Report on the Performance of Activities of the National Preventive Mechanism for 2015 Prisoners are often dissatisfied with the obligation to pay participation in the costs of specialist examinations and medications. If they are without regular income, for example pension, and if they are unable to earn any income during their imprisonment, they generally have no money at their disposal. Based on the officials’ estimate, about 40% of prisoners in Lepoglava State Prison have no money to pay for participation, while in Glina State Prison a dozen of them refuse to take the medications for which they have to pay participation. Consequently, payment of participation should be adequately regulated for all prisoners during the time they are in prison. Premises in which dentists work in Zagreb County Prison and in Lepoglava State Prison are in poor condition, and the premises foreseen for a dental clinic in Glina State Prison need to be furnished and equipped. In 2015, in Zagreb County Prison and in Glina State Prison new dental chairs were procured, whereas in Lepoglava State prison no new equipment has been procured and they still work with old machines which are in very poor condition. In order for dental care to continue to be provided in Lepoglava State Prison, which is certainly the best solution taking into consideration the organizational and security reasons, it is necessary to urgently modernize the equipment and medical instruments. Furthermore, the procurement of the dental chair alone in Glina State Prison does not enable the provision of dental care so it is necessary to urgently provide all other required equipment. In penal institutions the security measure of compulsory treatment of drug addiction is generally carried out in accordance with the Guidelines for Psychosocial Treatment of Drug Addiction in the Healthcare, Social Welfare and Prison System, although the Guidelines do not indicate that they also pertain to implementation of security measures of compulsory treatment. That way, as a rule, these measures are implemented by persons other than healthcare providers and the physicians know very little or nothing about that, which is wrong. The security measure of compulsory treatment for alcohol addiction in certain penal institutions cannot be implemented in accordance with the professional standards, so such measures are not implemented, but rather the prisoners get included in special programs of the department responsible for treatment, which does not constitute actual treatment. Accommodation conditions Although the occupancy rate in county and state prisons has dropped compared to previous years and prisons invest significant efforts into improving accommodation conditions, the standards pertaining to space available to accommodate persons deprived of their liberty are not observed in Lepoglava State Prison and in County Prisons in Osijek, Varaždin and Zagreb. Despite numerous warnings, the decision of the Constitutional Court No. U-III-4182/2008 of 2009, instructing the Government to adjust the capacities of Zagreb County Prison to the accommodation requirements of detained persons within a period of maximum five years and stating that persons deprived of their liberty have had their constitutional right to humane treatment and respect of dignity violated, has not yet been implemented. The situation is made more difficult by the excess of beds in some rooms as well as the fact that there is an insufficient 11