Mental health interventions in an Italian prison: the Parma integrated approach
International Journal of Prisoner Health
ISSN: 1744-9200
Article publication date: 28 December 2020
Issue publication date: 17 November 2021
Abstract
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.
Keywords
Acknowledgements
This paper did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors. The authors also wish to thank all the patients who entered the service for newly admitted prisoners from January 2020 to June 2020.Conflict of interests: The authors declare to have no conflict of interests.
Citation
Pelizza, L., Zambelli, U., Rossi, E., Verdoliva, G., Maestri, D., De Amicis, I., Paraggio, C., Zaimovic, A., Veneri, B., Urbani, B., Gran Dall'Olio, D., Adriani, A., Cutrino, S., Bertoli, S., Paulillo, G. and Pellegrini, P. (2021), "Mental health interventions in an Italian prison: the Parma integrated approach", International Journal of Prisoner Health, Vol. 17 No. 4, pp. 520-532. https://doi.org/10.1108/IJPH-07-2020-0046
Publisher
:Emerald Publishing Limited
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