56 Experts of various profiles and the patients themselves shall be involved in the preparation of treatment plans. Individual plans should also include a plan of support after discharge. This plan shall be made in writing and insert in the medical record of each patient. The Hospital shall undertake all available measures to involve patients in an organised fashion in the making of important decisions relevant for their stay and treatment at the Hospital. The Hospital shall hold information sessions for patients and staff and provide technical support in the organisation and conduct of elections for and operations of the Patients’ Council. In cases where other health care institutions refuse to provide adequate health care, the Hospital shall notify the head of the health care institution, providing relevant medical documentation, and shall alert the Ministry of Health. The Hospital shall, without delay, conduct an analysis of the current needs for relevant community-based mental health services that could continue caring for patients after their discharge in the geographic area covered by the Hospital. The Hospital shall submit this analysis to the Ministry of Health, the Provincial Secretariat for Health, Social Policy and Demography and the Protector of Citizens. It is necessary to involve more patients in social and psychological rehabilitation programmes by assigning them duties and responsibilities, offering them to work at the workshop, providing group sessions and individual interviews etc. Such programmes need to be developed in all wards, especially the closed-type ones. It would be beneficial if the Hospital improved the existing psychosocial and rehabilitation activity programmes and introduced new ones. In the context of introducing new activities, it is necessary to assess the needs for hiring relevant professionals and providing any additional training in accordance with the plan of developing new activities. Staff should be more responsive to the patients’ opinions and wishes when deciding on the activities in which they would be involved. The Hospital should consider introducing full-time working hours for Central Occupational Therapy and the day room “Sunny Corner”, to enable greater occupational engagement of patients and higher participation in occupational therapy. The Hospital should develop specific measures that would enable the introduction of physical exercise and other leisure activities at all wards, in ways that are best suited to the patients, their health status and their interests. The Hospital should involve patients in the process of designing new activities. The Hospital should make arrangements for the use of suitable visiting rooms. The Hospital shall, without delay, conduct an analysis of the existing funding system for the Hospital, which would point to any existing shortcomings and enable patients to fully enjoy their right to treatment and rehabilitation, thus allowing the Hospital to function more efficiently. The Hospital shall submit the analysis to the Ministry of Health, the Provincial Secretariat of Health, Social Policy and Demographics and the Protector of Citizens.

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