Responsibility of psychiatrists at the time of REMS | [La responsabilità professionale dello psichiatra ai tempi delle REMS]

For a long time, there is a change in the content of the psychiatrist’s “security position”, as evidenced by the analysis of the Criminal Law case of recent years. There has been, in all respects, the overwhelming return of social demand not only to take care of mentally ill but also to strive to counteract potential violence, self-directed or direct against other people. The closure of the psychiatric hospitals, the transfer to the mental health department of the management of psychiatric security measures, the establishment of residences for the implementation of these measures, the spread of ex-admitted to a forensic psychiatric hospital in the community facilities of the territory, has led to a profound change in the daily work of the psychiatris, with new profiles of responsibility ranging from security issues to patients and health workers, to organizational models of services. These issues are also discussed in the light of recent national regulatory innovations regarding the safety and responsibility of healthcare professionals.