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How a small Italian city became a model for mental health care

Trieste’s community-based approach to mental illness contrasts with the large institutions of countries such as Japan

At the psychiatric emergency unit in Trieste’s general hospital, the door is always open. 

Coercion and isolation, techniques widely deployed around the world to control patients in crisis, are alien concepts here. Friends and family are welcome visitors in a space that, with its bright pictures and casual seating, is comfortable rather than clinical. 

Difficult situations can sometimes be defused with a simple walk in the hospital grounds, says Domenico Petrara, a nurse whose gentle, relaxed demeanour is matched by his informal attire of jeans and sweater. 

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