Methodology: Divide the trainees into small groups. Try to achieve a mix of backgrounds and experience in the groups. Give each group one of the topics to discuss. The group leaders are to report back after a suitable period for discussion. Facilitators are particularly important if there are no, or only a few, health-care staff among the trainees. Points to be highlighted/suggested areas for discussion: 39. – The display, on the walls of the reception area, of statements of purpose for medical staff in prisons stressing the primary role of care; 39. – The writing of these statements in the everyday language of the region; 39. – The translation of these statements into other languages commonly in use among those held in detention in the prison; 39. – A discussion on the importance of the holding environment; is there an area for private discussion?; 39. – The importance of an assurance, during the first interview, of confidential and continuing care throughout the period of detention; 39. – The importance of seeing mental health problems as illnesses; 39. – The need for all staff to be trained to deal with the problems that can arise when mentally unstable people are held in detention; 39. – The importance of treating all prisoners with respect, as laid down in the instruments; 39. – The need to treat the prisoner as a patient; this means treating the illness; 39. – The need to develop strategies to contain the risk of infectious diseases; 39. – Recognition that different jurisdictions will tackle this in different ways. CASE STUDY Methodology: A panel made up of volunteer trainees and a member of the training team should discuss this practical problem. Points to be highlighted/suggested areas for discussion: 39. – Engaging the help of a trained counsellor to help the prisoner through this very stressful period; 39. – Ensuring that he is not placed in a cell on his own; 39. – Arranging for constant observation; 39. – Explaining the procedures for the following day in order to alleviate the worry of not knowing. 64