who is in our care

..

►Our “experiential TC” model is Our “experiential TC” model is oriented towards images, values oriented towards images, values and metaphors such as: process, and metaphors such as: process, desire, conflict, imagination, desire, conflict, imagination, and by verbs such as reflect, and by verbs such as reflect, cook, nurture, digest, echo, cook, nurture, digest, echo, clean out, repair, generate, clean out, repair, generate, recycle…recycle…

The therapeutic networkThe therapeutic network

►The actions of the therapeutic The actions of the therapeutic network strive towards becoming network strive towards becoming the container for the disturbed the container for the disturbed and disturbing parts of the and disturbing parts of the personalities of the adolescents personalities of the adolescents who reside in the TC, to bring out who reside in the TC, to bring out their potential and their levels their potential and their levels of autonomy, and to further their of autonomy, and to further their reintegration into society reintegration into society

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►The TC Rosa dei venti is a complex The TC Rosa dei venti is a complex micro-system in continuous micro-system in continuous movement, like adolescence itself, movement, like adolescence itself, and it is composed of interrelated and it is composed of interrelated subsystems that are inserted into subsystems that are inserted into the larger social system: the larger social system: consequently, the intervention consequently, the intervention includes the dimensions includes the dimensions self-group self-group and and TC-societyTC-society

..

►In the TC we try to In the TC we try to create the conditionscreate the conditions that allow for the expression of all that that allow for the expression of all that is kept hidden inside of the teenaged is kept hidden inside of the teenaged residents: this means being present residents: this means being present during their crises, their hysterical and during their crises, their hysterical and paranoid moments, their violent acts and paranoid moments, their violent acts and silences, their intuitions and silences, their intuitions and transgressions, and to undertake together transgressions, and to undertake together the difficult path towards a level of the difficult path towards a level of autonomy and a respect for life that is autonomy and a respect for life that is attainable and sustainable for themattainable and sustainable for them

..

►Our intent is to offer residents Our intent is to offer residents the the space and time for listening space and time for listening to and expressing conflictual to and expressing conflictual dynamics, dynamics, which allows for the which allows for the activation of a process of activation of a process of containment and transformationcontainment and transformation of disorders and traumasof disorders and traumas

The PlanThe Plan

► The individualised The individualised rehabilitativerehabilitative intervention is summarised in intervention is summarised in the Plan and takes into consideration all the different opinions and the Plan and takes into consideration all the different opinions and relationships in the resident adolescent’s world relationships in the resident adolescent’s world

► Particular attention is paid to the admittance and dismissal phases of the Particular attention is paid to the admittance and dismissal phases of the adolescent’s stay adolescent’s stay

► In the co-construction phase of the Individualised Therapeutic Plan (ITP) the In the co-construction phase of the Individualised Therapeutic Plan (ITP) the different stages and languages of a human being are considered important: different stages and languages of a human being are considered important: body, emotions, mind; accordingly, signals are interpreted not only rationally body, emotions, mind; accordingly, signals are interpreted not only rationally but also emotionally, analogically, corporeally, and unconsciously–but also emotionally, analogically, corporeally, and unconsciously–considerations that are often overlooked considerations that are often overlooked

► The ITP intends to explore and realise those scenarios resulting from the work The ITP intends to explore and realise those scenarios resulting from the work with the resident that may offer them a methodology linked to learning how to with the resident that may offer them a methodology linked to learning how to plan an independent future for themselvesplan an independent future for themselves

► The therapeutic process is constantly monitored, updated and shared with the The therapeutic process is constantly monitored, updated and shared with the resident. The treatment’s vitality and developments are also shared, along with resident. The treatment’s vitality and developments are also shared, along with any changes, additions and transformations that are deemed necessaryany changes, additions and transformations that are deemed necessary

► A follow up evaluation, which includes an analysis of the data collected, is A follow up evaluation, which includes an analysis of the data collected, is scheduled from one to five years after dismissalscheduled from one to five years after dismissal

Daily lifeDaily life

►The laboratory for living The laboratory for living together is the house itself;together is the house itself; upon this stage daily life plays upon this stage daily life plays a primary role in the a primary role in the therapeutic processtherapeutic process

Theoretical baseTheoretical base

►Our TC practice integrates the systemic-Our TC practice integrates the systemic-dynamic approach (Klein, Bion, Bowlby, dynamic approach (Klein, Bion, Bowlby, Winnicot, Tavistock Clinic, Psycho-Social Winnicot, Tavistock Clinic, Psycho-Social Analysis) with our own innovative Analysis) with our own innovative methodologiesmethodologies

►Luca Mingarelli’s book “Adolescenze Luca Mingarelli’s book “Adolescenze difficili: autobiografia di una Ct per difficili: autobiografia di una Ct per adolescenti.” Ananke ed., tells the story of adolescenti.” Ananke ed., tells the story of the TCthe TC

►Our website contains articles written by Our website contains articles written by staff members covering different roles in staff members covering different roles in the TCthe TC

Services offered Services offered

►Clinical area: meetings and individual Clinical area: meetings and individual interviews for small/large groups; interviews for small/large groups; corporeal mediation, music therapy, art corporeal mediation, music therapy, art therapy, psycho-motor therapy, workshops therapy, psycho-motor therapy, workshops of any kind, assemblies, plenary of any kind, assemblies, plenary assemblies, planning meetingsassemblies, planning meetings

►Family and multi-family meetings: Family and multi-family meetings: regular meetings with each family and regular meetings with each family and meetings about the work and culture of meetings about the work and culture of the TC for relatives and extended familythe TC for relatives and extended family

►Pedagogic-artistic area: physical Pedagogic-artistic area: physical activities, sensorial and emotional activities, sensorial and emotional education, theatre workshop, choral education, theatre workshop, choral singingsinging

..

►Activities in nature: Activities in nature: occasional/regular activities in large occasional/regular activities in large and small groups in different natural and small groups in different natural settings: nature becomes the third settings: nature becomes the third point of reference for the patient, point of reference for the patient, along with the family home and the TC along with the family home and the TC

►Work and study area: study activities Work and study area: study activities and work-integration experiences, and work-integration experiences, professional courses, job-training professional courses, job-training periodsperiods

Activities in natureActivities in nature

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►Hands-on workshops: making and Hands-on workshops: making and selling of handcrafted goods, selling of handcrafted goods, planting and cultivating a planting and cultivating a gardengarden

►Recreational and cultural Recreational and cultural activities: sports centres, activities: sports centres, museums, cinema, theatre, museums, cinema, theatre, concerts, libraries, social concerts, libraries, social centrescentres

Support staff systemSupport staff system

►Selection, training, support and evaluation Selection, training, support and evaluation of personnel is managed by the Human of personnel is managed by the Human Resources Director using an innovative Resources Director using an innovative procedures and methods. Individual role procedures and methods. Individual role support, both internal staff training and support, both internal staff training and use of outside consultants regarding some use of outside consultants regarding some of the fundamental themes pertaining to of the fundamental themes pertaining to adolescent communities such as: conflict, adolescent communities such as: conflict, authority and role assumption, decisional authority and role assumption, decisional capacity and leadership, assuming capacity and leadership, assuming responsibility, the aesthetics of daily responsibility, the aesthetics of daily life, transgression and reparation, life, transgression and reparation, intercultural values, the body’s intercultural values, the body’s intelligence…intelligence…

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►We have specifically chosen We have specifically chosen instructors from “foreign” countries instructors from “foreign” countries such as Bali and India such as Bali and India

►Supervision of institutional dynamics Supervision of institutional dynamics and/or clinical casesand/or clinical cases

►Quality control based on Standard Quality control based on Standard Service Quality of the Community of Service Quality of the Community of Communities (UK), adapted to our Communities (UK), adapted to our cultural context. Use of the cultural context. Use of the Network Network Card Card (Barone-Bruschetta)(Barone-Bruschetta)

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►Since 1988, in collaboration with Since 1988, in collaboration with other public TCs in Lombardy (A.O. other public TCs in Lombardy (A.O. Niguarda Ca’ Granda, A.O. Desio, A.O. Niguarda Ca’ Granda, A.O. Desio, A.O. San Gerardo Monza) we established the San Gerardo Monza) we established the Gruppo di Miglioramento (Improvements Gruppo di Miglioramento (Improvements Group), which meets regularly to Group), which meets regularly to exchange, reflect upon and evaluate exchange, reflect upon and evaluate the methodologies used, as well as the methodologies used, as well as the difficulties encountered and the difficulties encountered and emerging themes; the group has emerging themes; the group has organised visits to every TCorganised visits to every TC

Network and Network and Instructors/ConsultantsInstructors/Consultants

►Associations in the network or of Associations in the network or of which we are members: the Nodo Group, which we are members: the Nodo Group, Mito & Realtà, Community of Mito & Realtà, Community of Communities UK, ATC UK, Mulberry Bush Communities UK, ATC UK, Mulberry Bush School UK, Bagamoyo School/Community School UK, Bagamoyo School/Community Tanzania, Ariele PsicosocioanalisiTanzania, Ariele Psicosocioanalisi

►Instructors/Consultants/Supervisors: Instructors/Consultants/Supervisors: E.Pedriali, G.Foresti, M.Corulli, E.Pedriali, G.Foresti, M.Corulli, C.Freddi, R.Hinshelwood, C.Weber, C.Freddi, R.Hinshelwood, C.Weber, L.Brunner, Magistrato M.Bouchard…L.Brunner, Magistrato M.Bouchard…

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►Instructors of artistic/expressive Instructors of artistic/expressive disciplines: Tapa Sudana, disciplines: Tapa Sudana, G. Grungo, Ajit Kumaar, M. Noiseaux, C. G. Grungo, Ajit Kumaar, M. Noiseaux, C. PetittiPetitti

►Sponsoring agency of residential Sponsoring agency of residential workshops for TC staff: “Learning from workshops for TC staff: “Learning from action” with R. Hinshelwoodaction” with R. Hinshelwood

►For many years the directors of the TC For many years the directors of the TC Rosa dei venti have supported the start-Rosa dei venti have supported the start-up phase of many TCs on the national up phase of many TCs on the national levellevel

Staff Staff

►General Director: Luca MingarelliGeneral Director: Luca Mingarelli►Clinical and Health Director: Carlo ViganòClinical and Health Director: Carlo Viganò►Director of Human Resources: Monica Director of Human Resources: Monica CavicchioliCavicchioli

►Coordinator of Logistics/Organisation: Coordinator of Logistics/Organisation: Georgia NapolitanoGeorgia Napolitano

►Head Nurse: Giuseppe RizzettoHead Nurse: Giuseppe Rizzetto►Qualified Staff includes: TERP, Qualified Staff includes: TERP, instructors, social workers, psychologists instructors, social workers, psychologists (ratio staff/end-user 1:3) and expert (ratio staff/end-user 1:3) and expert consultants in artistic/artisanal courses consultants in artistic/artisanal courses and workshopsand workshops

ContactsContacts

►Administrative office and secretary:Administrative office and secretary:► 031 611216, mail to: 031 611216, mail to: rosa.deiventi@libero.itrosa.deiventi@libero.it Via Tassera, Via Tassera, 46 Erba, Marilena Bianconi46 Erba, Marilena Bianconi

►TC location: via Contrada Spiazzetto, TC location: via Contrada Spiazzetto, 13 Casnate con Bernate (Co)13 Casnate con Bernate (Co)

►Website: Website: www.rosadeiventi.orgwww.rosadeiventi.org