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The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study

Di Lorito, Claudio; Castelletti, Luca; Tripi, Giuseppa; Gandellini, Maria Gloria; Dening, Tom; Völlm, Birgit

Authors

Claudio Di Lorito claudio.dilorito@nottingham.ac.uk

Luca Castelletti

Giuseppa Tripi

Maria Gloria Gandellini

Tom Dening tom.dening@nottingham.ac.uk

Birgit Völlm birgit.vollm@nottingham.ac.uk



Abstract

Introduction. Following the recent development of residential units for the execution of security measures (REMS) managed by the National Health Service and the closing down of forensic psychiatric hospitals, no study has been conducted to investigate the individual experience of ageing patients and to assess whether the new service is adequately meeting their needs. We aim to explore the experience of the service of a sample of patients aged 50 years old and above living in one of the Italian REMS.

Methods. We adopted a case-study design and included a sample of five patients. We collected their basic demographic data, administered the Camberwell Assessment Need Forensic Short Version (CANFOR-S) and carried out in-depth qualitative semi-structured interviews.

Results. Results from the CANFOR-S evidenced that met needs were more prevalent than unmet needs. The qualitative interviews evidenced high levels of satisfaction around accommodation, health care provision, activities, availability of benefits and company and lower levels of satisfaction around psychological and practical support.

Discussion. This study gave voice to aging forensic psychiatric patients and provided through personal accounts based on their lived experience, preliminary evidence around the benefits and limitations of the Italian residential forensic psychiatric system for this age group. Implications for clinical nursing forensic practitioners operating within different service frameworks are discussed.

Journal Article Type Article
Journal Journal of Forensic Nursing
Print ISSN 1556-3693
Electronic ISSN 1939-3938
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 13
Issue 3
APA6 Citation Di Lorito, C., Castelletti, L., Tripi, G., Gandellini, M. G., Dening, T., & Völlm, B. (in press). The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study. Journal of Forensic Nursing, 13(3), doi:10.1097/JFN.0000000000000163
DOI https://doi.org/10.1097/JFN.0000000000000163
Keywords Ageing patients, forensic-psychiatry, REMS, Italy, mental health needs, case-study
Publisher URL https://insights.ovid.com/crossref?an=01263942-201709000-00004
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0





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