Promozione e valutazione dell’appropriatezza clinica, prescrittiva, economica e organizzativa nel Servizio delle Dipendenze negli Istituti Penitenziari

Journal title MISSION
Author/s Elisabetta Bussi Roncalini
Publishing Year 2026 Issue 2025/72
Language Italian Pages 5 P. 62-66 File size 0 KB
DOI 10.3280/mis72-2025oa21728
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Background: In prison, there is an increasing tendency toward self-medication and/or misuse and diversion of certain potentially addictive pharmaceuticals, such as benzodiazepines, gabapentinoids, and synthetic opioids, for which effective counter-strategies are required.
The proposed project work was developed and discussed within the managerial course Dirigenti Struttura Complessa and implemented at the Ivrea prison.
Methods: Organizational, training programs, process-related, clinical (VAS and WHOQOL-BREF scale), and economic approaches.
Expected Results: Primarily qualitative, in terms of the implementation of care pathways, monitoring of pharmacological prescriptions at risk of misuse, reduction of related critical events, and enhancement of prisoners’ quality of life.
Conclusions: It is necessary to share technical tools, training programs, and PDTA (Diagnostic and Therapeutic Care Pathways) with all units operating in prison.

Keywords: Project Work;Prison;Addiction Treatment Centre;Misuse;Clinical and prescribing appropriateness

Elisabetta Bussi Roncalini, Promozione e valutazione dell’appropriatezza clinica, prescrittiva, economica e organizzativa nel Servizio delle Dipendenze negli Istituti Penitenziari in "MISSION" 72/2025, pp 62-66, DOI: 10.3280/mis72-2025oa21728