CARTA DEI SERVIZI DEGLI ISTITUTI PENITENZIARI English
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Service Charter<br />
_FOR PRISONS
Service Charter<br />
_FOR PRISONS<br />
This brochure intends to be for users a means by which<br />
information is provided on the manner of managing<br />
one’s health during the period of detention at this prison.<br />
Prime Minister’s Decree 01/04/2008 has stipulated the<br />
move of the Prison Health System from the Ministry<br />
of Justice to the National Health Care System, thereby<br />
reasserting the principle of recognition of full parity<br />
of health care system between free persons and<br />
detained persons. The prisoners who resort to Health<br />
Care services have identical rights and duties as free<br />
citizens, in conformity with the prison system in force<br />
and in any event in accordance with what is laid down<br />
by the Constitution.<br />
Inmates of the prison are exempted from contributing<br />
to pay for health care services, save for performances<br />
not covered by the Essential Assistance Levels (EAL).<br />
Health at this prison is ensured by an integrated system<br />
between the Prison Management and especially the<br />
Umbria 2 Local Health Care Unit Management through<br />
its own resources.
The prison health representative coordinates and organizes all the health<br />
care activities conducted inside the prison. Primary care and health care<br />
emergencies are ensured daily by Medical directors and primary care<br />
physicians, available 24 hours, and by nursing staff. At Orvieto’s prison,<br />
from 20h00 to 8h00, the Territorial out of hours service is activated.
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first entry visit<br />
The person accessing the prison for the first time, or returning there after a hospital admission,<br />
is examined by the doctor on duty who assesses his state of health and the need to activate<br />
medical consultations by specialists, and who prescribes a possible treatment.<br />
.. ..<br />
basic health care<br />
Each subject is allocated a primary care assistant who ensures diagnostic and therapeutic<br />
continuity. The user, by filling out a module, may request a health talk with his own doctor<br />
in order to obtain information on his health condition.<br />
The prisoner is entitled to refuse any health care act/performance.<br />
urgent medical examinations<br />
Urgent medical examinations are carried out daily by the doctor on duty.
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specialist medical visits<br />
There is a service of specialist consultations available inside the prison and capable of being activated<br />
by the primary care doctors.<br />
The user may request to be examined by health care practitioners or technicians of choice, at his own<br />
expense and at the premises of the infirmary, pursuant to authorization by the Competent Authority<br />
and the methodology envisaged by company procedures.<br />
The adviser of choice may peruse the documentation in the possession of the Prison’s health care<br />
services; it is not permitted to write requests, reports of medical visits, or drug prescriptions directly<br />
on the clinical records of the patient one is representing.<br />
copy of health-related documentation<br />
The user may request copies of the health-related documentation available at the prison upon written<br />
request and prior payment of photocopying costs, by using the forms provided by the infirmary.<br />
The same procedures followed by external users apply to copies of digital reports of instrumental tests<br />
conducted at the ASL (Local Health Care Company) 2 services.<br />
drug addictions<br />
Counselling related to drug addiction problems is ensured by the medical, nursing and social care<br />
staff of the Drug Assistance Service (SERT) attached to the Local Health Care Unit, as well as by<br />
the nursing staff attached to the Prison. The activity aims at a medical assessment with diagnosis of<br />
addiction, possible daily administration of substitute drugs, elaboration of customized projects, including<br />
participation in rehabilitation community programs, and prevention of diseases arising from drug<br />
addictions. The proposal of measures alternative to prison detention as regards non-inmates must be<br />
agreed upon with the Drug Assistance Service (SERT) of affiliation.<br />
protection of mental health<br />
Expert psychiatric advice is ensured by the staff of the Territorial Mental Health Department,<br />
in accordance with company procedure and upon request by the primary care doctor. Likewise<br />
envisaged is the presence of specialist psychologists who closely collaborate with the specialist<br />
psychiatrists.
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dental care<br />
All the dental performances comprised in the EAL’s, as stipulated by Regional Law No. 7/2009,<br />
are guaranteed. They include dentures FOR A FEE as per the (National Health Care) range of fees.<br />
As regards all the other performances, the prisoner may make use of dentist of choice<br />
or a dentist attached to the Prison in accordance with company procedure.<br />
kinesiotherapy care<br />
With regard to the Spoleto and Terni prisons, there is a physiotherapy service that, upon<br />
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specialist medical prescription, implements rehabilitation programs for musculoskeletal<br />
diseases of traumatic or other origin, and programs of motor rehabilitation after surgery.<br />
As for the Orvieto prison, the same procedure is extended to citizens residing within the district:<br />
upon activation by the primary care doctor, pursuant to prior assessment on the part of the<br />
District physiatrist, a rehabilitation plan implementable via accesses inside the Prison is drawn up.<br />
medical certificates<br />
During the detention period, the prisoner is granted the right, upon payment of a fee, to<br />
obtain medical certificates necessary to secure public documents in compliance with the legal<br />
provisions in force (renewal of driver’s licence, category A and B, certified for applications<br />
for disability support).
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requests at the expense of prisoners<br />
Issuing copy of clinical records<br />
Medical consultation by one’s doctor of choice, upon express authorization by the Competent<br />
Authority.<br />
Purchase of drug on prescription by one’s doctor of choice.<br />
Purchase of pharmaceutical products allowed at the pharmacy.<br />
discharges<br />
The primary care doctor and/or the doctor on duty, at a suitable time after discharge, or on<br />
the occasion of a transfer or end of a sentence, draws up an apposite health card where<br />
the pathologies and the treatment underway are set out.
Presidio Sanitario Casa Reclusione Spoleto<br />
USL Umbria 2<br />
Loc. Maiano,10 Spoleto (06049) PG<br />
Tel. 0743/263333 Fax. 0743/260301<br />
Presidio Sanitario Casa Circondariale Terni<br />
Usl Umbria 2<br />
Strada. delle Campore, 32, Terni (05100) TR<br />
Telefono:0744 800100<br />
Presidio Sanitario Casa Reclusione Orvieto<br />
Usl Umbria 2<br />
Via Roma, 1, Orvieto (05018) TR<br />
Telefono: 0763 340435