Mental health interventions in an Italian prison: the Parma integrated approach

Purpose Mental health interventions for Italian prisoners with mental disorders remain a problematic issue, despite radical changes in general psychiatric care and a 2008 major government reform transferring mental health care in prison to the National Health Service. The aim of this study is to des...

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Veröffentlicht in:International journal of prisoner health 2021-11, Vol.17 (4), p.520-532
Hauptverfasser: Pelizza, Lorenzo, Zambelli, Ursula, Rossi, Enrico, Verdoliva, Germana, Maestri, Davide, De Amicis, Ilaria, Paraggio, Cecilia, Zaimovic, Amir, Veneri, Bruno, Urbani, Beatrice, Gran Dall'Olio, Diana, Adriani, Adriana, Cutrino, Stefania, Bertoli, Silvia, Paulillo, Giuseppina, Pellegrini, Pietro
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container_end_page 532
container_issue 4
container_start_page 520
container_title International journal of prisoner health
container_volume 17
creator Pelizza, Lorenzo
Zambelli, Ursula
Rossi, Enrico
Verdoliva, Germana
Maestri, Davide
De Amicis, Ilaria
Paraggio, Cecilia
Zaimovic, Amir
Veneri, Bruno
Urbani, Beatrice
Gran Dall'Olio, Diana
Adriani, Adriana
Cutrino, Stefania
Bertoli, Silvia
Paulillo, Giuseppina
Pellegrini, Pietro
description Purpose Mental health interventions for Italian prisoners with mental disorders remain a problematic issue, despite radical changes in general psychiatric care and a 2008 major government reform transferring mental health care in prison to the National Health Service. The aim of this study is to describe the mental health intervention model implemented since January 2020 for prisoners allocated in the Parma Penitentiary Institutes (PPI). This approach is specifically based on specialized, “person-centered” and “person-tailored” therapeutic-rehabilitation plans in line with psychiatric treatments usually provided in community mental health-care centers of the Parma Department of Mental Health. Design/methodology/approach All the processes and procedures included in the PPI intervention model were first carefully illustrated, paying special attention to the service for newly admitted prisoners and each typology of specialized therapeutic-rehabilitation treatment potentially provided. Additionally, a preliminary descriptive process analysis of the first six months of clinical activity was also performed. Findings Since January 2020, 178 individuals entered the PPI service for newly admitted prisoners. In total, 83 (46.7%) of them were engaged in the services of the PPI mental health-care team (35 with pathological addiction and 48 with mental disorders): 56 prisoners were offered an integrated mental health intervention and 27 exclusively an individual psychological or psychiatric treatment. Originality/value The results support the potential applicability of an integrated mental health intervention in prison, planning a person-tailored rehabilitation in close collaboration with the prisoners, their families and the local mental health/social services.
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subjects Addictions
Community mental health services
Health care
Health planning
Health promotion
Health services
Imprisonment
Integrated approach
Integrative approach
Intervention
Mental disorders
Mental health
Mental health care
Prisoners
Prisons
Process analysis
Psychologists
Rehabilitation
Social services
Teams
Treatment methods
Typology
title Mental health interventions in an Italian prison: the Parma integrated approach
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