The head of Italy's centre-left bloc has hit an impasse in his efforts to form a government and said only amentallyillperson would want to govern Italy now.
Once on the streets, and with only meagre health care, it is often only a matter of time before amentallyillperson commits a crime and is sent to jail.
Marjorie Wallace, chief executive of the mental health charity Sane, said every violent incident involving amentallyillperson would inevitably call into question the policy of care in the community.
But a leading expert with the National Board of Health, claimed Mijailovic was seriously mentallyill - a view the appeals court shared, describing the killer as a "traumatised person with significant psychiatric problems".