42 stay and treatment; staff stated that there is no security service provided on the premises. Irregularities in documenting and performing restraint measures (tying) of disturbed/ violent patients were identified. The recommendations were sent to ensure that tying occurs only when control of aggression could not be established in any other medically appropriate way, and that it must be a last resort having verified that less restrictive measures proved unsuccessful, done exclusively on the basis of the psychiatrist order, performed according to the legitimate methods utilizing appropriate means that prevent injury, lasted as less as possible discontinuing it as soon as patient’s anxiety ends as a result of application of other means and methods and ensured presence of a physician while the patient is tied and not in the same room with other patients. In addition, it is necessary to keep accurate records of all activities during the application of restraint measures and the reasons for their undertaking. It was found that pharmacotherapy in psychiatric hospitals is the main method of treatment and that approach related to occupational therapy, group therapy, individual psychotherapy, art, drama, music and sports, additional training, are often inadequate for most patients, and is not same for all patients. A recommendation was sent to include all patients in psychosocial rehabilitation programs in line with their needs, their abilities and therefore provide the necessary personnel. Another one was sent to carry out activities aimed at informing patients of their rights (i.e. creation of newsletters - brochures) in the psychiatric hospitals as well as to encourage the use of legal means to protect their rights. 6.5. Detention of persons with disabilities (residential social care institutions) During 2012 NPM completed ten visits to the residential type social protection institutions, that is, 5 residential institutions for people with disabilities and 5 residential institutions for the elderly, i.e. gerontology centers. Throughout the visits, a number of irregularities were noted in relation to the longterm detention of children with disabilities and adults with intellectual and mental disabilities within dislocated social protection institutions, similar to asylum, in which these people are preserved primarily for the reason that there is no system established in the community to provide the necessary health care and social support in line with their needs.