CONDITIONS OF DISABLED INDIVIDUALS IN PENITENTIARY INSTITUTIONS, THE INSTITUTION FOR INVOLUNTARY PSYCHIATRIC TREATMENT AND TEMPORARY DETENTION ISOLATORS The mandatory lab and instrumental examination required for the management of side effects of psychotropic drugs-based treatment is not performed. Usually, a treatment course is nothing more than cramming patients with psychotropic drugs. Patients are not involved in psycho-social rehabilitation programmes, which would facilitate their going back to the society and re-adaptation. The institution’s administration does not have statistical data about disabled patients undergoing court-ordered psychiatric treatment courses. Patients’ social status does not get identified; even if a patient is staying at the hospital for a long time period, no one gets interested in a patient’s social status and whether the patient can enjoy any benefits associated with his social status. Outpatient psychological clinics are unprepared for accepting patients with chronic psychiatric disorders and psycho-social abnormalities. Community-based psychiatric services, mobile psychiatric assistance and home care services are not available. There is a lack of social housing and the supporting system is undeveloped. Such patients are social outcasts, completely isolated from the public. They get discriminated due to the fact that they have mental illnesses. They are not getting adequate psychiatric assistance and are not enjoying the benefits afforded to disabled people. Recommendations: To the Minister of Corrections QQ To ensure that statistical data about disabled prisoners are produced and maintained; QQ To develop a mechanism for identifying disabled prisoners and assessing their needs; QQ To ensure implementation of the minimum standards such as the principles of accessibility and reasonable accommodation in the penitentiary system; QQ To ensure that eligible prisoners are granted disability statuses according to their condition; QQ To ensure that the penitentiary healthcare staff responds to the special needs of disabled prisoners; QQ To elaborate standards of care for disabled people adjusted to prison environment; QQ To introduce disability-related specialized services; QQ To implement a disabled prisoners’ rehabilitation programme to prevent deterioration of their health, further reduction of their functioning ability and their turning into bedfast patients. To the Minister of Labor, Health and Social Protection QQ To provide disabled prisoners with adequate psychiatric assistance; QQ To introduce psycho-social treatment and rehabilitation services that are structural, systemic and results-oriented; QQ To revise the role and functions of the security department of the National Center for Mental Health; QQ To take active steps to eliminate delayed stay of patients at the hospital for involuntary psychiatric treatment; QQ To take active steps to extenuate the current strict regime at the National Center for Mental Health and to offer more open services. 2013 QQ To develop individual plans for working with disabled prisoners; NPM Report 59