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In September 2018, Los Angeles hosted visitors representing the Trieste mental health system to tour our systems. Both Trieste and the LA County Department of Mental Health are bound by a “twinning agreement” under the auspices of the International Mental Health Collaborating Network (IMHCN). The visitors included Dr. Roberto Mezzina, Dr. Tommaso Bonavigo, Dr. S.R. Sashidharan, Mr. Daniele Piccione and Ms. Gabriella D’Ambrosini.