CHILD SPECIFIC INDICATORS OF VISIT C. DOCUMENTING AND REPORTING MEDICAL EVIDENCE OF ILL-TREATMENT Are procedures of documentation and reporting of medical evidences of ill treatment of children deprived of their liberty (by staff and/or by peers) effective to prevent and combat ill-treatment? ASK: Children | Staff (medical staff) | Director OBSERVE: ʺʺ Visible injury(ies) of children CHECK: ʺʺ Medical records, see whether the first interview and physical examination by a health-care professional of new arrivals records any injury and related allegations; whether systematic medical screenings take place each time the child is transferred through police services and each time a violent incident involving the child occurs in the facility ʺʺ Records after medical screening, see whether they contain an account of statements made by the child (including his/her description of his/her state of health and any allegations of illtreatment); a full account of objective medical findings based on a thorough examination, the health-care professional’s observations indicating the consistency between any allegations made and the objective medical findings, the results of additional examinations, detailed conclusions of specialised consultations and treatment ʺʺ Records of medical examination, see whether they are made on a special form (with body charts, photographs); whether they are included in the medical register of the child ʺʺ Documentation of hand over of custody, see whether it contains any observation of visible injury on the child at the moment of transfer from police services to facility depriving of liberty; whether this documentation has been forwarded to health-care services ʺʺ Procedure of immediate reporting of injuries recorded by health-care professionals consistent with allegations made by children to relevant authorities, see whether medical confidentiality has not been an obstacle to the reporting of medical evidence indicative of ill-treatment; whether the report has been done regardless of the wishes of the person concerned ʺʺ Immediate report of injuries to relevant authorities, see whether the report is communicated to an independent body empowered to carry out an official investigation, bodies responsible for disciplinary investigations, monitoring bodies, the child and his/her lawyer ʺʺ Effective measures to protect the child who is the subject of the report from any form of reprisal from staff or other children (transfer, avoid day-to-day contacts, alternative accommodation, etc. 139 5