Psychiatric hospitals 10. Psychiatric hospitals 10.1 Introduction In 2015 the representatives of the NPM visited 13 psychiatric hospitals and wards139. The visiting team paid particular attention to respecting the rights of persons placed there against their will, that is: • perpetrators of forbidden acts, which are placed in a psychiatric institution as a preventive measure (standard and enhanced preventive measure); • persons placed in hospitals pursuant to Article 23(1), Article 2(1), Article 28 and Article 29(1) of APMH, i.e. persons admitted without their consent and the persons that agreed to being admitted, but withdrew their consent during their stay at the institution. 10.2 Systemic problems 1) Insufficient funding of psychiatric wards The problem of insufficient funding provided by the National Health Fund (hereinafter: NHF) to finance the psychiatric hospital treatment had already been discussed in the Report for 2012140 and raised again in the subsequent years, but no response of the Ministry of Health was issued. This insufficient funding is particularly visible in psychogeriatric wards, i.e. those that are dedicated to seniors. According to the information provided by the doctors from the Małopolska region, the actual costs of treating patients are higher by approx. PLN 50 than the NHF rate (approx. PLN 192). It seems that the financial provisions do not consider the fact that the hospital must provide somatic treatment on top of the psychiatric treatment (and the need of the former is high in the case of seniors) as well as medication (drugs, insulin for diabetics, etc.) and transportation for the necessary consults. Dolnośląskie Mental Health Centre (hereinafter: Hospital in Wrocław), Forensic Psychiatry Wards at the Kłodzko Health Care Centre (hereinafter: Hospital in Kłodzko), Institute of Psychiatry and Neurology in Warsaw (hereinafter: Hospital in Warsaw), Independent Public Specialist Psychiatrist Health Care Centre in Frombork (hereinafter: Hospital in Frombork), Mental Health Centre at the Ludwik Rydygier Specialist Hospital in Kraków (hereinafter: Hospital in Kraków), Voivodship Psychiatric Hospital in Andrychów (hereinafter: Hospital in Andrychów), Independent Public Voivodship Hospital in Gorzów Wielkopolski (hereinafter: Hospital in Gorzów), Voivodship Podkarpacie Psychiatric Hospital in Żurawica (hereinafter: Hospital in Żurawica), Psychiatric Ward at the Clinical Voivodship Hospital No. 1 in Rzeszów (hereinafter: Hospital in Rzeszów), Psychiatric Ward at the Poviat Hospital in Aleksandrów Kujawski (hereinafter: Hospital in Aleksandrów Kujawski), Specialist Psychiatric Independent Public Health Care Centre in Suwałki (hereinafter: Hospital in Suwałki), Psychiatric Wards at the Poviat Hospital in Sochaczew (hereinafter: Hospital in Sochaczew), Psychiatric Ward at the J. Śniadecki Specialist Hospital in Nowy Sącz (hereinafter: Hospital in Nowy Sącz). 140 See Report of 2012, p. 92-97. 139 55