CAT/OP/KAZ/1/Add.1 or a carpenter. Training lasts for 6.5 months. Convicted prisoners who successfully complete trade school receive a standard State document indicating their grade. Depending on the length of their sentence, convicted prisoners can manage to learn two or three trades. In the 2015/16 academic year, 50 students received trade school diplomas. There are 28 students enrolled in the current academic year. 283. Guardianship councils and parental committees made up of convicted prisoners’ parents and other close relatives have been set up to improve the effectiveness of the educational initiatives introduced for their benefit and to assist the administration of the young offenders’ institution. 284. In addition, the staff of territorial judicial bodies and lawyers’ and notaries’ offices provide young offenders with qualified legal assistance. 285. Many municipal organizations, educational institutions, voluntary associations, religious denominations and NGOs work with juvenile convicted prisoners. 286. The Almaty municipal administration (akimat) also plays an active role. It works with the department for physical education and sport to organize regular sporting events, concerts and screenings of films, comedy programmes and so forth. In 2016, 14 such events were organized and took place. 287. These various efforts are all, first and foremost, part of the educational process and are aimed at promoting law-abiding behaviour among juvenile convicted prisoners, providing incentives for them to reform and encouraging their rapid reintegration into society. Paragraph 136 The Subcommittee recommends that consent for hospitalization be requested separately from consent for treatment and that an independent commission be established to deal with complaints. A special register for the use of restraint measures should be introduced, and should include all necessary data, for example, who ordered the restraints, for what reason, for how long and the supervision provided, and the approach to treatment should be individualized. The medical centre for mental health in Astana should also facilitate privacy and decorations in patients’ rooms. 288. Under article 127 (2) of the Code on Public Health and the Health-Care System, the use of physical restraint or isolation in the case of a person who has been forcibly hospitalized and is held in a psychiatric inpatient facility is permissible only in such cases and for such periods as are considered necessary if a psychiatrist is of the opinion that actions on the part of the hospitalized patient that present a danger to himself or herself or to other persons cannot be prevented by other means. The use of such methods is subject to ongoing monitoring by medical staff. The forms of physical restraint or isolation used and the length of their use are logged in a medical register, and the person’s legal representative is notified of their use. 289. The mechanical restraints used are soft restraints. 290. We consider it inappropriate to separate the forms for requesting consent for hospitalization and for requesting consent for treatment, as the conditions of detention and treatment are explained to a person as part of the hospitalization process. Treatment is administered in accordance with the diagnosis and treatment protocols are approved by the Ministry of Health. 291. With regard to the creation of an independent commission to examine complaints, we note that a service has been set up in each organization under the authority of the main director to support patients and conduct internal audits. Since 2012, the national centre for mental-health research under the Ministry of Health has had a public mental-health council, whose members include officials from psychiatric and educational organizations and NGO representatives (public unions, foundations, associations, the media, legal organizations and so forth). GE.19-01981 33

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