Situation of deprivation of liberty Social de Personas con Enfermedad Mental) and the HPP”, currently being prepared, to enable patients to be assisted in an alternative surrounding before having served the time of deprivation of liberty that the maximum sentence would have implied, is a good practice, and progress should continue to be made along these lines. The SGIP reported that the Committee for analysis of cases of mentally ill persons subject to court proceedings of the Autonomous Community of Andalusia will be called to make progress in this field. In turn, a recommendation has been made to the SGIP for preparation of the exit and accompanying of the patient in the first steps of the social reinsertion process to be reinforced, providing the adequate preliminary and subsequent support to the family and implementing the transfer of the patient to clinical and social services facilities of the area. Recommendation to the SGIP for preparation of exit and accompanying of the patient to be reinforced In the penitentiary system of Catalonia, the existence of a network of small facilities is a good practice that permits adapted programs to be prepared and work to be done for community insertion, without the patient losing contact with the environment. The Service of Alternative Criminal Measures, which specifically monitors these measures, is also to be pointed out. The risk assessment protocols, both general of the penitentiary institutions of Catalonia, and specific of the UHPPC (Barcelona), which use objective evaluation scales that permit the minor, moderate or serious risk posed by a patient to be appraised, which may facilitate the making of administrative and court decisions, is also worthy of mention. The good practice of the small facilities network 157. Article 188.4 RP establishes that the disciplinary regime provi- The provisions of the disciplinary system are not applicable to patients of HPPs sions will not apply to patients of the HPPs. In the case of violation of cohabitation rules, measures will apply depending on the context and patient, of which patients of both centres complained. In respect of the HPP of Seville, a suggestion was made to the SGIP for the appropriate instructions to be given for the measures to be adopted in the event of violation of cohabitation rules to follow the adequate procedures for the adoption of therapeutic measures such as medical prescription and insertion in a therapeutic framework, which suggestion has not yet been answered. In respect of the UHPP-C (Barcelona), a suggestion was made to the Department of Justice of the Government of Catalonia, for the communication of the reason and logic of the rules to patients to be improved. This Suggestion was rejected. 158. In situations of lack of impulse control or behavioural disorders, when oral admonishment is unsuccessful, isolation and coercive measures are adopted. Isolation and coercive measures At the HPP of Seville, the head of the service may decide –generally at the proposal of the psychiatrist or professional on shift – to move the patient to the acute patients unit. Subsequently, the fact is evaluated by the multidisciplinary team that may order the adequate therapeutic measures: 1) transfer to the acute patients unit, in an individual room 121

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