A ten-point document. The association “It can be done for community work” presents it to the President of the Region, Nello Musumeci. To write to the governor is Tati Sgarlata, president of the association. After having requested, in recent days, an urgent meeting on the situation of psychiatric assistance, Sgarlata intervenes today on other specific points. Sgarlata points out that the Regional Council of Associations is not regularly convened by the Mental Health Technical Coordination and until now the Council has only been asked for an opinion on the guidelines to make art. 24 of Regional Law 17 of 2019. “The guidelines, moreover – Sgarlata points out – have not yet been issued by the Department and the Asps consequently have not prepared the administrative acts necessary in this regard. This is delaying the application of a rule that would allow a real improvement of psychiatric care in an innovative direction.
The association also denounces the inadequacy of organic plants, which “are increasingly depleting of key figures for prevention, treatment and rehabilitation projects. Let’s talk about psychologists, social workers and rehabilitation therapists. In these organic plants there are hundreds of fewer operators than the figures authorized by the Region because, despite those who retire, the ASPs do not start new hires to guarantee turnover “.
Speaking of numbers, the ASP of Syracuse would lack 30 units including psychiatrists, psychologists, social workers, nurses and rehabilitation therapists. About 20 are missing in the Asp of Caltanissetta, in the Asp of Ragusa about 20, in the Asp of Palermo about 60, in the Asp of Trapani about 20, in the Asp of Agrigento about 30, in the Asp of Catania about 60, in the ASP of Messina about 50 fewer operators.
“The existing structures are often dilapidated”, continues to report Sgarlata- I remember, among other events, the closure of the SPDC of Gela and Avola and the allocation of the SPDC of the Modica departmental module to Scicli rather than to Modica, the closure of the Rosolini clinic in the Syracuse ASP and the reduced operation of all the other clinics in the towns, several day centers of the Palermo ASP closed, the Alcamo day center closed, the Agrigento and Licata day centers also closed -the association points out- the day centers of the ASP of Messina. Not to mention the Spdc, which, unlike what happens in other regions, are considered acute care facilities with medium care activity. This implies that for the SPDCs with 15 beds there are 14 nurses and 5 doctors and neither the figure of the Psychologist nor that of the social worker is foreseen. All this translates – concludes Sgarlata – into very high risks for the operators both for the violence they can suffer, I recall the now high percentage of patients even with pathological addictions that are very difficult to manage “.
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