Long-term deprivation of liberty information to patients for the purposes of restating the therapeutic, rather than punitive, character of all restrictive measures (participation in activities, clothing, smoking bans, etc.) and, in particular, the use of the solitary confinement area. 98.  In the analysis of the documentation in this facility and in relation to the patient reports which were looked at, and especially in the URECO, it was observed that they lacked a Personal Care Plan or, in the few which had one, the plan only dealt with the initial evaluation and had not been reviewed in years. This implies that the ability of the patients to be reintegrated into the community is not reassessed. This is the main complaint by patients, who feel that they will remain in the facility for life. To that effect, it was suggested that a proper and effective re-evaluation of patients is carried out regularly, and that each patient has a personal rehabilitation plan. It would be beneficial to include those patients, as far as possible, in decision making and planning with respect to their treatment, both in terms of medication and rehabilitation as well as measures for improving their physical health. Personalised care plan §332 AR 2014 99.  In the Pumarín Mixed Residence it was observed that the care profile takes precedence over the rehabilitation profile amongst staff, with a greater number of staff with care functions (auxiliaries) than experts capable of designing personal care plans. It was therefore recommended that the presence of expert professionals (psychologists, occupational therapists or coaches) is strengthened for the purposes of designing said personal care plans and carrying out a greater number of activities. It was also pointed out that it would be advisable for the facility to be attended by a psychiatrist, or that coordination is improved with the mental health units concerned, in order to rectify the inconsistencies observed in the monitoring of patients’ psychiatric illnesses. Personal profile §330, 332, 337 AR 2014 100.  It was also noted that this centre is not adapted to provide proper care to the new profiles of residents being admitted (people under 65 years old, some with personality disorders associated with alcohol consumption and estranged from their families). It was therefore suggested, among other things, that professionals with training in the management of both this profile of residents and of communal living be integrated. Profiles of new residents §331 AR 2014 101.  The Ciempozuelos facility had patients who had come from the Prison Psychiatric Hospitals in Fontcalent (Alicante) and Seville, which meets the criteria followed by this institution to refer people with mental illness to psychiatric facilities under the authority of the health networks in their community of origin. Transfers to facilities within the same community §227 AR 2014 102.  In this centre, the examination of medical records and the interviews with residents conducted by external experts revealed that most patients received excessive medication. The NPM pointed out that it would be advisable to conduct a study into the possible reduction of psychotropic drug prescriptions, in accordance with the principle of strict modification of their use for the therapeutic needs of patients, which would have a positive effect on the reduction of secondary effects (endocrine disorders, cog- Medication §337 AR 2014 75