title: Psychiatric needs of male prison inmates in Italy.
abstract: This paper presents data on the mental health needs of men in an Italian prison and examines if mental health needs of inmates differ across key correctional subpopulations. Interviewers conducted semi-structured clinical interviews with 526 convicted males incarcerated in the Spoleto Prison from October 2010 through September 2011. Nearly two thirds (65.0%) of inmates had an Axis I or Axis II disorder. About half (52.7%) had an Axis I disorder. Personality disorders were the most common disorders (51.9%), followed by anxiety (25.3%) and substance use disorders (24.9%). Over one third of inmates (36.6%) had comorbid types of disorder. The most common comorbid types of disorders were substance use disorders plus personality disorders (20.1%) and anxiety disorders plus personality disorders (18.0%). Findings underscore a significant need for specialized mental health services for men in Italian prisons. Moreover, as inmates return to the community, their care becomes the responsibility of the community health system. Service systems must be equipped to provide integrated services for those with both psychiatric and substance use disorders and be prepared for challenges posed by patients with personality disorders.
authors.affiliation: Functional Area of Psychiatry, University of Perugia, AUSL Umbria 2, Ospedale San Giovanni Battista, Servizio Psichiatrico Diagnosi e Cura, Via Massimo Arcamone, 06034 Foligno, Italy. Electronic address: spdc.foligno@uslumbria2.it.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Piselli
authors.affiliation: School of Psychiatry, University of Perugia, Department of Medicine, Division of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, New Faculty of Medicine, Ellisse Edificio A Piano 8, Loc. Sant'Andrea delle Fratte, 06156 Perugia, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Attademo
authors.affiliation: School of Psychiatry, University of Perugia, Department of Medicine, Division of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, New Faculty of Medicine, Ellisse Edificio A Piano 8, Loc. Sant'Andrea delle Fratte, 06156 Perugia, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garinella
authors.affiliation: Functional Area of Psychiatry, University of Perugia, AUSL Umbria 2, Ospedale San Giovanni Battista, Servizio Psichiatrico Diagnosi e Cura, Via Massimo Arcamone, 06034 Foligno, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Rella
authors.affiliation: Health District of Spoleto, AUSL Umbria 2, Palazzina Micheli Piazza D. Perilli 1, 06049 Spoleto, Italy. Electronic address: simonetta.antinarelli@uslumbria2.it.
authors.forename: Simonetta
authors.initials: S
authors.lastname: Antinarelli
authors.affiliation: Functional Area of Psychiatry, University of Perugia, AUSL Umbria 2, Ospedale San Giovanni Battista, Servizio Psichiatrico Diagnosi e Cura, Via Massimo Arcamone, 06034 Foligno, Italy.
authors.forename: Antonia
authors.initials: A
authors.lastname: Tamantini
authors.affiliation: School of Psychiatry, University of Perugia, Department of Medicine, Division of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, New Faculty of Medicine, Ellisse Edificio A Piano 8, Loc. Sant'Andrea delle Fratte, 06156 Perugia, Italy; Department of Medicine, Division of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, New Faculty of Medicine, University of Perugia, Ellisse Edificio A Piano 8, Loc. Sant'Andrea delle Fratte, 06156 Perugia, Italy. Electronic address: roberto.quartesan@unipg.it.
authors.forename: Roberto
authors.initials: R
authors.lastname: Quartesan
authors.affiliation: Department of Experimental Medicine, Umbrian Population Cancer Registry, Division of Public Health, University of Perugia, Via Del Giochetto, 06122 Perugia, Italy. Electronic address: fabs@unipg.it.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Stracci
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Health Disparities and Public Policy Program, Northwestern University Feinberg School of Medicine, 710 N. Lake Shore Drive, Suite 900, Chicago, IL 60611, USA. Electronic address: k-abram@northwestern.edu.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Abram
mesh_terms: D000328:Adult; D015897:Comorbidity; D003710:Demography; D006301:Health Services Needs and Demand; D006801:Humans; D007406:Interview, Psychological; D007558:Italy / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D011329:Prisoners / Q000523:psychology*
keywords: Comorbidity; Prisoners; Psychiatric disorders; Substance use disorders