CARTA DEI SERVIZI DEGLI ISTITUTI PENITENZIARI English

Service Charter
_FOR PRISONS

Service Charter
_FOR PRISONS
This brochure intends to be for users a means by which
information is provided on the manner of managing
one’s health during the period of detention at this prison.
Prime Minister’s Decree 01/04/2008 has stipulated the
move of the Prison Health System from the Ministry
of Justice to the National Health Care System, thereby
reasserting the principle of recognition of full parity
of health care system between free persons and
detained persons. The prisoners who resort to Health
Care services have identical rights and duties as free
citizens, in conformity with the prison system in force
and in any event in accordance with what is laid down
by the Constitution.
Inmates of the prison are exempted from contributing
to pay for health care services, save for performances
not covered by the Essential Assistance Levels (EAL).
Health at this prison is ensured by an integrated system
between the Prison Management and especially the
Umbria 2 Local Health Care Unit Management through
its own resources.

The prison health representative coordinates and organizes all the health
care activities conducted inside the prison. Primary care and health care
emergencies are ensured daily by Medical directors and primary care
physicians, available 24 hours, and by nursing staff. At Orvieto’s prison,
from 20h00 to 8h00, the Territorial out of hours service is activated.

..
first entry visit
The person accessing the prison for the first time, or returning there after a hospital admission,
is examined by the doctor on duty who assesses his state of health and the need to activate
medical consultations by specialists, and who prescribes a possible treatment.
.. ..
basic health care
Each subject is allocated a primary care assistant who ensures diagnostic and therapeutic
continuity. The user, by filling out a module, may request a health talk with his own doctor
in order to obtain information on his health condition.
The prisoner is entitled to refuse any health care act/performance.
urgent medical examinations
Urgent medical examinations are carried out daily by the doctor on duty.

_
_
_
_
specialist medical visits
There is a service of specialist consultations available inside the prison and capable of being activated
by the primary care doctors.
The user may request to be examined by health care practitioners or technicians of choice, at his own
expense and at the premises of the infirmary, pursuant to authorization by the Competent Authority
and the methodology envisaged by company procedures.
The adviser of choice may peruse the documentation in the possession of the Prison’s health care
services; it is not permitted to write requests, reports of medical visits, or drug prescriptions directly
on the clinical records of the patient one is representing.
copy of health-related documentation
The user may request copies of the health-related documentation available at the prison upon written
request and prior payment of photocopying costs, by using the forms provided by the infirmary.
The same procedures followed by external users apply to copies of digital reports of instrumental tests
conducted at the ASL (Local Health Care Company) 2 services.
drug addictions
Counselling related to drug addiction problems is ensured by the medical, nursing and social care
staff of the Drug Assistance Service (SERT) attached to the Local Health Care Unit, as well as by
the nursing staff attached to the Prison. The activity aims at a medical assessment with diagnosis of
addiction, possible daily administration of substitute drugs, elaboration of customized projects, including
participation in rehabilitation community programs, and prevention of diseases arising from drug
addictions. The proposal of measures alternative to prison detention as regards non-inmates must be
agreed upon with the Drug Assistance Service (SERT) of affiliation.
protection of mental health
Expert psychiatric advice is ensured by the staff of the Territorial Mental Health Department,
in accordance with company procedure and upon request by the primary care doctor. Likewise
envisaged is the presence of specialist psychologists who closely collaborate with the specialist
psychiatrists.

..
..
dental care
All the dental performances comprised in the EAL’s, as stipulated by Regional Law No. 7/2009,
are guaranteed. They include dentures FOR A FEE as per the (National Health Care) range of fees.
As regards all the other performances, the prisoner may make use of dentist of choice
or a dentist attached to the Prison in accordance with company procedure.
kinesiotherapy care
With regard to the Spoleto and Terni prisons, there is a physiotherapy service that, upon
..
specialist medical prescription, implements rehabilitation programs for musculoskeletal
diseases of traumatic or other origin, and programs of motor rehabilitation after surgery.
As for the Orvieto prison, the same procedure is extended to citizens residing within the district:
upon activation by the primary care doctor, pursuant to prior assessment on the part of the
District physiatrist, a rehabilitation plan implementable via accesses inside the Prison is drawn up.
medical certificates
During the detention period, the prisoner is granted the right, upon payment of a fee, to
obtain medical certificates necessary to secure public documents in compliance with the legal
provisions in force (renewal of driver’s licence, category A and B, certified for applications
for disability support).

_
_
requests at the expense of prisoners
Issuing copy of clinical records
Medical consultation by one’s doctor of choice, upon express authorization by the Competent
Authority.
Purchase of drug on prescription by one’s doctor of choice.
Purchase of pharmaceutical products allowed at the pharmacy.
discharges
The primary care doctor and/or the doctor on duty, at a suitable time after discharge, or on
the occasion of a transfer or end of a sentence, draws up an apposite health card where
the pathologies and the treatment underway are set out.

Presidio Sanitario Casa Reclusione Spoleto
USL Umbria 2
Loc. Maiano,10 Spoleto (06049) PG
Tel. 0743/263333 Fax. 0743/260301
Presidio Sanitario Casa Circondariale Terni
Usl Umbria 2
Strada. delle Campore, 32, Terni (05100) TR
Telefono:0744 800100
Presidio Sanitario Casa Reclusione Orvieto
Usl Umbria 2
Via Roma, 1, Orvieto (05018) TR
Telefono: 0763 340435