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意大利2014年第81/2014号法律之后的法医精神病学领域的精神科医生:一项全国性试点调查的结果

Psychiatrists on forensic psychiatry after the law 81/2014 in Italy: findings from a national pilot survey.

作者信息

Bellomo Antonello, Cecere Angela Chiara, Mandarelli Gabriele, Gaggiano Costanza, Giallanella Daniela, Meglio Marco, Iorio Umberto, Ianzano Giulio, Ventriglio Antonio

机构信息

Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

Department of Mental Health, ASL Bari, Bari, Italy.

出版信息

Int Rev Psychiatry. 2024 Nov;36(7):777-783. doi: 10.1080/09540261.2024.2336631. Epub 2024 Apr 5.

Abstract

After the approval of the law 81/2014, a new care-framework has been outlined for the psychiatric offenders in Italy and alternative facilities have been gradually activated. This pilot national survey was conducted in order to explore the attitudes of a panel composed by Italian psychiatrists, engaged in forensic not-engaged in forensic activities, on the changes related to the application of the law. We employed an ad-hoc questionnaire named SOPF: (in english: The Psychiatric Forensic Assessment after the Closing of the Forensic Psychiatric Hospitals) to explore the opinions regarding ten relevant issues in the field of forensic psychiatry and forensic assessment. Findings suggested that the lack of specific resources for the management of psychiatric offenders in the Departments of Mental Health in Italy may lead to clinical risks for patients and health professionals. In particular the task of treating offenders in the community may be even more challenging for those patients whose social dangerousness has been revaluated and their security measures expired.

摘要

在第81/2014号法律获批后,意大利为精神病罪犯制定了新的护理框架,并逐步启用了替代设施。此次全国性试点调查旨在探讨由意大利精神病医生组成的小组(包括从事法医工作的和不从事法医活动的)对与该法律实施相关变化的态度。我们使用了一份名为SOPF(英文全称:The Psychiatric Forensic Assessment after the Closing of the Forensic Psychiatric Hospitals)的特制问卷,以探讨法医精神病学和法医评估领域十个相关问题的意见。研究结果表明,意大利心理健康部门缺乏管理精神病罪犯的特定资源,可能给患者和卫生专业人员带来临床风险。特别是对于那些社会危险性被重新评估且安全措施已到期的患者,在社区治疗他们的任务可能更具挑战性。

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