Annual report 2011: Spain’s National Preventive Mechanism Doctor’s surgery at the infirmary of Fontcalent psychiatric prison hospital Photo 52 in Alicante The DP is especially concerned about the number of inmates in ordinary prisons with psychiatric disorders The Framework Programme for the Integrated Care of the Mentally Ill has been set up in ordinary prisons. During the inspection visit to Castellón de la Plana prison, the programme was found to be at a very early stage Problems related to medical care could be resolved by signing collaboration agreements 150  132. The Ombudsman’s Office is particularly concerned by the number of inmates in prison with psychiatric disorders of differing degrees, who consequently require specific care. According to a study carried out by the SGIP in December 2006, one out of every four inmates has one or more psychiatric diagnoses in their medical record. Most of these inmates are in ordinary prisons. Their situation is different to that of inmates who have been exempted from criminal liability by court decision and are thus deemed immune from prosecution, for which reason the sentencing body agrees that they should be sent to one of the psychiatric prison hospitals in the country, as a safety measure, for the maximum period that would correspond to the offence in question under the Criminal Code. As stated in Paragraph 341 of the Annual Report 2010, the Framework Programme for the Integrated Care of the Mentally Ill (PAIEM) was launched to cater to the mental health needs of inmates in ordinary prison. During the inspection visit to Castellón de la Plana prison, the forensic doctor in the inspection team paid particular attention to application of the programme. According to the data provided for the third quarter of 2011, at 30 September 2011 there were a total of 35 inmates with one or more diagnoses of mental illness (out of a total of 237 inmates receiving treatment with psychopharmacological drugs) included in the PAIEM. Nonetheless, we observed that the programme is still at a very early stage. Only occupational activities have been carried out and the measures provided for in the programme have not been introduced. We therefore believe it is of priority importance to implement the programme in its entirety, including comprehensive therapeutic actions containing psycho-educational intervention, and to try to ensure greater coordination of medical services with the other multidisciplinary services. With regard to the medical attention provided at Fontcalent psychiatric prison hospital, at the time of the inspection visit, the facility had a staff of 5 full-time psychiatrists, plus 4 GPs with training in mental health. Most of the people interviewed said that they see the psychiatrist approximately once a month, although   THE OMBUDSMAN OF SPAIN