BEAUVAIS, SAINTE-GAUBURGE, FRAGNY, L'HÔPITAL-LE-GRAND (REC.) the children, would make it possible to discuss practices and combine know-how and the values shared regarding education in a closed environment. Providing education in a “restricted” environment is far from straightforward. It deserves careful and ongoing reflection, such as the pragmatic development of a “doctrine” that could initiate the necessary initial and ongoing training that was described above. 4/ Finally, there are considerable variations in closed educational centres in terms of the somatic and psychiatric care of minors, their psychological care, and their health education. The presence of a nurse is very unequal. Somatic care is often provided by a general practitioner who specially comes to the institution or to whom the minors are taken, without any agreement defining the respective rights and obligations of the physician and the institution. While one or two psychologists often offer consultations, connections are much harder to establish with psychiatrists, and agreements between the closed educational centres and a specialised medical centre are rare, even when the institution’s population is clearly in need of such services. While it is true that children in these centres generally do not have major difficulties from the somatic point of view, the same is not true in terms of mental wellness. Here again, a formalisation of outside expertise in the form of agreements with doctors, nurses and healthcare facilities is desirable. The central administration should be able to develop such “model” agreements that would allow for the standardisation of practices. Regional health agencies, under the aegis of the Minister of Health, should facilitate the signing of such agreements, with their application being checked by the local steering committee (the meetings of which are, in the cases mentioned, random). These recommendations should be considered in the updating of the specifications currently being prepared by the Ministry of Justice and Liberties. The Contrôleur général has noted that these updates were preceded by active consultation with the directors of the closed educational centres. 65