Psychiatric care in the establishments is limited to one-time or repeated consultations with a psychiatrist and treatment with medications, which is not in line with the principles of modern bio-psycho-social approach and evidence-based health care. There is no multidisciplinary work with patients in penitentiary institutions, including the psychiatric ward of the N18 Accused and Convicts Medical Institution. It is important the psychologist and social worker to be involved in the psychiatric assessment process and management, for this, communication between the psychiatrist and the institution's social service should be increased. It is important to regulate the basics of psychiatric care at the normative level, where the functions and responsibilities of each member of the multidisciplinary team will be described in detailIt is noteworthy that due to the epidemiological situation in the country, the restriction on access to penitentiary establishments also affected psychiatrists. It should be noted that among the staff of penitentiary institutions psychiatrists are only in N8 and N18 facilities, while in other establishments the psychiatrist is an invited doctor. Psychiatrists from N8 and N18 institutions also consult prisoners in other facilities. However, due to the fact that psychiatrists in N8 and N18 institutions have a large workload, carrying out consultations in other establishments further increases their workload, which may also affect the quality of service. According to the response received from the Medical Department, three mobile groups staffed with civil sector specialists, 138 which started operating in a pilot mode from November 2019, were carrying out the work in the facility N8 to March 2020. The mentioned group provided multidisciplinary care to prisoners with mental health problems and provided appropriate services to up to 150 beneficiaries. It is important that this program continues. The Public Defender indicates in numerous reports that through inter-agency coordination, certain services that are introduced in the community may become available in penitentiary institutions as well.139 In order to provide prisoners with mental health problems with access to appropriate psychosocial rehabilitation programs in the penitentiary establishments, along with mobilizing the necessary staff,140 it is advisable to attract service providers and encourage civic intervention. 2.6. Contact with the outside world Measures taken to prevent the spread of the coronavirus have had the greatest impact on the realization of prisoners' right to contact with the outside world. During this period, the need to implement the recommendations issued by the Public Defender to the relevant agencies for years became clear. Even the pre-pandemic normative framework and established practice did not ensure adequate contact of prisoners with the outside world. In particular, the living area of their families was often neglected during the placement of prisoners in the facility, resulting in inmates being denied the right to short and long meetings. However, the Code on Imprisonment does not allow the possibility of replacing long meetings with telephone calls or video meetings. Prisoners in special risk penitentiaries were also deprived of the Based on the model in the civil sector, mobile groups are staffed by a psychiatrist, psychologist and nurse who work with inmates with mental health problems. 139 Report “Impact of Detention Conditions on Prisoners' Health, p. 81. 140 Psychiatrist, psychologist, social worker. 138 55

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