Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Haifa 31905, Israel.
Int J Environ Res Public Health. 2021 Oct 26;18(21):11254. doi: 10.3390/ijerph182111254.
(1) Background: The Italian Constitutional Court's decision n. 99/2019 abolished the distinction between physical and psychological health care in the Italian prison system. However, this and other changes to the penitentiary system present challenges to prison staff, which may vary based on their roles and backgrounds; (2) Purpose: To create a process of dialogue and collaboration that include different points of view, needs, and proposals regarding mental health in prisons, this study collects and integrates the perspectives of 91 prison staff who work in various capacities in eight prisons in northeast Italy. (3) Methods: Each participant was involved in either a focus group or a semi-structured interview, and thematic analysis was used to process the resulting transcripts; (3) Results: Through this process, 10 themes were derived that highlight the difficulties of working with prisoners with psychiatric disorders or psychological distress, including lack of human and economic resources, lack of positive communication between prisoners and society and a sense of professional incompetency; (4) Conclusions: Based on these themes, the need for increased points of view, dialogue, and collaboration between prison professionals and between prison and society is discussed, and the current feasibility of treating psychiatric disorders in prison is considered.
(1) 背景：意大利宪法法院 2019 年 99 号决议废除了意大利监狱系统中身心保健之间的区别。然而，监狱系统的这一变化和其他变化给监狱工作人员带来了挑战，这些挑战可能因他们的角色和背景而异；(2) 目的：为了在监狱中的心理健康问题上创建一个包含不同观点、需求和建议的对话和协作过程，本研究收集并整合了在意大利东北部八所监狱中以不同身份工作的 91 名监狱工作人员的观点。(3) 方法：每位参与者都参与了焦点小组或半结构化访谈，使用主题分析来处理产生的转录本；(3) 结果：通过这个过程，得出了 10 个主题，突出了与患有精神疾病或心理困扰的囚犯合作的困难，包括缺乏人力和经济资源、囚犯与社会之间缺乏积极的沟通以及缺乏专业能力感；(4) 结论：基于这些主题，讨论了增加监狱专业人员之间以及监狱与社会之间的观点、对话和协作的必要性，并考虑了目前在监狱中治疗精神疾病的可行性。
