3.5 Extent of respect for human rights in Psychiatric Hospitals
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Monitoring visits to Psychiatry Service “Mother Teresa” UHC Tirana, Mental Health Intreatment Ward in Shkoder, Psychiatric Hospital in Vlora, and Psychiatric Hospital in Elbasan,
(whose function involves a more specialised treatment and enabling rehabilitation of mentally
ill persons when all possible ways of getting such a service in the community are exhausted and
there is no possibility to treat them in ambulatory conditions; or when there is need of
psychiatric consultations due to requests coming from the Emergency Rooms in general
hospitals), in addition to the general scope of visits were specifically aimed at: the assessment of
respect for human rights and standards provided to people with mental health disorders in the
areas of specialized in-patient mental health service facilities, defined in the Law No. 44/2012
dated 08.05.2012 “On Mental Health”; evaluation of procedures for the performance of
involuntary admissions; physical limitation and constraint measures; the conditions under which
such persons are held, their medical treatment and rehabilitation and verification for the
implementation of the recommendations presented in these environments over previous years.
The findings from these monitoring visits conducted in 2015 at the above-mentioned
psychiatric hospitals are the following:
Non-compliance with the necessary living space requirements, inadequate conditions in
hospital rooms, these persons were kept in hospital for longer periods of time / they were
turned into residents of the Elbasan Psychiatric Hospital and for the wards with chronic
patients at the Psychiatric Hosptal Vlora.
Hospitalising intellectually disabled people in Vlora and Elbasan Psychiatric
hospital, contrary to the laws in force.
Lack of seclusion rooms at the Psychiatric Hospital in Elbasan and Mental Health Intreatment Ward in Shkodër and problems regarding conditions and fulfillment of the
standards of this room at “Mother Teresa” UHC Psychiatry Service, Tirana.
Lack of a monitoring system with cameras (CCTV) in the premises of these hospitals,
and lack of unified registers by the Ministry of Health in the four above-mentioned
institutions, particularly regarding the record of involuntary hospitalisations and
application of physical restraints.
Lack of posters displayed on the rights of patients in the premises of these institutions.
Deficiencies in completing staff with psychiatrists at Shkoder Psychiatric Hospital and
failure to provide nurses and caregivers to the one in Elbasan.
Shortage of physical restraint means at “Mother Teresa” UHC Psychiatry Service, Tirana,
Psychiatric Hospitals in Elbasan and Shkodër.
Delays in the revocation of the “compulsory treatment” measure for persons who were
subject to such measure in Shkoder Psychiatric Hospital.
Lack of a dental clinic that complies with the set standards, lack of an ECG machine at
the Psychiatric Hospital in Elbasan.
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On NPM inspections in Psychiatric Hospitals, 4 recommendations were drafted.
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