Stili di personalità e definizione dei percorsi di cura per pazienti detenuti attraverso l'inventario di Millon

With the reorganization of Penitentiary Medicine (DLgs 230/99) and the transfer to National Health Service as regards the healthcare of inmates (DPCM 01.04.08), Italian regions have to manage diagnostic processes and therapies of prisoners. Main aim of the Organization for adult inmates is to prevent self and other injurious behaviours. In these frame, within inmates entering in prison, an intervention protocol has been carried out at the Penitentiary of Monza, since September 2012. Millon Clinical Multiaxial Inventory-III (MCMI-III) is assessed in order to investigate the personality structure and functioning. Personality assessment in penitentiary context is important to know the patient's personality style and coping behavior, useful to cope with the new condition of living. As indicated by the literature, the scores obtained to Millon Clinical Multiaxial Inventory-III subscales can guiding treatment decisions: after analyzing the personality profile report, the clinician makes a diagnosis and, having verified the validity indexes, he determines the three highest scores among the personality patterns, the severe personality disorders, and the Axis I clinical syndromes (both severe and moderate). Hence feedbacks about vulnerabilities to be treated given to the patient determine the care path to be followed, defining the intervention goals with the patient.