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: 16

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