Prison health is a public health: Management of Sars-CoV-2 outbreak in an Italian prison

The Covid-19 emergency in prisons is a public health warming due to overcrowding, poor structural conditions,and life promiscuities.Worldwide a lot of prisoners were Sars-CoV-2 positive and in Italy several outbreaks occurred in many prisons.This paper examines, using a clinical audit, a Covid-19 outbreak occurred in an Italian prison during the spring2021.The study showed that the best measures to mitigate the outbreak negative consequences both in prisoners andin the staff are the preventive actions, the hygiene and disinfection of the common detention areas; the reductionof overcrowding; the stop of the working activities during the quarantine period.Only an improvement of living conditions inside the prisons may reduce the risk of infection among inmates.

Costo-beneficio del trattamento con i farmaci antivirali ad azione diretta nei consumatori di sostanze con epatite C: una valutazione del percorso di point of care

Background Hepatitis C is a disease correlated with severe systemic consequences having elevated social and health costs. The HCV elimination is a public health concern that may be solved reaching DAAs treatment for drug users. The principal aim of this work is to evaluate the cost-benefit of a point of care for HCV treatment of drug users inside Drug abuse services (Ser.D.). Methods The study consists in a cost-benefit analysis able to evaluate the "return of health" induced by a point of care for a HCV treatment. Results The work shows that the point of care is cost-benefit in comparison with the "traditional" treatment being cost saving for the public health system. The data suggest that the cost of the point of care is corresponding to euros 593,40 while the cost of not treatment of euros 8.679,60 (due to the direct and indirect costs of the disease). Conclusions The study demonstrate the point of care is an effective model of care able to reduce the barriers of treatment and to induce a "health return" in term of cost saving for the public health systems. Indeed, the work shows how the point of care may make the elimination HCV plans sustainable for the public health agencies.

Carcere e trattamento di gruppo di detenuti con dipendenza da sostanze: l'esperienza dello psicodramma analitico abbinato al test proiettivo di personalità e alla musico

"Raccontiamo un'altra storia" is the name of a group formed within the penal institute by people motivated to carry out introspective work. This work aimed to stimulate people present to experience and tell their stories from a different point of view. This group explored the integration of different therapeutic techniques such as music therapy, collaborative use of the TEMAS test and analytical psychodrama. At the end of their journey, the group was capable of narrate a "slightly" different personal story from the one they had always told themselves. This has therefore become the moment when their history became a glance of perspectives.

Z Houses. Nuovi servizi dedicati ai giovani nel Dipartimento Dipendenze della ASL Napoli2Nord

The study focuses on the characteristics of the Generation Z – that is, young people born from 2000 to today. These are digital natives, who own various devices and use them for several hours per day. Social communication is fast, iconic, changeable. Social media are used not only to exchange content, but also to structure emotional relationships and to abreact tensions and emotions. These young people were born into mononuclear families. They no longer recognize the normative authority of the father and family of origin. They are much more susceptible to social influences. The peer group is chosen to confer identity, as a vehicle for experiencing. Experience, multiple, often extreme or dangerous, is the main tool for growth, having supplanted learning by means of legislation and symbolism. These guys are notoriously distant from the current Public Addiction Services. They perceive them as old and inadequate. They don't represent themselves as addicts, they don't understand why they should be healed, or what they should be healed from. Furthermore, they perceive the current operators, with their specialist training, as useless to their hunger for experience. As a result of these anthropological and technological changes, the Author puts forward a series of reflections on the changes to be made in the Addiction Services – in order to become attractive for these young abusers – and gives as an example the Youth Services programmed in the Addiction Department Pathologies of the Napoli2Nord ASL, from the Z. House to the Ser.D. Web.

Psicoterapia e dipendenze. Dal trattamento supportivo alla cura fenomenologica

A subject which is often not given the importance it deserves concerns addiction psychotherapy. Starting from taking into account the complex and problematic characteristics of this peculiar psychopathology, there will be an effort to trace back the fundamental canon of the healing process to supportive treatment. Later on, expanding on the subject, we will take into account the possibility of a phenomenologically oriented treatment, and include it into the number of those psychotherapies which are better suited to respond to the typical aspects of these clinical conditions.

La caccia oggi è una dipendenza pato

What does the hunting of our ancestors, armed with spears and aimed to get food, have in common with the "high tech" one practiced today for recreational purposes? Both depend on deep motivations, which Neurosciences show related to archaic brain circuits that provide thevital thrists to survival. Substances, or behaviors without biological utility, can "hook" these basic emotional circuits and lead to the attribution of new values, so that the assumption of the substance or the repetition of the behavior will becomevital, thus developing an addiction. Among them hunting, where small birds and many mammals, feeling emotions similar to ours, are shot according to what appears to be a compulsive behaviour and which could benefit from appropriate specialized therapies.