Some proposals of reform suggested by the "States- General for the Sentence Execution" of the Italian Department of Justice, concerning safety measures to be applied to the accused acquitted by reason of insanity and socially dangerous, are discussed. The Italian Law no. 81/2014 gives priority to strategies that ensure care and face social danger without custodial measures. These "safety measures in psychiatry" have been proposed with the aim of overcoming detention measures. However, this proposal is not compatible with the model used for the closing of Judicial Psychiatric Hospitals since it implies a return to a custodial model that may jeopardize the success of care and the functioning of the "Residences for the Execution of Safety Measures" (REMS).
Keywords: Forensic hospitals, safety in psychiatry, residences for the execution of safety measures (REMS), guilty