Situation of deprivation of liberty
162. At the HPP of Seville, when one inmate attacks another, the
injury report of the attacked inmate is remitted to the duty court but
no document is kept rendering account of the mental state of the aggressor, in general and at the time of the aggression, which would be
desirable. The SGIP accepted this criterion.
163. Excess medication has various important implications on the
health and the welfare of patients: risks arising from cardiovascular
side effects (high rates of metabolic syndrome, morbid obesity...),
neuro-motor problems in the short term (walking difficulties) and in the
mean and long terms (dyskinesia, trembling and others), an unkempt
look and chronicity which has effects on the image and self-esteem of
the patient, a feeling of fogginess and slowness, hindering the rehabilitation programs. Because of this, at the visits, the clinical records
of certain patients are reviewed, analysing the medical and psychiatric record and, particularly, the pharmacological background of the
inmates and the current prescription guidelines. At the HPP of Seville,
a considerable number of the consulted clinical records recorded combinations and high dosage of medication. Accordingly, in the opinion
of this Institution, the dosage and combination of the medication dispensed to patients should be reviewed, a criterion that was accepted
by the SGIP.
164. In respect of healthcare, at the HPP of Seville it was observed
Include mental state of
aggressor in injury reports
At the HPP of Seville the
dosage and combination
of medication should be
reviewed
Healthcare
that certain low-cost and high-impact healthcare technique means
were lacking (such as a spirometer, a more modern electrocardiogram
machine and minor surgery instruments), and that few programs were
in place for chronic patients. The SGIP requested a report from the
medical deputy director on such needs. At CP Brians-1 (Barcelona),
the pilot experience of the drug addictions assistance and monitoring
centre (CAS) is an example of good practice.
165. As regards the management of clinical information, it would be
advisable for an agreement to be reached between the Secretary
General for Penitentiary Institutions and the Health Department of the
Government of Andalusia for the professionals of the HPP of Seville to
be able to access the clinical information of the Healthcare Service of
Andalusia, to have available the medical records of the patients and
avoid duplicated tests, among other advantages. The SGIP reported
that this matter would be insisted on at the next meeting of the steering
committee of the agreement between the two authorities.
Management of clinical
information at the HPP of
Seville
166. At the HPP of Seville, instead of the Suicide Prevention Protocol (Protocolo de Prevención de Suicidios –“PPS”) of the SGIP, the
Suicide Risks Protocol (Protocolo de Riesgo de Suicidio –“PRS”) is
used, implying the transfer to unit 2 and the adoption of certain precautionary measures, such as the removal of belongings and potentially
hazardous objects. The SGIP reported that the PRS is adapted to the
features of psychiatric patients and patients are adequately monitored
and controlled by psychiatrists and ancillary personnel.
Suicide prevention
167. Both at the HPP of Seville and at the UHPP-C (Barcelona)
Ongoing training of personnel
courses are given for ongoing training of personnel (for example,
125
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