Learning objectives
At the end of the course, the student is expected to be able to:
+) to know the clinic, the diagnostics and the fundamental principles of treatment of the mental disorders that most frequently affect the elderly, the prison population and pathological addictions.
+) to apply some of the main assessment tools discussed in lectures, useful for diagnostic purposes for a correct evaluation of the aforementioned mental disorders.
+) to understand the main theoretical-cultural foundations and the aspects of practical relevance at the basis of the multidimensional assessment and the socio-health integration.
+) to learn the main practical ways of building an individualized therapeutic-rehabilitation project, aimed at the reintegration of patients into their communities of life, and know how to evaluate the appropriateness of the defined objectives.
+) to be able to grasp the professional relevance of the clinical psychologist in the aforementioned areas of clinical-therapeutic intervention.
+) to know how to communicate and master in a sufficiently appropriate way the main clinical and psychopathological characteristics of the above mentioned mental disorders.
Prerequisites
The student must know the main aspects of clinical psychopathology and psychiatric nosography, which in any case will be resumed within the program, specifically focusing on the consultation of the main nosographic systems used in clinical practice (such as the DSM-5 and the ICD-11) . It is also important having a good motivation to learn issues related to psychological suffering in specific psychosocial frailties.
Course unit content
The contents of this course will disuss the crucial role and functions of the clinical psychologist in mental disorders affecting old age and some groups of vulnerable individuals (e.g. prisoners, people with pathological addictions), giving particular emphasis to the multidisciplinary care approach and to the active relationship with the other agencies of the belonging community.
Full programme
The following topics will be covered:
1) Right to health in prisons: legislative aspects.
2) Operating procedures for mental health and pathological addictions in prison: regional recommendations and intervention protocols in the Parma AUSL.
3) Suicide in prisons: epidemiology, risk factors and prevention programs.
4) More common mental disorders in the prison population: adjustment disorder, antisocial personality disorder, borderline personality disorder, depressive disorders.
5) Substance Use Disorder: clinical pictures, diagnosis and treatment (Alcohol, Opioids, Cannabinoids, Cocaine and Psychostimulants).
6) Mental disorders in the elderly: the importance of a multidimensional evaluation, neuropsychological assessment, dementia (classification, diagnosis and treatment), depressive disorder in the elderly.
Bibliography
During the lectures, specific articles and relevant documents relating to the topics covered will be indicated. They will be used, together with the proposed slides, for the preparation of the final exam. Here are some fundamental bibliographical references:
+) Maria Laura Fadda. The protection of the right to health of prisoners. https://www.sanitapenitenziaria.org/la-tutela-della-salute-dei-detenuti.
+) Rodolfo Pessina, Carmen Santorello, Ilaria Rossetto et al. (). POSSIBILITÀ E LIMITI DEI SERVIZI DI PSICHIATRIA FORENSE: LEGISLAZIONE E ORGANIZZAZIONE IN UN’OTTICA INTERNAZIONALE E NAZIONALE. Rivista di Psichiatria 2019; 54 (6 Suppl. 2): S21-S81.
+) Lorenzo Pelizza, Ursula Zambelli, Enrico Rossi et al. Mental health interventions in an Italian prison: the Parma integrated approach. INTERNATIONAL JOURNAL OF PRISONER HEALTH, 2020. https://doi.org/10.1108/IJPH-07-2020-0046.
+) Lorenzo Pelizza, Amir Zaimovic, Bruno Veneri et al. The Parma integrated model for intervention on pathological addictions in an Italian prison: process description and preliminary findings. Acta Biomedica, 2021; Vol. 92, N. 3: e2021223.
+) Antonio Preti, Maria teresa Cascio. Prison Suicides and Self-harming Behaviours in Italy, 1990-2002. 8 Med. Sci. Law, 2006; 46, No. 2.
+) Ciro Garuti. Il “Servizio Nuovi Giunti”: un quarto di secolo di circolari, normative e attività dello Psicologo. Psicologia e Giustizia, 13, 2, 201.
+) Regione Emilia Romagna.REPORT 2019 SULLA SALUTE IN CARCERE IN EMILIA-ROMAGNA. Bologna: Centro Stampa della Regione Emilia Romagna, 2019.
+) Patricia Casey. Adjustment Disorder: epidemiology, Diagnosis and Treatment. CNS Drugs 2009; 23 (11): 927-938,
+) James R.P. Ogloff. Psychopathy/Antisocial Personality Disorder Conundrum. Aust N Z J Psychiatry 2006 40: 519.
+) John G. Gunderson, Sabine C. Herpertz, Andrew E. Skodol, Svenn Torgersen, Mary C. Zanarini. Borderline personality disorder. NATURE REVIEWS, 2018; 4, 18029.
+) GIOVANNA CORIALE, DANIELA FIORENTINO, FRANCESCA DE ROSA et al. Treatment of alcohol use disorder from a psychological point of view. Riv Psichiatr 2018; 53(3): 141-148.
+) American Psychiatric Association. Guidelines for substance use disorders. APA, 2010.
+) Kyle M. Kampman. The treatment of cocaine use disorder. Sci. Adv. 2019; 5 : eaax1532.
+) Jakob Manthey, Tom P Freemand, Carolin Kilian, Hugo Lopez-Pelayo, Jurgen Rehm. Public health monitoring of cannabis use in Europe: prevalence of use, cannabis potency, and treatment rates. The Lancet Regional Health - Europe 10 (2021) 100227.
+) Alka A. Subramanyam, Shipra Singh. Mild cognitive decline: Concept, types, presentation, and management. Journal of Geriatric Mental Health, Jan-Jun-2016, Vol 3, Issue 1.
Other articles and documents may be indicated during the lessons.
Teaching methods
Lectures with interactive discussion on clinical cases.
Assessment methods and criteria
The assessment of learning will include a written test with three open questions. During the written test, the student will be required to know the main mental disorders affecting the elderly, the prison population and pathological addictions. In particular, the student will be required to frame the main symptom pictures and to describe the basic diagnostic methods and the principles of treatment of these disorders (with particular reference to the psychological and psychosocial ones). The student will also have to demonstrate knowledge of the practical aspects of multidimensional assessment and socio-healthcare integration.
The duration of the written test will be 90 minutes. The written test is graded with a 0-30 scale. Honors will be awarded in the case of achieving the maximum score, to which is added the mastery of the disciplinary vocabulary.
Please note that online registration for the exam is mandatory.
Other information
An essential prerequisite is a sufficient motivation to learn the main clinical aspects in treatment and diagnosis of people with psychological frailties.
2030 agenda goals for sustainable development
Goal 3: Ensure healthy lives and promote well-being for all at all ages (3.5: Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol);
Goal 4. Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all (4.7: By 2030, ensure that all learners acquire the knowledge and skills needed to promote sustainable development, including, among others, through education for sustainable development and sustainable lifestyles, human rights, gender equality, promotion of a culture of peace and non-violence, global citizenship and appreciation of cultural diversity and of culture’s contribution to sustainable development);
Goal 10: Reduce inequality within and among countries (10.2: By 2030, empower and promote the social, economic and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status).
