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.
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length of stay in REMS
Timeframe: date of admission to REMS through study completion, an average of 18 months
Functional recovery
Timeframe: Date of first, second and third assessments in REMS through study completion, an average of 18 months
violence while in REMS
Timeframe: Date of first, second and third assessments in REMS through study completion, an average of 18 months
Readmission to REMS
Timeframe: date of discharge from REMS to date of readmission to REMS, if any.