activities that are still not properly integrated, often in connection with a new recruit (sports coach or prison rehabilitation and probation counsellor) or initiatives which, under the guise of increasing responsibility on the part of prisoners, actually toughen restrictions. Unfortunately, it is not uncommon for the CGLPL's recommendations to largely repeat what had already been recommended during the last visit. Recurring problems concern the systematic nature of restraint measures, the slow progress of disciplinary proceedings, the dilapidated and cramped state of accommodation, the dearth of any occupational activity - particularly work - the difficulty of accessing a telephone, and its cost, the limitations on access to medical care and breaches of prisoners' confidentiality. "Security" concerns are increasingly overriding other detention objectives - to the extent that these can be overlooked: for example, if an escort team is unavailable, medical treatment is forgone, and reticence at requesting permission to leave makes reintegration measures impossible. 2.2 Circulation of a report by the CGLPL on the Château-Thierry prison complex sparked a debate about the delivery of care for mental health patients in prison This institution accommodates detainees who are deemed unfit for ordinary detention, with a view to "enabling a detainee to feel ready for social interaction once again and readjust to ordinary detention after a temporary stay here". These are people who are not hospitalised "by court order or in a regional medico-psychological service or in a specially-equipped hospitalisation unit". And yet, the policy for assigning detainees to the long-stay prison does not comply with these provisions, the result being that there is a large number of genuine sufferers of psychiatric disorders requiring long-term care provision accommodated in the institution. The professionalism of prison staff and measures tailored to the specific needs of the prison population partially make up for the structural ambiguity of the institution, but are not enough for the specific provision requirements of its resident population. The numbers of health professionals do not appear adequate for the psychiatric and somatic condition of the patients detained. The recommendations that the CGLPL has previously made on this point have not been acted upon. On the subject of psychiatric care, the situation is concerning. The result is confusion in the physicians' role, that of the prison authorities, breaches of medical confidentiality, near-disciplinary use of medicinal treatments and even medical prescriptions drawn up without a prior examination of patients. With the prisoner assignment policy at such stark odds with the targets officially set for the institution - on which the resources it receives are based - the prisoners end up being denied their rights in practice, and suitable medical provision is simply impossible: the prisoners have to live in substandard conditions and can be forced to undergo treatment without the judicial protection that comes with involuntary care. According to the Government's answers to this report, the assignment of prisoners to Château-Thierry has reportedly been required by the brevity of committals of prisoners in speciallyequipped hospitalisation units or of their sectioning in mental health facilities. Moreover, a joint medical plan between the two health facilities to which the prison complex is attached provides, within a timeline running until 2018, effective medical staffing on a daily basis, a guarantee of better coordination between the health teams, a more secure, official treatment administration and circuit, a 21