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

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. [Publisher's text]