ANNUAL REPORT OF NPM 2019 _______________________________________________________________________________________ However, NPM during the visits noted that the psychiatric treatment in the CCD hospital is based mainly on regular therapy and consultation with the psychiatrist, but not on genuine psychosocial activities and occupational therapy. The NPM also considers that, based on the large number of prisoners, one psychologist is not enough to provide psychological services at the CCD. Psychiatric services are also provided at KFPI. However, NPM notes with concern that this institute has only 12 beds available to the KCS. During the reporting period, safe rooms were made operational in three UCCK units, whereas, in the regional hospitals the safe rooms were renovated. This will increase the capacity to provide medical services outside the correctional and detention centres. During a visit conducted to the KFMC, the NPM interviewed the juvenile L.L and analysed his medical file. In this regard, the NPM on 15 January 2019 recommended to PHCD that the juvenile be immediately placed under permanent surveillance until a decision by the healthcare authorities. The response of the PHCD and the KFMC Directorate was immediate to implement this recommendation and in the meantime, the juvenile concerned has been sent for further treatment to the KFPI. The NPM considers that competent authorities should increase their efforts to provide adequate psychiatric services to prisoners with serious mental disorders, including psychosocial activities and occupational therapy, in addition to regular therapy and consultations with a psychiatrist. In addition, the competent authorities should increase efforts to enhance the capacities of institutions in which prisoners with such disorders are treated. The second floor in the hospital of CCD was renovated. However, the NPM has noted that there aren’t sufficient sheets for hospitalized patients and that hygiene level is not adequate. Regarding this situation, the PHCD informed NPM on 16 July 2019 that there is a lack of space for the treatment of prisoners, lack of furniture for placing the patient's clothes and that the first floor of the hospital is expected to be renovated. Among other things, the PHCD informed NPM that the difficulties in managing patients are creating the lack of a special institution for the treatment of prisoners with special needs. During the visit to the CCP, the NPM has noted that the space used for health care is insufficient and does not even comply with the minimum needs. Operational is a room that is used for all primary care needs by the prison doctor, nurses, psychologist when there are cases to treat, as well as a permanent space for healthcare personnel to stay. Despite the NPM’s recommendations to establish adequate working conditions for the medical personnel, the situation remains the same during the reporting period.62 The same situation was noted at the Detention Centre in Peja. Through its Report with Recommendations, the NPM has recommended competent authorities to establish adequate working conditions for the medical personnel.63 Since the same situation was found even during the reporting period, the NPM reiterated this 62 Report with recommendations on the visit conducted to the Pre Detention Center in Prizren, published on 5 August 2019, paragraph 31. For more information see: https://www.oik-rks.org/en/2019/08/06/report-with-recommendations-of-nationalpreventive-mechanism-against-torture-concerning-the-visit-conducted-to-the-pre-detention-centre-in-prizren/. 63 Report with recommendations on the visit conducted to the Pre Detention Center in Peja, published on 22 November 2018, paragraph 30. For more information see: https://www.oik-rks.org/en/2018/11/22/report-with-recommendations-of-the-nationalmechanism-for-the-prevention-of-torture-on-the-visit-to-peja-detention-center/. 29