Assessment and treatment of risk for harm to self or others in inmates. The experience at the Monza prison

Journal title RICERCHE DI PSICOLOGIA
Author/s Manuela Valsecchi, Marco Bani, Francesca Barile, Emanuele Truisi, Michele Monticelli, Gabriele Travagin, Federico Zorzi, Giorgio Rezzonico, Umberto Mazza
Publishing Year 2018 Issue 2018/3 Language Italian
Pages 25 P. 307-331 File size 90 KB
DOI 10.3280/RIP2018-003002
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Main risk factors of self or to others injurious behaviors in prison settings, as describing by researches, could be divided in situational factors, related to the prison environment and importation factors, related to the socio-demographic status and clinical characteristics prior the imprisonment. Related to the specificity of prison setting, considering self or others injurious behaviors in prison settings as the outcome of composite combinations of multiple risk factors is more appropriate for orienting the clinical interventions. Considering guidelines a specific protocol actuated at the Monza Prison to assess and prevent risk for harm in prisoners. It has been applied since September 2012 and within 72 hours from the entrance in prison every prisoner has a clinical session with a psychologist where some screening tools are administered: i) Jail Screening Assessment Tool (JSAT), used to explore juridical situation, history of aggressive acts, psychosocial evaluation, drug assumption, presence of psychiatric disorder, suicide or self- -harm risk, presence of anxious and depressive symptomatology; ii)Barrat Impulsiviness Scale-11 (BIS-11), a rating scale to evaluate the impulsiveness; iii)Clinical Outcome in Routine Evaluation-Outcome Measure (CORE-OM), a rating scale to evaluate the distress’ level. It could be used also to evaluate outcome of treatment. When the psychologist detect the risk by J-SAT and/or by BIS-11’s score above cut-off, it’s possible a psychiatric advice and the prisoner is included in a monitoring and treatment plan which is dependent on the development of the clinical conditions. In these prisoners, Millon Clinical Multiaxial Inventory-III (MCM-III) is also administered within 2 weeks from first clinical session, to investigate the structure and the functioning of personality.This protocol allows to investigate both situational and importation risk factors and how they interacting with each other and the psychologist could use these information for orienting the clinical interventions.

Keywords: Self or others injurious behaviors, inmates, importation factors, situational factors, clinical intervention.

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  • Stili di personalità e definizione dei percorsi di cura per pazienti detenuti attraverso l'inventario di Millon Emanuele Truisia, Marco Bani, Francesca Barile, Manuela Valsecchi, Federica Corbetta, Giorgio Rezzonico, Umberto Mazza, in RICERCHE DI PSICOLOGIA 3/2018 pp.353
    DOI: 10.3280/RIP2018-003004

Manuela Valsecchi, Marco Bani, Francesca Barile, Emanuele Truisi, Michele Monticelli, Gabriele Travagin, Federico Zorzi, Giorgio Rezzonico, Umberto Mazza, Valutazione e percorsi di trattamento del rischio autolesivo in carcere. L’esperienza nella Casa Circondariale di Monza in "RICERCHE DI PSICOLOGIA " 3/2018, pp 307-331, DOI: 10.3280/RIP2018-003002