Sede Amministrativa e AmbulatorialePiazzale Baracca, 1 - 20123 - Milano - ItalyEmail: info@crest.it Internet: http://www.crest.it

Institutional profile

Crest Ltd was founded in 1984 with the purpose of the study and

treatment of Personality Disorders and conduct of abuse. Crest develops

its activities in the years under the leadership of Dr. Rancati and

currently has four operating units: a protected psychiatric community in

intensive care located Vinago of Mornago (VA), a Therapeutic

Community for treatment of drugs addiction and conduct of

dependence located in Cuveglio (VA), a Psychiatric Day Centre in Ispra

(VA) and a Clinical centre for outpatient in Milan (MI).

All health care facilities are accredited with the Italian welfare state.

Mission

• Treatment

Admission to residential treatment centers in secure environments and not hospitalized.

• Training

psycho-sociological research about behavioral abnormalities; coordination services and training at institutions that operate in the same field of intervention.

• Information and communication

Awareness and orientation towards the public in relation to specific areas of intervention.

Administrative office and Clinical Center

In Piazza Baracca 1, in downtown Milan,Crest has its administrative headquarterswhere, in addition to administrative andsecretarial services are performed thefollowing activities:

• Psychotherapy • Counseling • Family Therapy • DBT for outpatient (individual sessions and Skills Training) • Treatment of post-residential patients • Psychodiagnostics and Therapeutic Assessment • Training and Supervision.

Founded in 1986, the Therapeutic Community Crest of Cuveglio is a residential center foraddiction treatment with particular attention to the clinic area of Personality Disorders. TheCommunity offers a therapeutic rehabilitation for 24 hours a day with a prevalence ofpsycho-socio-educational personal.

The property currently has 30 authorized beds, including 23 accredited in the welfare state.Of these, 16 beds are dedicated to residential treatment (TTR) and 7 additional beds arereserved for specialization module for dual diagnosis patients (SPR2). The unit offer alsoincludes a housing module, for the reintegration phase, within 3 protected apartmentsarranged for a total of 7 beds. The Community is licensed to hold 2 patients under age. Weaccept patients under the restriction of freedom only under specific conditions agreed withthe Health Department.

From the opening date, the Community has hosted more than 1100 clients.

Therapeutic Community Crest Cuveglio

Autorizzazione ASL Varese n. 911 del 13/08/2004Accreditamento n.VII/20358 del 27/01/2005

The Protected Community Crest of Vinago, which opened in March 1995, is a residentialfacility that offers, in a secure and friendly environment, a 24 hours a day care with aprevalence of health personnel. Provides therapy and social reintegration of patients withsevere mental disorders related clinical area of Personality Disorders with particularattention to borderline type. the Community can accommodate 20 guests, 17 beds areguaranteed to customers under contract with the Lombardy Region and 3 are available toprivate customers or from other regions.

From the opening date, the Community has hosted more than 400 clients.

Protected Community Crest of Vinago with High Intensity care

Iscritta al Registro Regionale delle strutture accreditate n. 468

Crest Day Centre in Ispra

Iscritta al Registro Regionale delle strutture accreditate n. 1070

The Day Centre was opened in June 2010, can be regarded as a classic territorial service or better, a half way house service realized to mediate and organize clinical and rehabilitation projects within the local district so as to meet the needs of person with mental illness and local mental health services.

The facility can accommodate simultaneously a maximum of 8 clients who are suffering for a psychotic mental disorder, personality disorder or other mental problems that significantly affect the social life of the person or which involve such difficulties likely to be severely maladaptive compared to the contextual resources of the client.

The presence of comorbid substance use disorder is not an exclusion criterion.

The therapeutic intervention is part of a wider rehabilitation project of taking over procedure shared between Crest, the customer, the family and sending service. The residential treatment refers to the cognitive-behavioral “Dialectical Behavioral therapy”( M.M. Linehan USA, 1993). The course of treatment is individualized and flexible; it develops in progressive stages and provides the measurement of outcomes.

The therapeutic model requires that the customer achieves the desired objectives and agreed upon in the behavioral treatment plan by increasing the skills and competencies in terms of personal awareness of self and others, emotional regulation, effective interpersonal relationships and destress tolerance.

During treatment the client will gradually experience internal and external activities with the aim to verify and improve the level of functioning in personal, family and social relationships. The experiences in these different contexts are processed and shared within the treatment groups: skills training groups, problem solving groups and emotional groups.

The aim is to achieve the highest possible level of responsibility and autonomy of the patient. The discharge is agreed with the Client, its contacts and referrers.

The therapeutic model reference

There are currently agreements between Crest and the following organizations / institutions:

Repubblica di San Marino

Euratom C.CR. Ispra

Università Bicocca – Milano (convenzione di ricerca)

PDLab Associazione per lo studio e il trattamento dei disturbi di personalità

Conventions & Partnerships

Internships

UNIVERSITA’ CATTOLICA DEL SACRO CUORE MILANO, Facoltà di Psicologia.

UNIVERSITA’ DEGLI STUDI MILANO BICOCCA, Facoltà di Psicologia – Scuola di Specializzazione in Psicologia del ciclo di vita.

UNIVERSITA’ DEGLI STUDI DI PADOVA, Facoltà di Psicologia.

UNIVERSITA’ DEGLI STUDI DI TORINO, Facoltà di Psicologia.

UNIVERSITA’ DEGLI STUDI DELL’INSUBRIA VARESE, Facoltà di Medicina e Chirurgia, Corso di laurea in educazione professionale.

IACP (ISTITUTO DELL’APPROCCIO CENTRATO SULLA PERSONA) Milano

NOUS – SCUOLA DI SPECIALIZZAZIONE IN PSICOTERAPIA COGNITIVO-COSTRUTTIVISTA Milano

CENTRO PADOVANO DI TERAPIA DELLA FAMIGLIA Padova

ISTITUTO DI “PSICOTERAPIA PSICOANALITICA DELL’ADOLESCENTE E DEL GIOVANE ADULTO ARPAD gestita dalla Scuola MINOTAURO, Milano

CENTRO PSICOTERAPIA COGNITIVA, Como

UNIVERSITA’ DEGLI STUDI DI MILANO – BICOCCA –DIPARTIMENTO DI PSICOLOGIA, Milano

CENTRO STUDI TERAPIA GESTALT, Milano

Universities and post-graduate schools affiliated with Crest:

“Volunteering as a route to employment”

2011: European Year of Volunteering

In its report published in 2008 by ISTAT for the period between 2001 and 2003, was noted the increase in voluntary organizations, especially in the field of social and health care.

At the end of 2003 voluntary organizations were 21.021, an increase of 14.9% compared to 2001. During the same period the volunteers were up 18.8% from approximately 700.000 to more than 800 thousand, while employees totaled about 12 thousand. Today there are 826.000 volunteers in Italy.

The age of volunteers includes all ages and is divided between 30 and 54 years (41.1%), under 29 years (22.1%); between 55 and 64 years (23.3%), more than 64 years 13.5%.

Some data

The various categories of users were similar to those of previous surveys with a high prevalence of mental health and traumatized (51.6%), followed by users at a great distance without specific discomfort (9.9%), older people self-sufficient (9 , 4%) and immigrants (4.3%).

The main areas of action were, in fact, health (28%) and social assistance (27.8%), but with a decrease in their relative weight . In contrast increased, according to the report, organizations working prevalently in the areas of recreation and culture, environmental protection and civil protection.

Consistently decreased organization composed on all-volunteer and increased the professional presence with paid workers.

More than 100 million Europeans are engaged in voluntary work, a solidarity living that make the difference in our society. A survey in 2006 revealed that 3 out of 10 Europeans say they are active in the volunteer.

In Italy the voluntary involves about 0.8 % of the population. Volunteers in Lithuania, however, represent 3% of the population (especially in health), in Belgium the volunteers would be a million and a half (17% of the population), in the Czech Republic about one million ( 10% of the population). In France, however, the volunteers would be 11 million (18%), in Spain about 2.8% of the population and 4% in Poland.

Main reasons for growth

• Crisis of the Welfare State

State withdrawal of public sector from some care area

• Employment crisis

Postponing entry into the world of work

• Administrative and institutional decentralization of social resources

Increased sensitivity to local needs

• Growth of social participation

Cultural changes

• Longer citizens’s active lifes

More time to give

• Volunteering is a significant economic factor. The sector contributes about 5% of the GDP (Gross domestic product) of our national economies (according to a recent study by Johns Hopkins University) and many voluntary organizations depend significantly on the work of volunteers to carry out their activities.

• Volunteering helps create innovative partnerships between companies, authorities and organizations of the sector. These partnerships, along with the pioneering nature of many voluntary action, can lead to the creation of new employment opportunities.

• Volunteering provides opportunities for formal and informal learning and is therefore an essential tool in continuing education. Volunteering allows you to acquire knowledge and skills and broaden their social networks, which can often lead to new or better job opportunities and promote their own personal and social development.

Resulting

The concept of empowerment is to mean the process of social action through which people, organizations and communities acquire skills on their own lives in order to change their social and political environment to improve equity and quality of life .

The concept of mainstreaming indicates that process of the social action through which social differences and innovative practices acquire leading role of public policies.Mentre il concetto di mainstreaming indica quel processo dell’azione sociale attraverso il quale le differenze e le prassi innovative acquisiscono centralità e protagonismo nell’insieme delle politiche pubbliche.

Two key factors

From Volunteering to Mainstreaming through Employment

Crest Data

In our experience, over 70% of active personnel from Crest was acquired as a result of job training on a voluntary basis.

The training period lasts varies according to different professional and oscillates between a minimum of 1 month to a maximum of 6 months.

Over 30% of placements has led to a working relationship with Crest.