The rise in referrals from associations observed in 2016 is continuing in 2017 (236 letters received versus 190 in 2016, which represents a 24.21% increase). All places combined, there has been a stabilisation in the number of referrals from the people concerned (2,561 letters received versus 2,562 in 2016) and lawyers (168 letters received versus 169 in 2016) and a slight fall in the number of referrals from relatives (427 letters versus 458 in 2016, which represents a 6.77% decrease), other IGAs (48 letters received versus 79 in 2016, which represents a 39.24% decrease in the number of dispatches) and medical staff (33 letters versus 53 in 2016, which represents a 37.74% decrease). It should nevertheless be noted that referrals from other IGAs and medical staff had increased significantly in 2016 (51.02% and 76.92% respectively). 4.1.3 The situations raised Distribution of cases referred according to the primary grounds and type of person referring the case For each letter received, primary grounds and secondary grounds for referral of the case are given. The last column of the table below shows the percentage of occurrence of different types of grounds, taking the reasons for referral of cases as a whole (without distinguishing between primary and secondary grounds). For example, although the main grounds for referrals concerning difficulties with psychiatric hospitals appear to be procedural issues (41.60%), these grounds only account for 22.46% of all the problems addressed to the CGLPL between 1 January and 31 December 2017 with a bearing on psychiatry. In view of the small number of letters received concerning police custody facilities, detention of illegal immigrants and juvenile detention centres, the primary grounds for the referral of cases presented below only concern penal and health institutions. Healthcare institutions receiving involuntary patients: Primary grounds according to the category of person referring the case 3 4 Liberty and custody judge procedure 3 Medical treatment committee 3 1 Other 1 1 Dispute of UMD transfer order 3 Supervisory procedure 2 1 5 156 4 129 1 1 % all grounds combined (primary and secondary) 2017 Non-compliance with procedure 4 % 2016 8 % 2017 15 117 Total 132 Other50 Family / relatives PROCEDURE Dispute of hospitalisation Physicians / medical staff Person concerned 2 Psychiatric hospital grounds Order of grounds 2017 1 41.60% 29.14% ↘22.46% 9.33% 12.30% ↗14.12% 8 1 5 4 2 4 3 3 ACCESS TO HEALTHCARE 27 6 2 35 Access to psychiatric healthcare 15 1 2 18 Access to medical records 5 2 7 50 The "other" category includes 7 referrals from lawyers, 6 from IGAs, 5 from associations, 3 from patients on behalf of other patients, 2 from individuals, 2 from judges, 1 from a participant, 1 from an unknown person, 1 from a professional organisation and 2 "other" referrals. 117