Towards a community care and justice system

Author/s Pietro Pellegrini, Giuseppina Paulillo, Emanuela Leuci, Cecilia Paraggio, Ilaria De Amicis, Davide Maestri, Silvia Dellapina, Clara Pellegrini, Lorenzo Pelizza
Publishing Year 2023 Issue 2023/1 Language Italian
Pages 20 P. 49-68 File size 198 KB
DOI 10.3280/RSF2023-001004
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

This manuscript aims to discuss the state of current implementation of the Law 81/2014, which led to the closure of the Judicial Psychiatric Hospitals in favor of a community welfare system. In particular, we want to involve the Departments of Mental Health (DMH). Indeed, in a framework of inter-institutional collaboration, they were able to achieve what Franco Corleone called a "gentle revolution", which has long awaited and, unfortunately, still awaits a reform. A change of "imputability", the overcoming of the social dangerousness and the security measures are still lacking. The penal code, in force since 1930, is not in harmony with either the Law 180/1978 or the Law 81/2014. However, closing the Judicial Psychiatric Hospitals was neither easy nor obvious, but it was done and the system, still immature, shows many signs of possible maturation. There is no shortage of concerns, accentuated by the lack of dialogue, by defensive and projective attitudes, which fragment and weaken the whole system. A stiffening of the REMS, their definitive stabilization in the context of a path that leads to a new dangerous institutionalization must be avoided. The REMS have the objective of overcoming themselves. Facing the different obstacles, the stigmas and contradictions should be the main goal of the whole system. And this may be done exclusively through the dialogue, through connections, virtuous collaborations of each institution called to collaborate, but also of all the citizens. A "participated" cure and justice system may ensure that limits can become resources, strengths. We need to find a new "meeting point", centered not on places, but on the care pathways of people in the community, on their time lived, remaining close and accompanying each other on the wandering paths of our life. Indeed, if the patient is treated differently, the disease can also be modified.

Keywords: Forensic psychiatry; Forensic psychopathology; Community psychiatry; Offenders with mental illness; Psychiatric services; REMS.

  1. Corleone F. Il muro dell’imputabilità. Firenze: Fondazione Michelucci; 2019. Bevilacqua M, Notaro L, Profeta G, Ricci L, Savarino A. Malattia psichiatrica e pericolosità sociale. Torino: Giappichelli; 2021.
  2. Pellegrini P, Paulillo G, Pelizza L, Pellegrini C, Scarpa F, Cozza M, et al. Applicazione della Legge 81/2014: alcune note di orientamento per i periti psichiatri. L’Altro 2021; XXIV: 28-34.
  3. Basaglia F. Scritti 1953-1980. Milano: Il Saggiatore; 2017.
  4. Pelizza L, Paulillo G, Maestri D, Paraggio C, De Amicis I, Mammone E, et al. Psychometric properties of the Parma Scale for the treatment evaluation of offenders with mental disorder: A new instrument for routine outcome monitoring in forensic psychiatric settings. International Journal of Law and Psychiatry 2022; 84: 101828.
  5. Pelizza L, Leuci E, Landi G, Maestri D, Paulillo G, Ceroni P, et al. Personal Health Budget as a new rehabilitation model for severe mental illness within a caring community: an Italian evaluation study of beneficial effects. Australian and New Zealand Journal of Psychiatry 2021; 55: 602-12. DOI: 10.1177/0004867420968918
  6. Fontecedro E, Furlan M, Tossut D, Pascolo-Fabrici E, Balestrieri M,
  7. Salvador-Carulla L, et al. Individual health budgets in mental health: results of its implementation in the Friuli Venezia Giulia region, Italy. International Journal of Environment Research and Public Health 2020; 17: 5017.
  8. Pelizza L, Pellegrini C, Quattrone E, Azzali S, Landi G, Pellegrini P, et al. Suicidal ideation in patients experiencing a first-episode psychosis: findings from the 2-year follow-up of the “Parma Early Psychosis” program. Suicide and Life-Threatening Behavior 2020; 50: 838-55.
  9. Pelizza L, Poletti M, Azzali S, Paterlini F, Garlassi S, Scazza I, et al. Suicide risk in young people at Ultra-High Risk (UHR) of psychosis: findings from a 2-year longitudinal study. Schizophrenia Research 2020; 220: 98-105.
  10. Leuci E, Pelizza L, Landi G, Quattrone E, Maestri D, Azzali S, et al. Personal health budget in patients with first episode psychosis: a new rehabilitation model based on a community care system in Italy. Early Intervention in Psychiatry 2022; 16: 221-30.
  11. Pelizza L, Maestri D, Paraggio C, De Amicis I, Mammone E, Scarci M, et al. Reliability of the “Parma Scale” for forensic psychiatric treatment evaluation: preliminary findings in a sample of prisoners with mental disorder. Journal of Psychopathology 2022; 28: 94-112. DOI: 10.36148/2284-0249-456
  12. Cartabia M, & Cerretti D. Un’altra storia inizia qui. Milano: Bompiani; 2020.
  13. Fassone E. Fine pena ora. Palermo: Sellerio; 2015.
  14. Pellegrini P, Paulillo G, Paraggio C, Pellegrini C, Pelizza L, Leuci E. Persone con disturbi mentali in ambito penale: diritti e doveri, molto resta da fare. L’Altro 2021; XXIV: 25-30.
  15. Rossi B. Mario Tommasini: eretico per amore. Parma: DIABASIS; 2006.

Pietro Pellegrini, Giuseppina Paulillo, Emanuela Leuci, Cecilia Paraggio, Ilaria De Amicis, Davide Maestri, Silvia Dellapina, Clara Pellegrini, Lorenzo Pelizza, Verso un sistema di cura e giudiziario di comunità in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2023, pp 49-68, DOI: 10.3280/RSF2023-001004