Assistenza psichiatrica agli autori di reato in Liguria: una realtà in evoluzione

Paolo F. Peloso , Maurizio Cechini , Lucio Ghio , Simona Gotelli , Werner Natta , Matteo Respino , Luigi Ferrannini
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Abstract

Introduction

In 1999 a group of psychiatrists of Mental Health Department of Genoa started building up a psychiatric liaison service to the Marassi Institute, the largest prison of Liguria. Over the years, the interest on the issue of forensic psychiatry has been increasing in the Ligurian Mental Health Departments as well as in the meetings of Ligurian Section of Italian Psychiatric Society. At the same time all the aforementioned subjects begun to argue about the shutdown of the forensic hospitals.

Discussion

In the subsequent years the real world psychiatric practice have become increasingly interwoven with legal issues, and nowadays the main questions to address in this field are: the organization of psychiatric care in prisons; the organization of care in the Mental Health Center and Day Hospitals for mentally ill offenders serving their sentence at home; the organization of care in residential facilities as an alternative measure to forensic hospital or imprisonment; the planning of a regional facility, after the shutdown of the forensic hospitals, to admit patients deemed incompetent to proceed by reason of mental insanity, but still at risk of future violence.

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利古里亚对罪犯的精神治疗:一个不断变化的现实
1999年,热那亚精神卫生部门的一组精神病医生开始与利古里亚最大的监狱Marassi研究所建立精神病学联络服务。多年来,利古里亚精神卫生部门以及意大利精神病学会利古里亚分会的会议对法医精神病学问题的兴趣不断增加。与此同时,上述所有当事人都开始争论关闭法医医院的问题。在随后的几年里,现实世界的精神病学实践越来越多地与法律问题交织在一起,如今在这一领域要解决的主要问题是:监狱中精神病学护理的组织;在精神卫生中心和日间医院组织照顾在家服刑的精神病罪犯;在住宅设施中安排护理,作为法医医院或监禁的替代措施;在法医医院关闭后,计划建立一个区域设施,接收因精神错乱而被认为没有能力进行治疗,但今后仍有遭受暴力风险的病人。
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