A/HRC/13/39/Add.2
50.
The forensic medical examination did not corroborate these allegations because the
scar and sutures were not recent.
Vilardebó Psychiatric Hospital, Montevideo
Visited on 25 March 2009
General information
51.
The Vilardebó hospital is located in a run-down old building in the city of
Montevideo. The Special Rapporteur was received by the deputy director, Patricia Labraga.
In general there were two types of patients: patients with a purely psychiatric/psychotic
profile and others with a criminal background whose detention was based on a judicial
order. Patients in the latter category had either committed a crime while mentally
disordered or had fallen ill in prison. Men deprived of their liberty based on a judicial order
were detained together with other patients in room 11, which was divided into sections
(rooms) A and B, surrounding a large courtyard. Room 11 also had a big dining room and
four smaller cells. When patients arrived from the courts, they were held in smaller cells
(calabozos) at the entrance area for a maximum of 48 hours for evaluation. These cells
were also used for patients who were aggressive vis-à-vis others, but never as a
punishment. Physical restraints were used but not as a punishment. If a patient had a
psychomotor crisis, he or she was given tranquillizers. In some cases, patients had to be
restrained in a bed. Four to five guards restrained the arms and legs and tied them with
belts. This happened only exceptionally in the sleeping room, and usually in one of the
smaller cells. Women deprived of their liberty were detained in room 17.
52.
A major problem was the slowness of the judiciary, so that some people had to stay
in Vilardebó much longer than necessary. Furthermore, the facilities suffered from
overcrowding, lack of beds and qualified staff. There was not enough space to separate the
categories. Only a very small number of preventive patients could be released by the
doctors; for the majority the doctors had to wait for the courts’ decisions.
Individual cases
53.
Ruben Darío Acosta, aged 50, arrived at the psychiatric hospital in February. He
noted that the food was acceptable and the general situation was good. According to Mr.
Acosta, the cells in sectors A and B (room 11) were open from 9 a.m. to 9 p.m., and visits
were allowed on Sundays and Tuesdays from 2.45 to 5.45 pm. However, he reported that
visits were restricted if a patient became violent.
54.
Pedro Martin Torres, aged 28, had spent one year in COMCAR and had been in
Vilardebó since September 2009. He indicated that the situation at the hospital was much
better than in COMCAR. He noted that the personnel generally treated the patients well,
but that he was beaten once because he broke a television.
55.
Pablo Marcelo Oliveira Piris, aged 24, had been detained in a small cell (calabozo)
with another person for seven days. He reported that he had been taken there because he
was demanding that his basic rights be protected in Rio Negro prison, where he had been
previously detained. He noted that the hospital was much better because his rights were
respected, the treatment by the personnel was good and the patients could go to the
courtyard. He complained that he was not allowed to see a doctor in prison, and that he had
to cut himself in order to ask for assistance. He indicated that he would like to sell crafts in
order to send money for his child to visit him.
56.
A male detainee, aged 32, suffered from epilepsy and was detained in a small cell
(calabozo) for four days, because he had opened the door of the big room at night and went
GE.09-17655
35
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