Report on the Performance of Activities of the National Preventive Mechanism for 2015 Accommodation conditions at certain wards of psychiatric institutions are still unacceptable. There is an encouraging fact, however, that after several years of delay, in the end of 2015 construction began on a new Department for Forensic Psychiatry of Vrapče Psychiatric Clinic. Unfortunately, the situation remains unchanged at the Psychogeriatric Ward, where elderly patients with mobility issues are accommodated in humiliating conditions, which requires immediate measures to be taken for the purpose of improvement of those conditions. As of January 2015, a new Act on Protection for Persons with Mental Disorders has been in effect, and it has remedied many shortcomings. For example, except in cases of involuntary hospitalization, now each person who is voluntarily hospitalized in a psychiatric hospital has to give a written consent, where only verbal consent used to suffice, sometimes even without adequate record to that effect. To the best of our knowledge, psychiatric institutions follow the procedure of involuntary hospitalizations and the prescribed time limits. Just like in previous years, there is still a lack of adequate centres for protection of mental health at a local level, the activities of which would (among other things) reduce the rate of institutionalization of persons with mental disorders and make their stay in their own families easier. Persons with mental disorders who do not have Accommodation conditions at supplementary health insurance are charged a certain wards of psychiatric participation fee during involuntary accommodation in institutions are still unacceptable. psychiatric institutions, unless their diagnosis is indicated The situation remains unchanged in the decision of CHIF about the list of diagnoses the at the Psychogeriatric Ward of treatment for which is completely covered by Vrapče Psychiatric Clinic, where compulsory health insurance. In 2015, at Vrapče elderly patients with mobility Psychiatric Clinic alone there were 70 involuntarily issues are accommodated in hospitalized persons with such diagnoses, 20 of which humiliating conditions. did not have supplementary health insurance. Such regulation is unacceptable, as in situations of involuntary hospitalization, any person who has been so hospitalized, regardless of his/her diagnosis, should not be charged participation in the costs of treatment. Considering that the new Act on Protection for Persons with Mental Disorders prescribes that the state budget shall only provide the funds for costs of involuntary placement of mentally incompetent persons in a psychiatric institution, it is necessary for this Act to be amended so that the funds for involuntary placement in psychiatric institutions be provided from the state budged for all involuntarily hospitalized persons, regardless of their diagnoses, and that general regulations regulating participation in the costs of treatment be harmonized. 32