European legal and policy framework on immigration detention of children children detained in Lithuania may participate in outside events but this usually depends on initiatives by NGOs. Leisure activities are often considered insufficient. Promising practice Access to e-learning and special language training at school In the Netherlands, if children aged below 13 years are detained at the Closed Family Facility (gesloten gezinsvoorziening) Zeist for longer than two weeks, they attend a  primary school by using e-learning in a  special building at the facility. Children accommodated at family locations (gezinslocaties) participate in regular education. In some cases, the primary school is located on the premises of the family location as an annex of a regular primary school. In Goes and Amersfoort, the children attend nearby primary schools. All schools offer a special programme for children who have insufficient command of Dutch. Children who know Dutch well enough follow the regular curriculum offered at Dutch primary schools. Children older than 12 years participate in secondary education outside the family location. Sources: AZS Papilio (2016), Home, page; Basisschool Villa Kakelbont (2016), Meerwerf basisschool Villa Kakelbont staat op het asielzoekerscentrum (AZC); Netherlands, Central Agency for the Reception of Asylum Seekers (Centraal Orgaan opvang Asielzoekers) (2016), Amersfoort; Obs de Brink (2016), Locaties; OBS De verrekijker (2016), Home; Tangent (2015). Hartelijk welkom op Prinsenbos, 3 November 2015; De Tweemaster (2016), Taal Expertise Centrum Goes (TEC Goes) 7.4. Healthcare Being able to access certain basic forms of healthcare is a core right. It does not depend on a person’s legal status or whether or not the person is deprived of liberty. However, there is no overall consensus on the minimum level of entitlement. In emergency situations denial of treatment would clearly not be compatible with the right to life and the prohibition of degrading and inhuman treatment set forth in Articles 2 and 3 of the ECHR. Similarly, denying care to children and of necessary antenatal, delivery and post-natal care would be difficult to justify in light of Article 24 of the CRC, Article 12 of the ECESCR and the Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW). In 2011, FRA mapped the standard of healthcare that EU Member States offered to migrants in an irregular situation. Most Member States provided only emergency healthcare to migrants in an irregular situation but 82 some also gave primary and secondary healthcare.360 Entitlements were broader for children, particularly if they were unaccompanied, were formally tolerated or attended school. Greece, Portugal, Romania and Spain provided the same healthcare services to migrants in an irregular situation as to national children in 2011, according to this mapping.361 EU  law regulates access to healthcare for asylum applicants and persons in return procedures who are detained. According to Article 11 (1) of the Reception Conditions Directive, which regulates the detention of vulnerable persons, the health and mental health of applicants for international protection must be of primary concern to national authorities and their health situation must be regularly monitored. More generally, under Article 19 of the directive, Member States must ensure necessary healthcare, including at least emergency care and essential treatment of illness and serious mental disorders, to all applicants. The Return Directive is more limited in its scope. It requires particular attention to vulnerable persons in detention pending return. Article 16 (3) of the directive requires that emergency care and essential treatment of illness be provided to detained persons. The CPT has emphasised the important contribution which healthcare services in places of deprivation of liberty should make to combating ill-treatment of detained persons, through the methodical recording of injuries and the provision of information to the relevant authorities. A comprehensive medical screening of all newly-arrived detainees enables identifying those at risk of self-harm, screening for transmissible diseases and the timely recording of injuries. This is in the interest of both detainees and staff.362 The CPT also underlined the need to put in place procedures and training to prevent acts of self-harm and suicides.363 360 FRA (2011), Fundamental rights of migrants in an irregular situation in the European Union, Luxembourg, Publications Office, Chapter 6.1. See also, FRA (2011), Migrants in an irregular situation: access to healthcare in 10 European Union Member States, Luxembourg, Publications Office, as well as FRA (2015), Cost of exclusion from healthcare – The case of migrants in an irregular situation, Luxembourg, Publications Office, which in the introduction refers to the expansion of healthcare services in Sweden in July 2013. 361 FRA (2011), Fundamental rights of migrants in an irregular situation in the European Union, Luxembourg, Publications Office, Chapter 6.2 and Table 8. 362 Council of Europe, CPT (2017), Factsheet on Immigration Detention, CPT/Inf(2017)3, Strasbourg, p. 7; Council of Europe ,CPT (2013), Documenting and reporting medical evidence of ill-treatment, extract from the 23rd General Report of the CPT, CPT/Inf(2013) 29-part, Strasbourg, paras. 71-73. 363 Council of Europe, CPT (2013), Documenting and reporting medical evidence of ill-treatment, extract from the 23rd General Report of the CPT, CPT/Inf(2013) 29-part, para. 82.

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