Canada-Italy

Joint Meeting on Forensic Psychiatrywithin a Transcultural Perspective

Rome: October 9th -10th, 2017

Organised by

Gary Chaimowitz | Stefano Ferracuti | Giuseppe Nicolò

Con il supporto incondizionato di

Noemi Alagia Psychologist, Psychiatric Rehabilitation Therapist

Yuri Alatishe Physician, Staff psychiatrist, Assistant Clinical Professor, McMaster University, Hamilton, Ontario, Canada

Daniele L. Ambrosini Clinical Legal Counsel, Forensic Psychiatry Program, McMaster University, Hamilton, Ontario, Canada

Valeria Bianchini Psychiatrist, REMS ASL Roma 5

John Bradford Professor in the Division of Forensic Psychiatry, Faculty of Medicine & Professor in the Department of Criminology, University of Ottawa

Felice Francesco Carabellese Forensic Psychiatry and Clinical Criminology, Associate Professor of Forensic Psychopathology, School of Medicine, Aldo Moro University Bari

Vincenzo Caretti Clinical Psychologist, full Professor of Dynamic Psychology, LUMSA Rome

Gary Chaimowitz Professor, Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada

Vittorio de Luca Psychiatrist, Castore REMS Subiaco, ASL Roma 5

Giovanni de Girolamo Psychiatrist, Head Unit of Psychiatric Epidemiology and Evaluation, IRCCS St. John of God Clinical Research Centre, Brescia

Stefano Ferracuti Professor Clinical Psychology, Sapienza University of Rome. Clinical Psychologist, Psychiatrist, Forensic Psychiatrist, Department of Neurology and Psychiatry, Medico legal Unit, Ospedale Sant’Andrea, Rome

Fernando Ferrauti Director Department of Mental Health and Pathologic Dependency, ASL Frosinone

Federica Franchi Psychiatric Rehabilitation Therapist

Giuseppina Guglielmi Preliminary Investigation Judge, Tribunale di Roma

Mini Mamak Senior Psychologist, Forensic Psychiatry Program, St. Joseph’s Healthcare, McMaster University, Hamilton, Ontario, Canada

Gabriele Mandarelli Forensic Psychiatry

Gerben Meynen Professor of Forensic Psychiatry, Tilburg Law School, Department of Criminal Law, Tilburg University, and Professor of Ethics and Psychiatry, Faculty of Humanities, VU University, Amsterdam, The Netherlands

Maria Mussini Senator, Senate of the Republic (Italy)

Giuseppe Nicolò Professor of Psychiatry at LUMSA University of Rome. Head of Mental Health Department, ASL Roma 5

Giovanna Paoletti Psychiatrist, Castore REMS Subiaco, ASL Roma 5

Giovanna Parmigiani Psychiatrist, UOD Quality & Risk Management, Policlinico Umberto I, Roma

Rinaldo Perini Psychologist, Director UOC ASL Roma 5

Enrico Pompili Psychiatrist, Director Psychiatric Unit, Colleferro, ASL Roma 5

Pieritalo Pompili Forensic Psychiatry, reference person Merope REMS ASL Roma 5

Luciano Pozzuoli Psychiatrist, reference REMS Ceccano Pontecorvo REMS, ASL Frosinone

Sebastien Prat Psychiatrist, Forensic Psychiatry Program, St. Joseph’s Healthcare, McMaster University, Hamilton, Ontario, Canada

Daniela Pucci Psychiatrist, Merope REMS ASL Roma 5

Roberto Randazzo Lawyer in Roma

Gianfranco Rivellini Psychiatry, Forensic Psychiatry, Clinical Criminology. In charge ‘Probation Unit’, Mental Health and Pathologic Addiction Disorders Department, ASL Mantova

Piero Rocchini Forensic Psychiatry

Paolo Roma Professor of Clinical Psychology, Department of Neurology and Psychiatry, Sapienza Università di Roma

Franco Scarpa Psychiatry, Criminology, Neurology. Director ‘Rehabilitation of Crime Authors Psychiatric Patients’ Department, DSM USL Toscana-Centro

Liane Taylor Intake Coordinator, Forensic Psychiatry Program, St. Joseph’s Healthcare, McMaster University Hamilton, Ontario, Canada

FACULTY General informationThe joint meeting is open to psychiatrists, psychologists, physicians, nurses, social workers, managers/administrators, rehabilitation operators. The workshop will be held in English, with simultaneous translation into Italian.

CME Continuing Medical Education for Italian participants - ECM per i partecipanti italiani

The meeting will be registered for C.M.E. for Italian specialists in Psychology, Psychiatry, Psychotherapy, Neurology, Childhood Neuropsychiatry, Forensic Medicine, Community Medicine, Healthcare Assistants and Psychiatry Rehabilitation Therapists. The meeting will be registered for maximum 100 participants - 13 CME credits will be assigned.

Il Meeting sarà accreditato da FULL DAY S.r.l. - Provider n. 1938 - presso la Commissione Nazionale per l’Educazione Continua in Medicina del Ministero della Salute, per le seguenti professioni e discipline:

• Medico Chirurgo: Psichiatria, Psicoterapia, Neurologia, Neuropsichiatria Infantile, Medicina Legale, Medicina di Comunità

• Psicologo: Psicologia, Psicoterapia• Infermiere• Tecnico della Riabilitazione Psichiatrica • Educatore Professionale

Meeting venue - RomeHOTEL DOMUS AUSTRALIA • Via Cernaia 14B - 00185 Rome, Italy - Phone: (+ 39) 06 4888 78

Registration fees• € 244,00 – including 22%VAT• € 200,00 – VAT exempt for non-Italian companies business delegates (both within and out-

side EU) or professionals with a valid VAT number or registered trade registration number.

Registration fee includes: 2 days meeting, coffee-breaks and snack lunchesPayment by credit card (Visa, Mastercard, American Express) or bank remittance (on net of all bank expenses)For more information and registration please visit the event website: www.fullday.com/joint-meeting

Organizing Secretariat and CME Provider 1938FULL DAY S.R.L. (PROVIDER ECM 1938)Via La Spezia 67 - 00182 Rome, Italy - fullday@fullday.comPh. (+39) 06 7028181 – Fax (+39) 06 7010905

Forensic psychiatry is a growing branch of psychiatry with an increasing general interest. Naturally interdisci-plinary, forensic psychiatry is deeply rooted into social psychiatry, though presenting its own specifi cs, often determined by the legal systems of the individual countries. The lack of an effective comparison between foren-sic psychiatric realities is a substantial shortage of the international psychiatric landscape. Issues such as the insanity defence, assessment of the risk of recidivism, the ability to give consent to treatment and the reduction of civil capacity are aspects of fundamental importance in the lives of people. Civil rights of mentally ill persons should be protected with a more scientifi c and evidence based criteria and the shortage of real transcultural refl ection creates a need to fi nd common evaluation bases.

In forensic psychiatry the basic skills, beside assessment of behavioural abnormalities, require the ability to write reports for courts and layers, giving evidence in court, understanding security as a means for treatment. Furthermore the ability to treat particularly severe cases of psychosis and personality disorder is a basis require-ment, and evaluation of psychotherapy outcomes is paramount for further expertise. Specifi c ethics problems arise in the forensic arena. The impact of neuroscience on forensic evaluations is increasing and a refl exion is needed for the “neurolaw” problem.

The meeting is a novel attempt to create cross boundaries between two forensic psychiatry realities, comparing rules, procedures, problems and organizations between Italy and Canada. During the meeting legal differences and similarities will be examined, searching for common forms of decision making in insanity evaluations. The depth deistituzionalization forensic program enacted in Italy since 2008 will be compared with the Canadian forensic organization.

Particular attention will also be paid to pharmacological treatment and in particular to the use of long acting preparations that can guarantee long-term treatment and long-term effect. Such treatments often have to be tailor-made for these patients by following a categorical approach, either by diagnosis, dimensional or emerging psychopathological problematics. A large space will therefore be devoted to integrating biological approaches to evidence-based psychosocial approaches. Particularly the conference will underline effectiveness of some international guidelines in forensic and community setting.

Dr. Gary Chaimowitz - MB, ChB, MBA, FRCP(C)Professor, Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, CanadaHead of Service-Forensic Psychiatry at St. Joseph’s Healthcare and Forensic Division Head, McMaster Universi-ty, Hamilton, Ontario, Canada Prof. Stefano Ferracuti, Professor Clinical Psychology, Sapienza, University of Rome.Clinical Psychologist, Psychiatrist, Forensic Psychiatrist, Department of Neurology and Psychiatry, Medico legal Unit, Ospedale Sant’Andrea, Rome

Dr. Giuseppe NicolòProfessor of Psychiatry at LUMSA University of Rome. Head of Mental Health Department, ASL Roma 5.

PRELIMINARY PROGRAMME

Monday, 9 October 2017 9:00 Welcome and introduction to the Conference Gary Chaimowitz, Stefano Ferracuti Giuseppe Nicolò

Chairman: Gary Chaimowitz Discussant: Giuseppe Nicolò

9:30 Rules regulating Insanity and Forensic Treatment Forensic Psychiatry Law in Canada Daniele L. Ambrosini Medico-legal Landscape in Italy Stefano Ferracuti Transcultural Aspects in Forensic Population Vittorio de Luca Q&A

10:30 Special Forensic Populations ADHD in Forensic Populations: Diagnosis and Treatment | John Bradford Solitary Confi nement in special Populations (41bis) Lawyer Roberto Randazzo Q&A

11:30 Coffee-break

12:00 Risk Assessment Risk Assessment Tools | Mini Mamak The use of Big Data in the Analytics in Risk Assessment- the eHARM | Gary Chaimowitz Harm ‘s Data from an Italian Setting Giovanna Paoletti Viormed Project | Giovanni De Girolamo Q&A

13:30 Light lunch

Chairman: Rinaldo Perini Discussant: Mini Mamak

14:30 The Deinstitutionalization of Forensic Patients Data from Forensic Setting in Italy Daniela Pucci Data from Recovery | Gary Chaimowitz The REMS Experience | Gianfranco Rivellini Forensic Rehabilitation Noemi Alagia, Federica Franchi Q&A

16:00 Coffee break

16:30 Management of Forensic Patients Working at the Interface of Mental Health and the Law in Canada | Liane Taylor Planning Assessment in Italian Forensic Population | Pieritalo Pompili Use of LAI and integrated Treatment Giuseppe Nicolò Pharmacology in extreme Clinical Setting: Treatment of Schizophrenia and Bipolar Disorder Enrico Pompili Q&A

18:00 Considerations and take home message

18:30 End of sessions

Tuesday, 10 October 2017 Chairman: Fernando Ferrauti Discussant: Franco Scarpa

9:30 Sexual Offenders Unique Technology in Forensic Psychiatry Sebastien Prat Attachment and Paedophilia Vincenzo Caretti Evaluating Sexual Interest and Implications for Risk Assessment | John Bradford Sexual Offenders and the Italian Legal System Paolo Roma Q&A session

11:00 Coffee-break

11:30 Education in Forensic Psychiatry Training of Trainees in Forensic Psychiatry in Canada | Yuri Alatishe Training of Trainees in Forensic Psychiatry in Italy | Felice Francesco Carabellese Q&A

12:30 Business lunch

Chairman: Luciano Pozzuoli Discussant: John Bradford

13:30 Neuroscience and Forensic Psychiatry Implication for using neuroscience in forensic psychiatry | Gerben Meynen Neuroscience and forensic application in civil law | Gabriele Mandarelli Neuroscience and free will Giovanna Parmigiani

15:00 Round TableChairmen: Stefano Ferracuti, Giuseppe Nicolò

Case history: patient with schizophrenia and criminal history – Patient treatment in Canada and ItalyValeria Bianchini (psychiatrist)

Piero Rocchini (forensic psychiatrist)

Giuseppina Guglielmi (magistrate)

Maria Mussini (politician)

16:30 Considerations and take home message

17:00 End of sessions