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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