&37*HQHUDO5HSRUW 48. The CPT has welcomed the steps taken in both establishments to provide residents and patients with individualised treatment programmes, including occupational therapy and psychotherapy, and has encouraged the Romanian authorities to pursue their efforts to increase the number of residents/patients who benefit from such programmes. Further, in both establishments, additional staff had been recruited, in particular “educators” at Nucet and psychologists and nurses at Oradea. However, due to recent budget cuts, numerous posts of health-care staff, including psychiatrists’ posts at Oradea, had remained vacant. The Committee also expresses concern that at Oradea Psychiatric Hospital, electroconvulsive therapy (ECT) was still occasionally administered in its unmodified form (i.e. without anaesthetic and muscle relaxants). In their response, the Romanian authorities acknowledge that staffing levels are not adequate, but comment that the limited budgetary resources do not allow the recruitment of more staff. They also state that ECT is no longer applied at all at Oradea Psychiatric Hospital and only rarely in other psychiatric establishments in Romania, and then always in its modified form. 49. The CPT’s delegation found that the frequency of resort to means of mechanical restraint of violent and/or agitated residents at Nucet Medico-Social Centre had significantly decreased since 2006, and that decisions on the use of such restraints were now always taken by a doctor. Nevertheless, the CPT has reiterated that a written policy on this subject should be drawn up in all psychiatric and social welfare establishments in Romania, taking into account the criteria set out by the Committee. In their response, the Romanian authorities state that a protocol on the use of means of restraint exists at Oradea as well as in other psychiatric hospitals. It stipulates, inter alia, that patients under restraint must be directly and permanently monitored by a member of staff and that every instance of restraint should be recorded in a special register. Further, special training for staff is organised on a regular basis. A protocol on the use of restraints will also be elaborated for Nucet Medico-Social Centre. Report and response published in August 2010, CPT/Inf (2010) 25 and CPT/Inf (2010) 26