ANNUAL REPORT OF NPM 2019 _______________________________________________________________________________________ Treatment and activities During the visit, the NPM observed a close and friendly approach of the personnel to the residents and a generally positive climate within the homes visited. Residents looked good in terms of clothing and hygiene. The NPM did not encounter any signs of bodily injury to residents. The NPM has interviewed residents and received no complaints of any form of maltreatment or behaviour of personnel that infringes on the dignity of residents. During its visits to the ICHs, the NPM observed that activities varied from institution to institution. In general, activities such as walks twice a year in nature, chess, table tennis, handicraft, music listening, drawing, etc. are carried out in the MHC, whereas at the ICH in Gjilan, residents work in the ICH’s greenhouse. The CPT standards provide that psychiatric treatment must be based on an individualized approach, which means developing a treatment plan for each patient. It should include a wide range of rehabilitation and therapeutic activities, including access to occupational therapy, group therapy, individual psychotherapy, art, theatre, music and sports. Residents must have regular access to suitably equipped entertainment rooms and have the opportunity to go out for fresh air on a daily basis. It is also desirable to provide them with adequate education and work99. The NPM expresses concern that the visited ICHs do not have an individualized treatment plan with residents’ involvement. Therefore, the NPM encourages the ICH personnel to work in this regard, which in turn will facilitate the work of the personnel. Medical care The NPM observed that the ICHs provide regular psychiatric services, which are provided by the psychiatrist of MHCs in those regions, and, if needed, other health and specialist services are provided by the Family Medicine Centres. NPM has noted in their health files that residents in these homes are mostly diagnosed with psychotic disorders but are in the remission phase and treated with pharmacotherapy. Based on the files analysed by the NPM, it results that residents have regular laboratory tests. Personnel Integrated Homes are led by the Director of MHCs of the respective regions. MHCs are daily open centres that have professional personnel such as psychiatrists, psychologists and nurses who also assist ICHs. The NPM has noted that the number of personnel varies across regions and that some homes lack the necessary number of personnel, which makes work difficult and as a result, only one nurse is usually on call during the night. NPM encourages HUCSK to increase the number of personnel as needed. Means of restraint Regarding the means of restraint, Article 27 of Law No. 05/L-025 on Mental Health, defines that the physical limitation of persons with mental disorders applies to mental health institutions specialized with 99 European Committee Standards for the Prevention of Torture, Part from the 8th General Report [CPT/Inf (98)12] 42