OPINIONS AND RECOMMENDATIONS OF THE FRENCH CGLPL out under the best conditions, as fewer and fewer patients have the opportunity to take part in organised activities outside of hospital wings. Care for patients without their consent, especially when the latter are hospitalised for often long periods, must be integrated into the organisation of services, to enable them to participate in activities as regularly as their state of health permits. 4/ In the absence of a regulatory obligation to outpatient care, the recourse to the release test procedure results in some patients being held under a regime of legal restraint which is no longer justified by their state of health and for a duration unrelated to a true transitional period. This question should be subject to discussion at the national level. 5/ The use of restraint must be subject to quantitative and qualitative monitoring by means of a report comprehensively completed by each unit receiving patients hospitalised without their consent. A standard model should be developed at the national level. 6/ The safety precautions applicable to prisoners, kept locked in their rooms in secure units, should not result in the delivery of separate and depleted health care within the hospital and in the suspension of the rights implemented in the establishment. Patient equality with respect to the need for health care requires that hospitalised prisoners have the opportunity to participate in collective activities in order to incorporate the therapeutic components deemed necessary for all patients. The rights accorded to persons held in detention, such as exercise, visits from authorised persons and the possibility for convicted prisoners to place phone calls, must be respected during periods of hospitalisation. 24

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