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living conditions
34.
Creating a positive therapeutic environment involves, first of all, providing sufficient
living space per patient as well as adequate lighting, heating and ventilation, maintaining the
establishment in a satisfactory state of repair and meeting hospital hygiene requirements.
Particular attention should be given to the decoration of both patients' rooms and
recreation areas, in order to give patients visual stimulation. The provision of bedside tables and
wardrobes is highly desirable, and patients should be allowed to keep certain personal
belongings (photographs, books, etc). The importance of providing patients with lockable space
in which they can keep their belongings should also be underlined; the failure to provide such a
facility can impinge upon a patient's sense of security and autonomy.
Sanitary facilities should allow patients some privacy. Further, the needs of elderly
and/or handicapped patients in this respect should be given due consideration; for example,
lavatories of a design which do not allow the user to sit are not suitable for such patients.
Similarly, basic hospital equipment enabling staff to provide adequate care (including personal
hygiene) to bedridden patients must be made available; the absence of such equipment can lead
to wretched conditions.
It should also be noted that the practice observed in some psychiatric establishments
of continuously dressing patients in pyjamas/nightgowns is not conducive to strengthening
personal identity and self-esteem; individualisation of clothing should form part of the
therapeutic process.
35.
Patients' food is another aspect of their living conditions which is of particular concern
to the CPT. Food must be not only adequate from the standpoints of quantity and quality, but
also provided to patients under satisfactory conditions. The necessary equipment should exist
enabling food to be served at the correct temperature. Further, eating arrangements should be
decent; in this regard it should be stressed that enabling patients to accomplish acts of daily life such as eating with proper utensils whilst seated at a table - represents an integral part of
programmes for the psycho-social rehabilitation of patients. Similarly, food presentation is a
factor which should not be overlooked.
The particular needs of disabled persons in relation to catering arrangements should
also be taken into account.
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