kept for the examinations performed by the doctor, as well as a record for a given therapy, in which it is stated daily to whom and at what time the therapy is distributed. 3.5.3. Healthcare The healthcare in the Ohrid Prison, at the same time for the Educational-Correctional Home, is provided through the Health Centre Ohrid, from where once a week a doctor who performs examinations of the persons who need a health examination comes, and if necessary the doctor comes additionally or on call. The Deputy Director of the Institution emphasized that the costs for the health services, that is, the healthcare are borne by the Institution. Each person has a health card that records a brief medical history, personal and family history, as well as health status (primarily the somatic status, without special reference to the mental status), taken upon admission to the Institution, and changes that occur with a change in the health condition. From the inspection of the health records and documentation, it was concluded that the physical finding regarding the bodily signs for injuries inflicted under the influence of external force (violently or accidentally) was not recorded. Namely, in the medical documentation there are no forms on which such injuries could be recorded (bodily schemes with the possibility of recording the location of the injury and the nature of the injury). During the visit, it was also noted that children with more serious health problems are not referred regularly and in a timely manner to specialist examinations or interventions. Namely, for two children suffering from epilepsy it was found that the ambulance team had been called, but they were not sent for check-ups by neurologists for verification of the medical condition and dosage of antiepileptics, despite having several attacks when the sentence was served. There is no dentist in the Institution itself, which is why the children, usually in a group of two to three children, are taken to the dental examinations and the dentist’s interventions in the Health Centre. The children are also referred to psychiatric examinations, and in this context it was concluded that: 1) when admitted to the Institution, some of the children have already been prescribed psychiatric therapy due to their disordered behaviour and they continue to receive psychotropic drugs upon arrival (sedatives, antipsychotics, and hypnotics) for “better behaviour control”; 2) a large part of the children in the Institution are users of psychoactive substances, which additionally affect the mental status and general health status of the child, so they need control of the condition or continuation of the therapy started earlier; 3) Most of the children have a history of negative life experiences and traumatic events early in life and as a result have long-term psychological consequences that primarily affect the child’s behaviour and experience, and for such conditions health professionals (doctors, psychologists, social workers) in charge of treatment are not trained, nor are they adequate in number; 4) due to the aggressive www. ombudsman.mk 143