Joint Meeting on Forensic Psychiatry. within a transcultural perspective. Rome: October 9 th and 10 th, 2017

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1 Canada-I taly Joint Meeting on Forensic Psychiatry within a transcultural perspective Rome: October 9 th and 10 th, 2017 Gary Chaimowitz Stefano Ferracuti Giuseppe Nicolò

2 Joint meeting organised by: Dr. Gary Chaimowitz - MB, ChB, MBA, FRCP(C) Professor, Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada Head of Service-Forensic Psychiatry at St. Joseph's Healthcare and Forensic Division Head, McMaster University, Hamilton, Ontario, Canada 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 Nicolò Professor of Psychiatry at LUMSA University, University of Rome. Head of Mental Health Department, ASL Roma 5. Forensic psychiatry is a growing branch of psychiatry with an increasing general interest. Naturally interdisciplinary, forensic psychiatry is deeply rooted into social psychiatry, though presenting its own specifics, often determined by the legal systems of the individual countries. The lack of an effective comparison between forensic 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 scientific and evidence based criteria, and the shortage of real transcultural reflection creates a need to find 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 requirement, and evaluation of psychotherapy outcomes is paramount for further expertise. Specific ethics problems arise in the forensic arena. The impact of neuroscience on forensic evaluations is increasing and a reflexion 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.

3 Faculty 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 G 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 G Giovanni de Girolamo Psychiatrist, Head Unit of Psychiatric Epidemiology and Evaluation, IRCCS Fatebenefratelli 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 RehabilitationTherapist 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 Giuseppe Nicolò - Professor of Psychiatry at LUMSA University, University of Rome. Head of Mental Health Department, ASL Roma 5. Heather Moulden Psychologist, Forensic Psychiatry Program, St. Joseph s Healthcare, McMaster University, Hamilton, Ontario, Canada Giovanna Paoletti Psychiatrist, Castore REMS Subiaco, ASL Roma G Giovanna Parmigiani Psychiatrist, UOC Risk Management, Sapienza Università di 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 (Libertà Vigilata) 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 Rebahilitation 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

4 Preliminary programme Monday, 9 October :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 10:30 Special Forensic Populations ADHD in Forensic Populations: Diagnosis and Treatment John Bradford Solitary Confinement in special Populations (41bis) - Lawyer Roberto Randazzo 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 13:30 Light lunch Chairman: Rinaldo Perini Discussant: Mimi 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 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 18:00 Considerations and take home message 18:30 End of sessions

5 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 - Heather Moulden Sexual Offenders and the Italian Legal System Paolo Roma 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 Carabellese 12:30 Business lunch Chairman: Luciano Pozzuoli Discussant: Heather Moulden 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 Table Chairmen: Stefano Ferracuti, Giuseppe Nicolò Case history: patient with schizophrenia and criminal history Patient treatment in Canada and Italy Valeria Bianchini (psychiatrist), Piero Rocchini (forensic psychiatrist), Giuseppina Guglielmi (magistrate) Maria Mussini (politician). 16:30 Considerations and take home message 17:00 End of sessions

6 General information The 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 The meeting will be registered for C.M.E. for Italian specialists in Psychology, Psychiatry, Psychotherapy, Healthcare Assistants and Psychiatry Rehabilitation Technicians. The meeting will be registered for maximum 100 participants - 12 CME credits will be assigned. Il Meeting sarà accreditato da FULL DAY S.r.l. Provider n 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 - Rome HOTEL DOMUS AUSTRALIA Via Cernaia 14B Rome, Italy Phone: (+ 39) Registration fees EARLY BIRD REGISTRATION DEADLINE: June 30 th ,00 including 22%VAT 200,00 VAT exempt for non-italian companies business delegates (both within and outside EU) o professionals with a valid VAT number or registered trade registration number Registration fee includes: 2 days meeting, coffee-breaks and snack lunches Payment 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: Organising Secretariat and CME Provider 1938 FULL DAY S.R.L. (Provider ECM 1938) Via La Spezia Rome, Italy fullday@fullday.com Ph. (+39) Fax (+39)

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