periods. Measures should be taken, including of a legislative nature, to remedy this situation. As regards discipline, the CPT recommends notably that the length of disciplinary solitary confinement be limited to 14 days throughout the country and that the procedures be reviewed. The Swiss authorities, in their response, state that a review of the rules applying to the contact with the outside world of remand prisoners is envisaged. 42. The report also addressed the situation of persons subjected to a penal measure of institutional therapeutic treatment or preventive detention. The CPT acknowledges that efforts have been made to increase accommodation capacities for prisoners suffering from serious mental health problems in specialised establishments or units. Nevertheless, the CPT remains concerned that a number of these individuals are incarcerated in an environment that is not suited to their specific needs. Their conditions of detention in high-security sections gave particular cause for concern, and were almost tantamount to solitary confinement. In their response, the authorities indicate that a dedicated working group has been established to review this situation and to increase the capacity of dedicated accommodation. 43. Concerning preventive detention for life (“internement à vie”), the Committee reiterates its serious reservations about the concept according to which persons, once they have been declared as extremely dangerous and not suitable for treatment, are considered once and for all to be a permanent threat to the community and are deprived by law of any hope of being granted conditional release. 44. The findings as regards civil psychiatry were in many aspects very positive; the CPT’s delegation received no allegations of ill-treatment of patients by staff in the Basel University Psychiatric Clinic and living conditions as well as psychiatric treatment were of a very high standard. However, the CPT recommends that the authorities improve the somatic examination of patients upon admission, record and report injuries and keep records of the use of means of restraint. It is also a matter of concern to the Committee that uniformed police officers were sometimes called upon to assist the health-care staff in placing a patient in seclusion and/or in applying chemical restraint; the Committee recommends that an end be put to such practices. Report and response published in June 2016 (CPT/Inf(2016)18 and (CPT/Inf(2016)19) Report on the periodic visit to the “former Yugoslav Republic of Macedonia” in October 2014 and response of the authorities of the “former Yugoslav Republic of Macedonia” (police ill-treatment and immigration detention, poor prison conditions for adults and juveniles and treatment of psychiatric patients and social care home residents) 45. The report notes an improvement in the way in which persons are treated by the police. That said, some credible allegations were received of deliberate physical ill-treatment by police officers, and the authorities should pursue their efforts General Report of the CPT, 2016 ► Page 24

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