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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