being able to refuse, but when applied it is stigmatizing for the patient and can affect the patient's state of mental comfort; ● in the Psychiatric Hospital for Safety Measures Săpoca, the patients hospitalized in the legal departments were dressed identically, with green pants and a black T-shirt, in order to be identified if they are trying to escape; we recall that the CPT, during the visit in 2014 to this hospital, highlighted that the patients from the legal departments were stigmatized, being obliged to wear uniforms in order to facilitate the searches in case of flight and asked the Romanian state to stop these practices. We note the case of a patient admitted to the Săpunari Psychiatric Hospital with "marks left by handcuffs in his right hand", which occurred at the patient's home and at the hospital from which he was transferred. These injuries may be the result of improper application of immobilizers or lack of proper supervision of the person to whom they were applied. The NPM team considers that a continuous training of the law enforcement bodies regarding the application of the means of immobilization and their permanent observation is required, in order not to affect the physical integrity and dignity of the handcuffed person. This aspect will be taken into account during the NPM courses for the continuous professional training of the staff of the detention and remand centers, as well as of the students from the School of Police Agents4. - penitentiaries: ● overcrowding (Craiova Penitentiary - Ișalnița Exterior Section, Craiova Pelendava Penitentiary, Deva Penitentiary); ● inadequate accommodation conditions; ● the registers drawn up in the penitentiary were not filled in properly; for example, in the Mărgineni Penitentiary: Register of traumatic injuries and self-aggression - the chronological order of the notes was not observed, the calendar date was missing, the signature of the medical staff who found the injury in case of several notes was missing; Register of consultations and treatment - the signature of the person deprived of liberty to whom the treatment was administered was missing, as well as the signature and initials of the prescribing doctor in some cases; Register for monitoring food refusals - it was difficult to distinguish the date and time of leaving this form of protest in some cases; ● the staff was insufficient; ● there was no medical office arranged at the Ișalnița exterior section of the Craiova Penitentiary, and at the Craiova Pelendava Penitentiary there was no infirmary; ● in the Craiova Penitentiary - Ișalnița External Section, only a small number of courses for initiation, qualification, requalification, training and specialization of detainees were organized; ● in Bistrița Penitentiary, disciplinary sanctioning was practiced (even repeatedly of the same persons) in case of self-aggressive behaviors (for example, an inmate who cut himself around the neck on two different days in 2019 was subject to two disciplinary sanctions proceedings, suspension of the right to work and receipt of goods or making purchases), some of the sanctioned persons having a psychiatric diagnosis; there were also cases of persons deprived of their liberty sanctioned disciplinary as a result of suicide attempts; Under this aspect, NPM recommended to ANP, in 2019, to notify the Ministry of Justice regarding the examination of the provisions of Art. 82 lit. ț) and Art. 100 para. (2) of Law no. 254/2013 on the execution of sentences and custodial measures ordered by the judiciary during criminal proceedings, with subsequent amendments and completions, regarding the prohibition of acts of self-aggression, considered serious disciplinary offenses and sanctioned, in terms of their harmonization with the CPT's recommendation to no longer impose disciplinary sanctions for acts of self-aggression. Following the recommendation, ANP sent to the Ministry of Justice a draft law for amending and supplementing Law no. 254/2013 (the revised form following the analysis of the recommendations that involve legislative interventions formulated by CPT 4 such courses have been scheduled for 2020, but have been suspended in the context of the Covid-19 epidemic, and will be resumed when the epidemiological situation allows it). 11