First data of survey on inpatients in REMS (Execution of Security Measures) at the time of Covid

Abstract

In April 2020, all Italian Residences for the Execution of Security Measures (REMS) received a questionnaire on their activities during the Covid-19 pandemic (90% of response). Only 1 REMS had cases among users while 5 REMS had cases among operators. Good adoption of prevention measures while limited (38.5%) the provision of diagnostic tests. Reduced external activities and visits favoring internal activities, phone and video calls. Low the number of adverse events, self-acting
and hetero-injurious actions, no physical restraint and protest action. Collaborations with mental health and judiciary departments worsened. Guidelines and Protocols are needed to maintain care activities, also with the use of new technologies both in rehabilitation and in relations with Mental Health and Judiciary Departments.