Annual Report 2013 of the National Preventive Mechanism Little development of the PAIEM at certain CPs 97. At the visit made to CPs Puerto I (Cádiz), Segovia and Villabona Adequate mechanisms should be available for the detection of mental diseases and the adoption of therapeutic measures 98. Penitentiary establishments should have adequate mechanisms to (Asturias), in the light of the reviewed documentation and interviews made the conclusion was drawn that the PAIEM (framework program for integrated assistance to persons with mental diseases) is little developed at those CPs, so that the necessary efforts should be made for such program to continue being developed, with the participation of the medical team, enabling integrated therapeutic actions and attempting to include in it the greatest possible number of inmates who need it, as mentioned in paragraph 94 of Annual Report 2012. At CP Seville II, in addition to the PAIEM, a unit is available for inmates with mental health problems. detect mental diseases, to be able to adopt the appropriate therapeutic measures instead of purely restricting and contention measures that may even aggravate certain pathologies. The particular case of one inmate of CP Puerto I (Cádiz), who had a large number of incidents, means of contention, penalties and transfers to other CPs (21 in the past 12 years, approximately two centres per year) is to be pointed out. At the interview held with him in which the external court medical technical expert participated, it was verified that he was not of sound mind. The cell of the inmate was empty, without belongings, the glass of the window had been removed to prevent the inmate from breaking it and eating it, which had occurred on a previous occasion. The inmate went out to the yard daily and sporadically to the gym. His clinical record stated that had been diagnosed to be mentally retarded and to have an anti-social personality, that was refractory to the pharmacological treatment and that his isolation caused him greater disquiet and a more maladapted conduct. The Security and Justice Department of the Ombudsman’s Office was informed of the situation and instituted a proceeding ex officio with the SGIP, to know the reason for which the possibility of promoting the suspension of the sentence and its replacement by a security measure had not been considered, pursuant to article 60 of the Criminal Code, due to supervening serious mental disturbance, which appeared more adequate given the inmate’s psychological state than the adoption of restrictive measures and transfer to other establishments, which in any case appeared to worsen the patient’s mental disease. At CP Puerto III (Cádiz) also one inmate was found in a delicate situation. The external technical expert held an interview with him and reviewed his clinical record. The inmate had an acute psycho-pathological syndrome, and had been assisted two weeks earlier by the psychiatrist, pending check-up two months later. Since his process had become more acute, the external technical expert estimated that the most adequate procedure would be to transfer the inmate to the nursing room for more direct control, and to demand an external psychiatric consultation. Nevertheless, the SGIP reported that, after he had been evaluated by various psychiatrists, it had been impossible to evidence any specific psychiatric pathology. 224 deceases in CPs 96 99. The SGIP and the Department of Justice of the Government of Catalonia reported that in 2013 224 deaths occurred at CPs: 162 at CPs reporting to the SGIP and 62 at CP reporting to Catalonia.