Long-term deprivation of liberty or others). However, the management in charge of the Sevilla II CP had not prepared nor put in place any special programme nor specific measures to reduce the number of self-harm incidents, considering these to be ‘attention-seeking’ or ‘manipulative’ behaviours attributed to psychopathic, antisocial or manipulative tendencies, to which they apply restrictive measures. The NPM in contrast considers that, in the event of self-harm incidents carried out as a way of expressing demands to the prison administration, it is necessary to find ways in which these demands can be expressed through normal channels and can receive a reasonable or justified response. In addition, dedicated psychological programmes could be carried out specific to the management of anguish and impulsiveness and which encourage alternative behaviours, and at least one or two isolation rooms could be made available which are free from self-harm risks. As a result, a Suggestion was made to the Sevilla II CP that it review the treatment of self-harm such that the focus is more respectful of inmates’ rights. 51.  Some of the CP visited did not have permanently available healthcare, thus not guaranteeing immediate healthcare provision in the Healthcare §201 AR 2014 event that this is necessary for medical reasons or during the use of restraining methods. Suggestions in that regard have therefore been made to the Brieva, El Dueso and Pamplona CP. View from a cell of the courtyard from a unit in the Brieva CP (Ávila) 52.  The provision of psychological and psychiatric care to a group with a high prevalence of these types of disorders remains a matter of concern for the NPM. In spite of this there have been no advances in this Psychological and psychiatric care §207 AR 2014 regard. The SGIP considers that the current level of psychologist provision in CP is sufficient, contrary to the NPM criteria of setting up a psychology clinic with an appropriate number of staff in order to provide this service without adversely affecting the remaining functions performed by these personnel. 57

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