conditional discharge (usually for two years) of the State patient. A breach of the discharge conditions can result in readmission and rescinding of the discharge. In practice, hospitals generally readmit relapsed State patients as voluntary patients, and discharge them when they are welll. The Letengeur Hospital holds about 105 patients referred to it by the courts. It has 5 consultants/doctors and 15 medical officers. The hospital has an average occupancy rate of between 85 – 90%. The patients are given occupational therapy for skills development such as woodwork, basket canning, needle work and sewing. They also grow vegetables in a small garden within the facility. The produce is sold to the local community and they are given a share of the money as incentives. The other part of the money is used to buy more working tools and material. The hospital holds two categories of patients – minimum secured (less dangerous) and medium secured (dangerous). The hospital does not receive the maximum secured (very dangerous) patients. The latter category is handled by other like institutions with facilities equipped to deal with such category. Those referred to the hospital by the courts are suspects of various offences including homicide, murder, theft, damage to property, assault etc. The patients undertake recreational facilities once a week, such as football, volley ball, and football matches are organised with sister institutions once a month. ii) Drakenstein Prison Farm or Management Area The Drakenstein Prison Farm or Management Area is located in the Western Cape Province, about 100 kilometers on the outskirts of the provincial capital, Cape Town. It is a famous prison in that it is here that the former South African President, Nelson Mandela spent the last 18 months of his imprisonment.8 The Area comprises five different prisons – the Drakenstein Maximum Correctional Centre, the Drakenstein Medium A, Drakenstein Medium B, the Drakenstein Medium C and Stellenbosch Correctional Centre. 8 The “Mandela House” has been converted into a tourist site and handed to the Ministry of Arts and Culture. 17 Special Rapporteur on Prisons Mission to South Africa 14 – 30 June 2004