Double murder of the Impruneta: could it be avoided? The psychiatrist / VIDEO speaks



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Impruneta (Florence), July 2, 2018 – Dario Capecchi is not unknown to local health workers. His medical record says "manic-manic-schizophrenia" and his case is followed by the San Casciano Mental Health Center. But as Dario himself talked about Facebook, Long stopped taking drugs . He felt better, he said. So, in the face of the explosion of anger and the tragedy that ensues, one wonders if it was not possible to realize that the 43-year-old man of Impruneta had an absolutely precarious mental state. So much to stab and kill his father with his partner. Dr. Giuliano Casu is the director of the mental health addictions of the ASL Toscana Centro. And the verification of what happened is what will be done today with his staff.

Dr. Casu, could you avoid what happened?

"First of all, remember that these tragedies occur even without people with psychiatric pathologies.In short, most of those who kill are in good health, just think of the many feminicides. , we will check what happened, I will do a careful badysis of this case and we will try to fully understand what kind of care we had as Asl, what levels of autonomy the When these events occur, we always begin an internal audit procedure called audit, which involves the involvement of all professionals involved in the case. "

In the meantime, do you have an idea?

"No, I'm just saying that when patients stop taking drugs, families tell us, and then we do our best to contact them and get them back into therapy. when they realize that the patient is going to face a psychotic decompensation, with unusual behaviors, unfinished.Suz Dario is better understood this fact of the therapies, if indeed and because he had stopped taking the drugs. will have to investigate, if that really happened, and why it happened. "

Often, one gets the impression that families are left alone to deal with these mental illnesses. paths are planned?

"Numerous, diverse and personalized: visits to the clinic doctor to the multi-professional care, pathways that include insertion in a day center up to the acute phase of hos or to enter a specific residence. Or we try to encourage detachment from the family context. "

How?

" Coming for example from the solution of the supported apartment.We have psychoeducators who are always looking for family involvement, with the aim of improving the internal climate, but we also help patients to live alone, always under the supervision of our educators and nurses.Many do not live in the family.And the autonomy of housing is a front that commits us a lot and on which we believe because when there are relational-type problems, outside the family, it helps the patients to empower themselves. "So collective and individual paths for each patient?" Exactly, there are a lot of types and pathways that we activate at the local level.In fact, we are talking about patients with Ptri, an individualized rehab therapeutic plan.And everyone is monitored in a multi-professional way. "

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