enabling staf to provide adequate care (including personal hygiene) to bedridden patients must be made available; the absence of such equipment can lead to wretched conditions. The practice observed in some psychiatric establishments of dressing patients in pyjamas all the time is not conducive to strengthening personal identity and self‑esteem; individualisation of clothing should form part of the therapeutic process. Psychiatric patients, including forensic patients under examination, should – health permitting – be ofered at least one hour a day of outdoor exercise in a reasonably spacious and secure setting, which should also ofer shelter from inclement weather.9 2.3 Treatment plan Psychiatric treatment should be based on an individualised approach, which implies drawing up a treatment plan for each patient, indicating the goals of treatment, the therapeutic means used and the staf member responsible. The treatment plan should also contain the outcome of a regular review of the patient’s mental health condition and a review of the patient’s medication. Patients should be involved in the drafting of their individual treatment plans and should be informed of their progress.10 It is important that diferent categories of staf working with psychiatric patients meet regularly to facilitate teamwork and discuss necessary changes in the treatment plan. This allows day‑to‑day problems to be identifed and discussed, and guidance ofered. Psychiatric treatment The psychiatric treatment should involve a wide range of therapeutic, re‑ habilitative and recreational activities, such as access to appropriate med‑ ication and medical care. Procedures must be in place to ensure that medication prescribed is properly provided and to guarantee a regular sup‑ ply of appropriate medicines. Developing a range of therapeutic options, and involving long‑term patients in rehabilitative psychosocial activities in order to prepare them for independent life or return to their families, may be recommended. Occupational therapy should be an integral part of the rehabilitation programme, providing for motivation, development 9. CPT/Inf (2004)40, CPT/Inf (2012)4. 10. CPT/Inf (2007)15, CPT/Inf (2009)28, CPT/Inf (2009)38. Psychiatric care and treatment plans Page 33