Psychiatric hospitals
5. Placement of patients in observation rooms/observation and diagnosis sections as
an informal coercive measure.
Pursuant to Article 3(6)(d) of the Act on the protection of mental health,
isolation as a coercive measure consists in placing a person, alone, in a closed and
appropriately adapted room. Duration, procedure and place of isolation are clearly
specified.234 However, Part VIII paragraph 6(1) of Annex 1 to the Ordinance of
the Minister of Health of 26 June 2012 on specific requirements to be met by rooms
and facilities of the entity providing medical treatment235 stipulates that observation
and diagnosis sections or observation rooms shall be designated in a psychiatric
ward. The Act on the protection of mental health does not determine the purpose
of observation sections or rooms and in practice they are used as shared isolation rooms, with the duration and procedure governing the patients’ stay in those
places not specified and isolation not registered or described as it is the case with
coercive measures. In practice, the placement in observation sections or rooms is
often used as punishment for violation of the hospital regulations (e.g. for sneaking alcohol into hospital) and the sections and rooms are used to accommodate
detained persons and those for whom there is not enough beds in other rooms.
The rooms are in fact shared isolation rooms with the placement in them
not being subject to any clear criteria and not limited in time and with the personnel not following any rules applicable to coercive measures. The visiting team
recommended establishing special (one person) isolation rooms to use coercive
measures in the form of restraint or isolation. The representatives of the NPM also
recommended replacing the constant and direct observation of patients placed in
observation rooms by a member of the personnel sitting on a chair in the door,
which violates the patients’ right to intimacy, with the CCTV monitoring or the
observation via a one-way mirror.
6. Total ban on smoking in hospitals.
Pursuant to Article 5(1)(1) of the Act of 9 November 1995 on the protection of health against the consequences of using tobacco and tobacco products236,
smoking is prohibited, subject to Article 5a, on the premises of entities providing
medical treatment and in the rooms of other facilities where health care services
are provided. Apart from Article 5a, the said provision does not allow for any
exceptions to the ban on using tobacco products. The total ban on smoking is in
See: Ordinance of the Minister of Health of 28 June 2012 on using and documenting the coercive
measures and the assessment of the justification for their use (Dz. U. of 2012, item 740).
235
Dz. U. of 2012, item 739.
236
Dz. U. of 1996 No 10, item 55, as amended.
234
93
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