Evaluation and management of violence risk for forensic patients: is it a necessary practice in Italy?

Harry G. Kennedy 1, Fulvio Carabellese 2, Felice Carabellese 3

1 DUNDRUM Centre for Forensic Excellence, Trinity College Dublin National Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin, Ireland; 2 Department of Medical Sciences and Neurosciences, University of Siena, Italy; 3 Section of Criminology and Forensic Psychiatry, Department of Internal Medicine, University of Bari “Aldo Moro”, Bari, Italy

The Law of 30 May 2014, n. 81 represents the point of arrival of an important reform of the Italian psychiatric forensic system. With it, in fact, Italy passed from a forensic psychiatric model based on OPGs to one based on REMS. The structural and functional characteristics of the REMS are aimed at assuring general security, individual care, rehabilitation programs in community environment and small scale dimensions. Our forensic model of treatment is very unusual indeed, so the use of such tools and specific practices for assessing the risk of disturbing conduct would provide more objective data with which to support statements that today may appear self-referential.

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