1. A. Montesano MD Head of PM&R Service IRCCS S. Maria Nascente, MI Fondazione Don Gnocchi, Onlus

2. The Don Gnocchi’s Foundation: The global human rehabilitation project (1) The global human rehabilitation proposed by Blessed Carlo Gnocchi represented for Italy an original and innovative project for the complete recovery of human beings who had been physically, psychologically or spiritually damaged by the war. This project took shape from his unitary vision of humanity and human beings, in a direct movement from the single “therapeutic” act to the overall “treatment” plan

3. The Don Gnocchi’s Foundation: The global human rehabilitation project (2) Blessed Carlo Gnocchi sustained the importance, and demonstrated the feasibility, of an organizational model aimed at pursuing precise rehabilitative and functional health results. Another objective was to achieve an integrated multidisciplinary intervention, rather than a simply “medical” approach, for people requiring global rehabilitation

4. The Don Gnocchi’s Foundation Fondazione Don Carlo Gnocchi ( The Don Gnocchi’s Foundation; FdG) is recognised as an Institution of Hospitalisation and Scientific Care, FdG now employs nearly 5.000 people FdG includes: 2 Institutes for Hospitalisation and Scientific Care (in Italian, IRCCS) 22 multi-functional rehabilitation centres 5 Centers for the elderly in need of assistance (RSA) 1 Hospice for terminal cancer patients. 3 Care Homes 2 housing communities for the disabled 41 territorial outpatient rehabilitation clinics 1 Center for Training, Orientation and Development FdG provides: 3634 overnight and day hospital beds; 6950 people cared for each day on average

5. FdG today : 29 Centers distributed over 9 italian regions; 6 international centers The Don Gnocchi’s Foundation

6. Activities over 50 years: - 1945: children who lost limbs in the war - 1950- 1960: children with polio - 1960-70: patients who suffer of acquired or congenital pathologies requiring neurological, orthopedic, cardiac, respiratory rehabilitation treatments - 1980- 1990: elderly patients who can not look after themselves.. - 1990-2000: coma and persistent vegetative state patients. Care is also provided for patients with severe pathologies, including: amyotrophic lateral sclerosis, Parkinson’s disease, multiple sclerosis and Alzheimer’s disease, all of which require complex neuro-motor and cognitive rehabilitation strategies. - 2000 -2009 : cancer and terminal cancer patients

7. The Don Gnocchi’s Foundation: International Solidarity - Ngo In 2001 the Don Carlo Gnocchi Foundation was recognised by the Italian Ministries of Foreign Affairs as a Non Governmental Organization (Ngo). The main activities of the International Solidarity Dept. are: promotion, running, monitoring and coordination of developing projects at international level; coordination of: the human resources of the Centers of the Foundation in Italy in relation to the projects - also on voluntary basis; the animation activities on international solidarity the Centres implement within their own territory; collaboration with the Church structures as well as the civil authorities at local, national, European and international level; collaboration with those organization that work on the promotion of international solidarity. Up to date the Foundation's commitments and experiences are implemented in Bosnia-i-Hercegovina, Ecuador, Zimbabwe, Sierra Leone and Rwanda; in these countries is mainly guaranteed the support for the construction of a rehabilitation centre or the participation to the running and physical rehabilitation activities in collaboration with local organisations.

8. The Don Gnocchi’s Foundation: Research (1) Scientific Research is directed towards : - bio-medicine, bio-technology and clinical experimentation in order to discover new methods and new technologies for rehabilitation and reducing disability conditions. Research, with its vast spin-off applications, is constantly inter-related with clinical and care activities. This multi-disciplinary approach has led to advanced projects in bio-engineering and neurology, orthopaedics and cardio-respiratory sectors

9. The Don Gnocchi’s Foundation: Research (2) Foundation has set up an Internet Portal for the Welfare Ministry, with the most complete data bank of laws, products and advice on the technology for self- sufficiency, quality of life and social integration for the disabled. This project is expected to be extended to European Comunity

10. Institute for Hospitalization and Scientific Care (IRCCS) S. Maria Nascente. Center of Rehabilitation: Services provided (1) - Inpatients Rehabilitation : - Unit of Cardiology ; - Unit of Neurology ; - Unit of Multiple Sclerosis; - Unit of PM&R; - Day Hospital; - Maintenance rehabilitation

11. Institute for Hospitalization and Scientific Care (IRCCS) S. Maria Nascente. Center of Rehabilitation: Services provided (2) Outpatient Rehabilitation: - ambulatory rehab for children and adults - home rehabilitation - territorial rehabilitaion - sports medicine rehabilitation - occupational rehabilitation (DAT service) - Specialized rehab labs: SAFLo (movement disorders); LARICE (balance disorders)

12. Institute for Hospitalization and Scientific Care (IRCCS) S. Maria Nascente. Center of Rehabilitation: Services provided (3) Paediatric rehabilitation we offer is part of the activity and services for neurological and psychiatric diseases in childhood and adolescence provided by the Italian Health System. The service (the achronym of which is: UONPIA) provided by our center is aimed at managing diagnostic therapeutic pathways in order to give an integrated, multi- professional, child- and family-oriented approach to paediatric disabling conditions.

13. Institute for Hospitalization and Scientific Care (IRCCS) S. Maria Nascente. Center of Rehabilitation: Services provided (4) Social and educational area: The Centre is set up with special nurseries and elementary schools (DDC), social and educational centres (CDD; CSE), day care, residential facilities (RSD) and housing communities (Maintenance Rehab). For the disabled and their families, the staff at “Don Gnocchi” offers educational support and assistance. The center tries to answer to patients and their families needs: development of capabilities, independence, training, integration, housing in a familiar atmosphere, rehabilitation, assistance…

14. Institute for Hospitalization and Scientific Care (IRCCS) S. Maria Nascente: BiomedicalTechnologic Department Research Areas : Research Areas : - -Assistive technology area - Biosignal analysis area - Neuromotor area - Ergonomic assessment area - Biophysics and Nanomedicine area - Cardiovascular, wereable sensors and telemedicine

15. Thank You