CAT/OP/CHL/1/Add.1
and the public and private health-care centres regulated by the Ministry in order to treat
drug abuse among child and juvenile lawbreakers and assist in their rehabilitation.
(2)
The agreement between the Ministry of Health and SENAME: The purpose
of this agreement was to establish channels of mutual cooperation in order to afford
children and adolescents housed in administrative centres that are under the direct
supervision of SENAME prompt access to any health services necessary for their normal
and comprehensive development. The following measures have been adopted under the
agreement in view of the current situation of children and adolescents in the care of
SENAME:
(i)
An inter-agency coordination mechanism has been established to provide
care by mental health specialists to 182 children and adolescents identified by the
teams in the residential centres operated by SENAME. The children and adolescents
have begun to receive care and treatment, and public health-care establishments
where they could be hospitalized are being identified. Of the total number of
children and adolescents, 44 have been hospitalized and 123 are receiving specialist
care.
(ii)
The ongoing coordination between the residences of SENAME and the
primary health-care centres assigned to them throughout the country has been
strengthened to improve the delivery of general health-care services and medical
examinations to the children and adolescents in those residences. In order to
strengthen this link and to ensure the availability of up-to-date information, visits
have been conducted to the 161 residences, including those under the direct
authority of SENAME and those run by third parties, to check the state of health of
8,377 children and adolescents, who accounted for 98.06 per cent of those present in
the residences.
(iii) The results of screening tests and data cross-checked with the record of
waiting times kept by the Ministry of Health were used to identify 2,011 children
and adolescents requiring different types of specialist treatment. These children
receive priority care at each of the country’s 29 health-care centres; as patients in
need of specialist and/or surgical treatment, receive a weekly check-up from a
professional case manager specializing in the health of children and adolescents in
the care of SENAME.
(iv) Furthermore, additional resources have been earmarked in the 2017 national
budget with the aim of improving the comprehensive health care delivered by six
health-care centres, with a focus on mental health care.
(3)
The framework cooperation agreement between the Ministry of Justice and
Human Rights, the Ministry of Health, the Prison Service, the National Health Fund and the
Office of the Superintendent for Health: The Ministry of Health has just concluded this
agreement as a means of guaranteeing persons deprived of their liberty in detention
facilities the exercise of their right to protection of health.
66.
It should also be mentioned that implementation of a comprehensive health-care
programme, with a focus on the mental health of children and adolescents whose rights
have been violated and/or who are subject to the Act on Juvenile Criminal Responsibility,
will begin in 2017. The programme will launched at six health-care centres, and is expected
to be gradually extended to cover the entire public health network (the remaining 23 healthcare centres) in the next few years.
2.2.2
Public policy on prisons
67.
Paragraph 76: The Subcommittee recommends that the State party take measures, as
a matter of urgency, to address overcrowding by making greater use of non-custodial
sentences in accordance with the United Nations Standard Minimum Rules for Noncustodial Measures (Tokyo Rules).
68.
Paragraph 68: The Subcommittee recommends that modifications be made, as a
matter of urgency, in the policy governing criminal prosecution and the administration of
14
GE.17-07762
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