Part I
a long time, starting with the Report of the Commissioner for Human Rights
on activities of the National Preventive Mechanism in Poland in 2012208. The
problem is still valid in 2016. In the opinion of the CHR, it has its source
in the fact that the NHF, in its funding allocations, fails to take account of
the fact that in addition to psychiatric treatment as such, the hospitals are
frequently required to provide more expensive somatic treatment (which
is particularly strongly required in the case of elderly persons). What is not
taken into account either are costs of medicinal products (medicines, insulin for patients with diabetics, etc.), and of transport to additional medical
consultations.
2. Insufficient number of hospital beds
The visits conducted in 2016 confirmed, regrettably, that the shortage of
beds in psychiatric hospitals, identified in the previous years, still exists.
The NMPT continues to come across cases of patient beds being placed
in corridors, or additional beds being placed in patient rooms, which causes
overcrowding and problems with 3-sided access to beds209. The information
gathered by the visiting team confirms the practice is still used in many psychiatric hospitals210.
The National Mechanism for the Prevention of Torture notes that the
placement of patient beds in common areas i.e. corridors clearly restricts
their right to privacy. The same applies to patient rooms’ overcrowding
which negatively affects the treatment process by causing tensions among
patients due to too large number of beds. It should also be borne in mind
that in the case of patients hospitalized within a preventive measure, hospitalization can last for many years. According to the CPT’s opinion, Creating
a positive therapeutic environment involves, first of all, providing sufficient
living space per patient (...). Moreover, particular attention should be given
to the decoration of both patients’ rooms and recreation areas, in order to give
patients visual stimulation. The provision of bedside tables and wardrobes
is highly desirable, and patients should be allowed to keep certain personal
belongings (photographs, books, etc.). The importance of providing patients
with lockable space in which they can keep their belongings should also be
Cf. Report for 2012, pp. 92-97.
Cf. Articles 18 and 19 of the Regulation of the Minister of Health of 26 June 2012 on specific requirements to be met by premises and equipment of medical service providers, Dz. U. item 739.
210
Hospitals in: Lipno, Pabianice, Lębork and Nowy Targ.
208
209
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