Occupational Medicine Unit, Department of Public Health, Experimental and Forensic Sciences, University of Pavia, Italy.
Istituti Clinici Scientifici Maugeri IRCCS, Occupational Medicine Unit of Pavia Institute, Italy.
Med Lav. 2024 Aug 27;115(4):e2024027. doi: 10.23749/mdl.v115i4.16131.
Work preservation is crucial for the reintegration of ex-prisoners and the prevention of recidivism. We describe the application of an interdisciplinary diagnostic protocol (occupational health visit, psychiatric interview, psychological counselling and testing) in the case of a dairy industry worker (female, 45-year-old), released on half-freedom after approximately a year of detention in prison for attempted murder. This crime can seriously hamper job resumption. The evaluation revealed a slightly depressed mood (consistent with recent life events), in the absence of major psychiatric disorders or other disturbances that could compromise working abilities or represent a danger for the coworkers. The patient was, therefore, judged able to resume her job. At six months follow-up, she had fully served her sentence and had returned to her previous job, with good relations with her colleagues. However, she encountered hostility from her employer, which induced her to find a new job as a secretary. Her mental health status was improved. The interdisciplinary approach described here may allow ex-prisoners to return to work by helping the company physician to formulate the judgement of job fitness, offering at the same time suggestions for a rational occupational reintegration.
工作保留对于刑满释放人员的重新融入社会和预防累犯至关重要。我们描述了在一名乳制品行业工人（女性，45 岁）案例中应用跨学科诊断方案（职业健康访视、精神科访谈、心理咨询和测试）的情况，该工人因谋杀未遂被监禁大约一年后获得半自由释放。这种犯罪行为严重阻碍了工作的恢复。评估显示出轻微的抑郁情绪（与近期生活事件一致），没有明显的精神障碍或其他可能损害工作能力或对同事构成危险的障碍。因此，判断该患者能够恢复工作。在六个月的随访中，她已服完刑期并返回了之前的工作岗位，与同事关系良好。然而，她遭遇了雇主的敌意，这促使她找到了一份秘书的新工作。她的心理健康状况得到了改善。这里描述的跨学科方法可以通过帮助公司医生做出工作适应性判断，并为合理的职业重新融入提供建议，从而帮助刑满释放人员重新就业。
