JUSTICE FOR ALL
acter that is also reaffirmed by the system
of waiting lists. These prevent overcrowding
and also prevent the misuse or overuse of
a measure that should maintain a residual
character.
This is the first time that a 'numerus clausus'
is introduced in the Italian penal system. A
principle as banal as it is revolutionary, the
number of guests in REMS can never exceed
the maximum capacity and therefore REMS
cannot be 'overcrowded'. This has resulted
in a 'waiting list' of people waiting to be
admitted to REMS. The most critical cases are
those who are waiting in prison, as in the case
of Giacomo Sy, who chose to file an appeal
to the ECtHR, highlighted above.
In 2017, all OPGs were closed; the inmates
who had been confined there until then
followed different paths: some entered the
REMS, others returned to freedom after
years, not without some difficulties due also
to the long removal from the free society and
the difficulties of the territorial social services.
The OPGs were replaced by a set of health
and social services offered in the community.
The right to health, which by the Constitution
must be ensured regardless of a person's
legal status to all individuals, was thus placed
on a formal level in a position of precedence
over the right to security - albeit balanced
with this. The person recognised as not
being fit to be found criminally responsible,
accused or found to have committed a crime,
was no longer to be simply interned but was
to be granted the right to be cared for and
treated. The system of care designed for this
purpose was to be centred on the community and on a plurality of interventions of
which the REMS were to represent the
extrema ratio.
In 2017, the Superior Council of the
Magistracy expressed itself on the issue
as follows: ‘The reform, therefore, has
placed at the centre of the new system the
Departments of Mental Health, which have
become the owners of the therapeutic and
rehabilitative programmes for the purpose of
implementing, as a rule, treatment in territorial and residential contexts. The REMS are,
therefore, only one element of the complex
system of treatment and rehabilitation of
psychiatric offenders'.
While the idea might be that all difficulties
have been overcome since then, this has not
been the case. The economic crisis led to a
major reduction in the resources allocated
to health and mental health in particular.
All the scaffolding that had represented
the abolition of the OPGs, instead of being
strengthened, was to some extent neglected
since then.
At the end of 2021, the two Ministries
involved in the matter, the Ministry of
Health and the Ministry of Justice, decided
to reconstitute a Coordination Body chaired
by Professor Nerina Dirindin. The objective
prescribed for the body was to understand,
in the Regions with the most critical issues,
what measures to take, especially in light of
the Constitutional Court's preliminary order
no. 131 of 2021 in which the Court formulated questions submitted to all the different
institutions involved in the management of
intellectual or psychosocial disabilities within
the criminal justice system: the Ministry
of Justice, the Ministry of Health and the
Conference of the Regions and Autonomous
Provinces. These three institutions delivered
to the Constitutional Court ‘a single comprehensive report, prepared jointly’, which has
already been presented above.
Quotes of the report were published in the
subsequent Court’s judgement No. 22 of 27
January 2022 and contain valuable information that will be reported here, also because
it is often the only source of information and
numerical data on the subject.
As of 31 July 2021, there were 36 active
REMS in the country. At that date, the
REMS housed 596 people against an official
capacity of 652 places; it must be noted that
a waiting list system is active in the REMS
and that therefore the negative difference in
admissions was linked to the needs of that
particular moment, which coincided with
the pandemic. The report highlighted a discrepancy in the information on the so-called
waiting Lists for placement in REMS to the
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