representatives of the Field regarding prevention of torture in detention places mentioned the position of the European Committee for the Prevention of Torture regarding the patient’s free and informed consent: “all capable patients, admitted on a voluntary or involuntary basis, should have the possibility to refuse treatment or any other medical intervention; any derogation from this fundamental principle should be stipulated in the law and only refer to clearly and strictly defined exceptional circumstances”. Recommendations: ● the psychiatrist should obtain the informed consent – since the nurse on duty was the one who informed the patients and gave them the informed consent to sign it; ● the informed consent should be signed by the patient in all cases of voluntary admission, and, for indicted patients, the informed consent should be signed by the legal representative – since the informed consent was not signed in some cases (only with the signature and seal of the psychiatrist) or was signed by the indicted patient. Regarding healthcare: ● a deficit of medical and care staff was found (which could affect the quality of the medical act, as psychiatrists are strongly affected by overburdening and would like to be able to allocate more time to patients). Recommendation: to take the required actions to occupy vacancies, to recruit staff for vacancies, in order to ensure the quality of the medical act. Answer: regarding the performance of the required actions to recruit staff for the vacancies considering the need to supply medical and psychological services at suitable standards for this category of patients, considering the severe psychological disorders of patients admitted to this unit (specialist psychiatrist, radiologist, ergotherapist, psychologist/psychotherapist, nurse, workers), the management of the Chronic Psychiatry Hospital of Dumbraveni mentioned that the aspect is on the agenda of the Steering Committee, on a permanent basis. Regarding the answer submitted for each separate recommendation, the deadline by which actions will be taken to comply with the corresponding content and the fact that the purpose of the visit was partially fulfilled, a new visit was proposed, to follow up on the implementation of the recommendations sent to the Chronic Psychiatry Hospital of Dumbraveni, Vrancea county. 103

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