CAT/C/AZE/CO/4 without prior notice, reports publicly on its findings, and raises with the authorities situations of detention conditions or conduct amounting to torture or ill-treatment. The State party should amend its legislation, regulations and policies as necessary to facilitate the reopening, granting of access to and full functioning of independent national and international human rights and humanitarian organizations in the State party. The State party should ensure that representatives of such organizations are able to carry out independent, unannounced monitoring of all places of deprivation of liberty, in accordance with their standard operating procedures. Conditions of detention 24. While noting the information from the State party on the decrease in the number of prisoners in correctional institutions and on the improved conditions of detention in particular in the recently built facilities, the Committee is concerned at the numerous reports of abuses in custody and deaths in detention, some of which are alleged to have resulted from torture or ill-treatment. It is also concerned about the inadequate conditions of detention in prisons Nos. 6 and 14 (arts. 2, 11 and 16). 25. The State party should take prompt measures to ensure that all instances of death in custody are promptly investigated and that those responsible for deaths resulting from torture, ill-treatment or any other illegal actions are prosecuted. The Committee reiterates its recommendation that the State party should improve the conditions of detention, in particular in prisons Nos. 6 and 14. Involuntary placement and conditions in psychiatric institutions 26. The Committee is concerned about continuous reports of forced confinement in psychiatric hospitals or of confinement not based on informed consent. While appreciating the information provided by the State party on the refurbishment and improvement of living conditions in certain psychiatric facilities, the Committee remains concerned at reports of verbal and sometimes physical abuse of patients, overcrowding in several mental health facilities, substandard living conditions (in Ganja and Mashtaga hospitals), insufficient food, the lack of a proper therapeutic approach and rehabilitative psychosocial activities, the lack of detailed instructions and of a harmonized registration system in respect of the use of mechanical restraints and the lack of proper judicial review in cases of involuntary hospitalization (arts. 11 and 16). 27. The State party should take measures to ensure that verbal and physical abuse of patients is eradicated and perpetrators are adequately punished, that all psychiatric facilities provide decent living conditions to all patients, that all patients are provided with a sufficiently nutritious diet and the proper amount of food, that each patient has his or her own treatment plan and access to a full range of rehabilitative psychosocial activities, that detailed instructions on the use of any type of restraint is issued and that any use of such restraints is properly registered and monitored, that the provisions of the National Mental Health Act are duly followed, and that every patient whose involuntary placement is sought has access to free legal aid, is heard in person by a competent judge before deciding on placement and is provided a copy of the court decision. Violence in the armed forces 28. The Committee is concerned at the reported prevalence of violence and ill-treatment of conscripts in the army, commonly called Dedovshchina (hazing or bullying), which has reportedly led to serious injuries, and of unexplained deaths of conscripts, including suicides (arts. 2 and 16). 6

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