Evaluation of Excellence in Italy's Residences for Execution of Security Measures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 245
- 试验地点
- 1
- 主要终点
- Functional recovery
研究概览
简要总结
The model of care for forensic psychiatry in Italy was changed by law (Law 81/2014) so that the six legacy secure forensic hospitals (Judicial Psychiatric Hospitals, OPG) were closed and new secure community residences for the execution of security measures (REMS) were opened in each of the 20 regions of Italy. This transition was in place by 2015. This observational study evaluates the health gains for patients both previously in OPGs and those admitted first to REMS. Health gains assessed include recovery measured by symptoms, function, need for therapeutic security and recovery of legal autonomy.
详细描述
All those detained in REMS in the twelve month period 2019 to 2020 form the reference population. Samples are assessed for symptom severity (BPRS), global function (GAF), cognitive function (MMSE), risk and protective factors for violence (HCR-20, SAPROF), personality factors (PCL-R), measures of need for therapeutic security (DUNDRUM-1), treatment response relevant to violence and mental illness (DUNDRUM-3) and forensic recovery (DUNDRUM-4).
Outcome measures include violent and challenging behaviour (MOAS), length of stay, conditional (legal) discharge.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admitted to REMS
- •voluntarily consents to participate
排除标准
- •MMSE less than 19
结局指标
主要结局
Functional recovery
时间窗: Date of first, second and third assessments in REMS through study completion, an average of 18 months
change in GAF over time
violence while in REMS
时间窗: Date of first, second and third assessments in REMS through study completion, an average of 18 months
MOAS in the intervals between first, second and third assessments in REMS an average of 18 months
Readmission to REMS
时间窗: date of discharge from REMS to date of readmission to REMS, if any.
time (days) until readmission to REMS following discharge from REMS an average of 18 months
length of stay in REMS
时间窗: date of admission to REMS through study completion, an average of 18 months
time (days) from admission to move out of REMS
次要结局
- conditional discharge(date of assessment to date of conditional discharge an average of 18 months)
研究者
Felice Carabellese
Full Professor of Forensic Psychopathology
University of Bari