The Law 9/2012 announces the closure, in a laps of two years, of the six Italian forensic psychiatric institutions in view of the creation of new facilities. However, the forensic psychiatric hospital of Castiglione delle Stiviere, in Mantova, remains operational due to the quality of care. In 2014, a project to renew this forensic institution is set up and six residencies with security measures (Law 81/2014) are opened. The authors describe the three first years of this experience - i.e. organization, education and training - highlighting a systemic process of inclusion, that follows two directions (vertical and horizontal) with the aim to facilitate personnel involvement. Focus groups on specific themes are organised. This transformative experience becomes a laboratory for the improvement of integrated projects and activities for forensic patients. However, this project still requires further endeavors to change the previous paradigm (the asylum) into community facilities.
Keywords: Forensic psychiatry, Italian forensic residencies, relational systems, organizational change, participatory planning, integration, work task, psychiatry and institutions, training.