Alcune riflessioni in tema di salute mentale nei migranti forzati: l’esperienza del centro SAMIFO Some reflections on mental health of forced migrants and refugees: the SAMIFO center experience Giancarlo Santone, Emilio Vercillo SAMIFO – ASL Roma 1 Parole chiave: migranti forzati; approccio multidisciplinare; tortura RIASSUNTO Premessa: i “migranti forzati” vengono definiti tali perché costretti a scappare dai propri paesi per motivi di carattere politico, religioso, etnico o per discriminazioni di genere. Questi hanno un elevato rischio di essere esposti nel paese ospite a rischi di carattere psicologico, sociale e fisico. Per tale ragione l’assistenza sanitaria fornita ai richiedenti asilo e rifugiati politici deve avere un approccio che sia multidisciplinare e multidimensionale. Obiettivi: facilitare e promuovere la fruibilità dei servizi sanitari; informare i pazienti dei loro diritti; formare gli operatori socio-sanitari sui temi riguardanti la medicina delle migrazioni; assicurare la mediazione culturale per superare le barriere linguistiche e culturali; promuovere un approccio sistematico per affrontare il trauma. Metodi/Risultati: nel Lazio, e nello specifico a Roma, grazie a un protocollo stipulato tra l’ex Asl Roma A e il Centro Astalli è stato fondato un centro di assistenza sanitaria dedicata ai richiedenti asilo e rifugiati politici: SAMIFO. L’approccio del centro è di tipo multidisciplinare e combina il lavoro fornito dall’assistenza sanitaria pubblica della ASL con quello del privato sociale fornito dal Centro Astalli.   Conclusioni: dal 2007 al 2016 sono stati visitati più di 10.000 pazienti, suddivisi in: 55000 visite di medicina generale e 35000 visite specialistiche (psichiatria, psicologia, ginecologia, medicina legale, infettivologia, ortopedia). Keywords: Forced Migrants, multidisciplinary approach, torture SUMMARY Introduction: Forced Migrants, escaped from their countries because of political, ethnic, religious or gender prob¬lems, are not comparable to Economic Migrants in terms of health. In fact Forced Migrants are highly exposed to psychic, social and physical hazard in their destination countries. The healthcare dedicated to asylum seekers and refugees must be conceived through a systemic approach multidisciplinary and multidimensional at the same time. Aims: to promote and facilitate the fruition to public health care; to inform patients about their rights and about the related information sources; to educate healthcare professionals about migration medicine topics; to ensure cultural-linguistic mediation to overcome the barrier of language and intercultural communication; to promote systemic approach to multidimensional trauma. Scientific Committee: goals and actions planning; promotion of information research and education activities; raise the awareness of social and institutional actors; promotion of the circulation of knowledge and results; definition of a list of evaluation indicators   Methods/Results: the local health net GRIS Lazio permitted to Public Health Care and Private Social Assistance to present and share their ideas of good practice in order to create common resources, developing common ways of reflection on critical areas in the matter of migrants health. The agreement protocol between ex ASL Roma A and Centro Astalli association officially founded SAMIFO health center: a multidisciplinary integrated sys¬tem between Public Health Care (ASL Roma 1) and Private Social Assistence (Italian Jesuit Refugees Service). Aims: to promote and facilitate the fruition to public health care; to inform patients about their rights and about the related information sources; to educate healthcare professionals about migration medicine topics; to ensure cultural-linguistic mediation to overcome the barrier of language and intercultural communication; to promote systemic approach to multidimensional trauma.    Conclusions:  in our centre, from 2007 to 2016, there have been more than 10.000 patients and main health visits have been over: 55000 general medicine and 35000 specialist visits (psychiatric, gynecologic, forensic medicine, psychological, vaccination, infectivology, orthopedics).   Autori per corrispondenza: giancarlo.santone@aslroma1.it