Psychiatric hospitals cation e.g. by indicating the entity examining complaints and requests of the patients or organising the issues and information found in various documents and annexes260. The documents in one of the establishments261 were particularly poor, since apart from the abovementioned flaws, they included the information about the patients’ rights and obligation taken from the national legislation but modified to the detriment of the patients. As a result the patients of the hospital did not have the right to call anyone by phone and had to clean not only their rooms but also the area of the ward. In the same establishment, the visiting team criticised also the application of the internal regulations to patients detained in the enhanced security ward instead of the organisational regulations concerning the preventive measures laid down in the national legislation262. 6.  Right to health care and therapy263 Apart from psychiatric treatment, the patients in the visited hospitals also receive necessary help regarding their somatic condition (although in some establishments there are problems with access to certain specialists, such as a dentist or an ophthalmologist). The patients interviewed by the representatives of the NPM knew why they were in hospital and what they were diagnosed with (although they not always agreed with the diagnosis). They had access, upon request, to information about their health and to their medical records. The majority of detained patients praised the availability of both basis and specialist health care services Apart from one establishment264, the visited hospitals did not apply high risk procedures (insulin coma, atropine coma and electroconvulsive therapy). 260 Regional Forensic Psychiatry Centre in Gostynin, Voivodeship Hospital for Neurotic and Psychiatric Patients in Lubiąż. 261 Voivodeship Hospital for Neurotic and Psychiatric Patients in Lubiąż. 262 Annex 6 to the Ordinance of the Minister of Health of 10 August 2004 laying down the list of psychiatric and rehabilitation facilities where preventive measures are to be applied, as well as on the composition, appointment procedure and tasks of psychiatric commission for preventive measures (Dz. U. No 179 item 1854, as amended). 263 According to the recommendations of the CPT: Psychiatric treatment should be based on an individualised approach, which implies the drawing up of a treatment plan for each patient. It should involve a  wide range of rehabilitative and therapeutic activities, including access to occupational therapy, group therapy, individual psychotherapy, art, drama, music and sports. Patients should have regular access to suitably-equipped recreation rooms and have the possibility to take outdoor exercise on a daily basis; it is also desirable for them to be offered education and suitable work (§ 37 of the 8th General Report [CPT/Inf (98)]). 264 Autonomous Public Voivodeship Hospital in Gorzów Wielkopolski 99

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