When a foreign adolescent orphan refuses to be treated: Considerations on a clinical case

Carlo Alfredo Clerici, Giovanna Casiraghi, Laura Veneroni, Emilia Pecori, Tullio Proserpio, Lorenza Gandola, Maura Massimino

Research output: Contribution to journalArticle


Providing medical treatment for unaccompanied foreign minors can prove particularly demanding when a patient is not fully compliant. This report describes the case of a 13-year-old boy from Sub-Saharan Africa brought to Italy to receive treatment for a neoplasm. Right from the start, he showed strong oppositional reactions, with aggressive and self-harming behavior. This made it necessary to activate various different psychological, psychiatric, and social-support resources, and to adapt the proposed treatments to the patient's willingness and ability to cooperate. Here we outline the assessments and actions (also from the economic and organizational standpoint) that need to be implemented in any scheme to bring young foreign orphans to Italy for specialist medical care.

Original languageEnglish
Pages (from-to)1791-1795
Number of pages5
JournalPalliative and Supportive Care
Issue number6
Publication statusPublished - Oct 16 2013



  • Adolescents
  • Noncompliance
  • Oncology
  • Self-harm

ASJC Scopus subject areas

  • Medicine(all)
  • Psychiatry and Mental health
  • Clinical Psychology
  • Nursing(all)

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