CAT/OP/ITA/1/Add.1
large. Therefore, to provide an adequate response to this situation, urgent action in the field
of the health-care system (that gives greater emphasis to emerging needs, such as proximity
to the groups at risk of marginalization) is a priority.
- Needless to say, the adequacy of the reception system cannot be separated by the
reorganization of the health-care services, including procedures and the training of
personnel.
84.
In this context, we are about to launch the "Guidelines on assistance, rehabilitation
and treatment of mental disorders of refugees and persons who have been victims of torture,
rape or other serious forms of psychological, physical or sexual violence, including specific
training programs and refresher courses for health-care personnel", in accordance with
Article 27 of Legislative Decree No. 251/2007, as amended by Article 1 of Legislative
Decree No. 18/2014. The above document is intended to provide a useful tool by which to
ensure appropriate and uniform interventions throughout the national territory besides
stressing the importance of a multidisciplinary approach (providing a care related pathway
for victims, from identification of symptoms to rehabilitation). In this context, specific
attention is paid to both certification, being an essential requirement within the asylum
procedure, and mediation.
85.
The Ministry of Health also addresses the issue of health protection of care providers
taking care of the victims, and pays specific attention to women and children: both are two
particularly vulnerable groups.
86.
In order to ensure early psychological health-care, including health triage and
identification of vulnerabilities to be detected in complementarity with Search and Rescue
at sea, the year 2016 saw the launch of the project, called PASSIM (Primissima Assistenza
Sanitaria nel Soccorso in Mare – Very first health-care during rescue at sea operations),
with resources from within the Fund on Asylum, Migration, and Integration, 2014-2020. In
this context, the Ministry of Health, upon delegation by the Ministry of Interior, is the
recipient of European resources, and ensures the technical coordination and the health
related education of staff working on board of naval units of the Navy, Coast Guards, and
Revenue Guards Corps (Guardia di Finanza). Project partners are the General Staff of the
Navy and IOM. The Organizations involved that make available their own health-care staff
are as follows: CISOM; the Military Corps; and the Corps of Nurses volunteering within
the Italian Red Cross, and the RAVA Foundation (Health-related data resulting from triage
will be gathered through a computerized system to be made available in the following
stages of the health-care pathway).
87.
We intend to improve access to health-care of: migrants who are under vulnerable
conditions at the arrival, thanks to real-time triangulation among physician/nurse,
immigrant, language mediator, and other actors engaged in rescue at sea; and of all those
waiting at the landing sites and within the reception network - also thanks to training
activities.
88.
Finally, the Ministry of Health will test a migrant's medical record model, intended
to be an innovative intervention to facilitate timely health-care responses by matching
relevant migrant’s needs, including of a cultural and language nature. The expected result
for the latter is the tracking and collection of health-care data, in compliance with the
confidentiality required by the legislation.
89.
The graphs below show the commitment of each Office of Maritime Health in the
management of migration flows; and the monthly distribution of newly arrived migrants in
the period 2014-2015:
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