“Sadik Dinçi” Psychiatric Hospital, Elbasan with an official capacity of 310 beds, at the time of the inspection visit accommodated 320 persons, a problem also revealed in the inspection of a year ago with an overcrowding of 10 patients above capacity. As per above, at the end of the monitoring report, the following was recommended: 1. Taking immediate measures for the reduction of overcrowding at the hospital and n compliance with personal space, by increasing the number of exits, and the realization of hospitalizations in conformity with the criteria, with reference from QKSHM of the respective districts determined by the legislation in force. 2. Taking immediate measures in order to find a solution for approximately 57 persons with intellectual disabilities, who have been residents of this hospital for years, contrary to the legislation in force. 3. Taking measures for drafting a Memorandum of Understanding between the psychiatric hospital and Local Police Directorates or subordinate commissariats, for the escort of persons with mental health issues by state police in human and dignified conditions, in cases constituting a risk for themselves or the others. 4. Taking immediate measures relating the establishment of a legal sector, as an inherent and functional part of the organization chart of the institution, subject to the protection of rights of the persons under treatment and the institution as well. 5. Taking immediate measures for the operation of physical restraint room and supply of this institution with the relevant means (leather belts, force shirts) required for the implementation of immobilization according to Article 27 of Law 44/2012 “On Mental Health”, for handling special cases (psycho-motor agitation, suicidal or homocidale attempts). 6. Taking measures for finding a solution to abusive cases with narchotic or/and alcoholic substances, which should be treated at the toxicology ward, since this institution does not provide human resources and proper infrastructure to provide medical service for this category of patients. 7. Taking measures for adding nurses and caretakers to the staff of this institution. 8. Taking measures for the reorganization and separation of acute patients from resident patients at this institution, so that the work of the personnel in the respective wards is facilitated. 9. Taking measures for the installation of a monitoring system with surveillance cameras in all the premises of this institution, as one of the most important aspects for the prevention of violent acts against citizens and vice-versa, in protection of human rights and fundamental freedoms. 10. Taking measures for the proportional division of personnel in wards in relation to the number of patients in the ward. 11. Taking measures for the improvement of conditions in the wards, showers and toilets so that a dignified service is provided to people who are treated at this hospital. 12. Taking measures for the enforcement of law on mental health regarding the multidisciplinary team, including the psycho-social staff in decision – taking for all the cases who are treated at this institution, a special focus on the important decisions 77