The head of Italy's centre-left bloc has hit an impasse in his efforts to form a government and said only a mentallyillperson 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 a mentallyillperson commits a crime and is sent to jail.
Marjorie Wallace, chief executive of the mental health charity Sane, said every violent incident involving a mentallyillperson 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".