ANNUAL REPORT 2019-OMBUDSMANNATIONAL PREVENTIVE MECHANISM • Judicial-psychiatric department - This department includes the Judicial Unit; • Department for Prolonged Treatment and Rehabilitation - Chronic Male (V Unit) and Chronic Female (VII Unit) and • Psychogeriatric Department - Geriatric male (IV Unit) and Geriatric female (VIII Unit). At the Psychiatric Hospital Demir Hisar on the day of the visit the total number of patients treated in the hospital was 288. In addition to voluntary patients, the hospital accommodates people forcibly hospitalized in accordance with the Law on Extrajudicial Procedure, in order to stay in a public health institution for the treatment of mental illnesses, as well as persons whose admission to a psychiatric institution has been ordered as part of an appropriate criminal procedure, namely when a person has been sentenced to a security measure “mandatory psychiatric treatment and hospitalization in a health institution”. There is an Admission Department at the Psychiatric Hospital, where a doctor on duty is hired, in which a statement of voluntary hospitalization is signed. In the admission department, an assessment is also made for forced hospitalization, which is signed by two doctors. From the inspection in the admission log it can be determined that from the beginning of 2019, as of 14.02.2019, 47 patients have been registered. During 2018, 444 cases were registered, in 2017 469 cases, and during 2016, 456 cases were registered. The NPM team determined that the hospital also has a special laboratory, which can perform routine laboratory tests that are needed for this type of treatment. According to the management, the hospital has a sufficient amount of medicines and supplies, as well as a sufficient amount of food. It was emphasized by the director that the meals are sufficient and of good quality, at the same time meat, fruit and dessert are often served. The NPM team was informed that the institution is preparing a list of dishes for a period of one month, which during the inspection the NPM team could confirm, with the list being able to undergo changes depending on the needs and products found in the hospital warehouse. Department of Prolonged Treatment and Rehabilitation - Chronic Male Unit - (V Unit) From the inspection in one room of this Department, the NPM team determined that the room is in a very bad condition. Namely, the wall tiles are partially destroyed or fallen, at the same time holes are noticed in the walls. The beds were covered with old blankets, some beds did not even have sheets, some pillows were without covers and in unhygienic condition. The rooms where the patients were staying were dirty, there was garbage and water under the beds. The beds were old, made of metal. There are heaters (radiators) in the rooms, and the floor is covered with laminate. NPM also inspected the dining room within this department and concluded that the dining room provides adequate conditions for the nutrition of patients, more precisely, it has a sufficient number of tables and chairs. The room itself is well lit by high windows that can also be used to ventilate and refresh the living room with fresh air. 156