solitary confinement and restraints and the need to organise specific training for staff in mental health
institutions on the rights of sectioned patients. She also urged the Minister to address, together with
the Minister of Justice, the remaining difficulties that the CGLPL observes in the running of hearings
with the liberty and custody judge: the holding, in some institutions, of hearings organised at the court
and the difficulty mobilising lawyers, not least in mental health institutions that are a long way from
courts' headquarters. Lastly, she strongly criticised the excessive priority being given to security
measures which is particularly leading to permissions for short-term leave being restricted, even
though this is necessary for gradually preparing patients for normal life, or to the systematic
placement of involuntary patients in seclusion rooms or restraints, even when their clinical condition
does not justify such a move.
Regarding health provision for prisoners, the Chief Inspector asked the Minister to take all
steps to ensure that health blocks in prisons are managed on all accounts in the same way as hospital
services located in hospitals. She underlined the many breaches of medical confidentiality that the
CGLPL observes during its inspections and the need to develop telemedicine. She finally drew the
Minister's attention to the situation of Château-Thierry prison complex, regarding which the previous
Government had committed to rolling out an action plan, and the implementation of which will be
watched closely by the CGLPL.
On a final note, she reminded the Minister of the need for an overall programme on the
health provision of migrants detained in detention centres for illegal immigrants.
The Minister of Justice (30 August)
The Chief Inspector drew the Minister's attention to the alarming situation of prisons, which are
grappling with both prison overcrowding and a shortage of warders. She also shared her concerns
over an excessive application of security measures, especially during searches when prisoners are
being transferred for medical reasons. She strongly criticised the difficulties accessing prison work and
reiterated her recommendation on developing fully-fledged social rights for prisons. She voiced her
concerns over the observed overcrowding of wings and institutions for juveniles, which is seriously
undermining their ability to honour the requirement for personalised provision, personalised
educational efforts and a strict separation between children and adults.
On the subject of juvenile detention centres, the Chief Inspector gave a reminder of the
consensus on the situation in such institutions and the measures to be taken to guarantee their proper
operation. Despite this consensus, she bemoaned the fact that the situation in these centres is not
improving, and recommended that precedence be given to ensuring staff stability, training,
supervision and oversight.
She shared her misgivings about the installation of an outbuilding of the Bobigny Court of
first instance in civil and criminal matters (TGI) in premises adjacent to those of the Roissy waiting
area, and about the resulting risks of undermining the image of an independent justice system.
Finally, in terms of psychiatry, she told the Minister of Justice about her concerns over the
hearing of the liberty and custody judge and the mobilisation of lawyers, which she also shared with
the Minister for Solidarity and Health.
The Minister of the Interior
Despite several requests, the Chief Inspector was unable to meet with the Minister of the Interior.
Such a meeting would have enabled the subject of the toughening of immigration detention
policies, the recurring nature of the difficulties detected during inspections of policy custody facilities
and the local policies, which are sometimes excessively restrictive, that prefectures implement to
manage short-term releases in psychiatry, to be raised.
It is a great shame that this could not take place.
102
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