the doctor’s decision fastening with a bed sheet is applied until the patient
calmed (approximately 10 minutes) and relevant notes were made to the
registration book regarding restraint measures. Alongside the mentioned
journal, the National Preventive Group members also revised the other
registration books.
This should be especially emphasized that several shortcomings revealed
by the NPG during the previous visits were eliminated. Thus, the devastated
part without repair in the second floor and canteen of the hospital were
repaired. Corresponding measures were carried out for ensuring the rights
of patients. After the previous visit to the hospital applications and
complaints box was installed there, the informational papers about the
patients’ rights were installed in a special manner on the walls. These
demands are based on the provisions of the UN Principles for Protection of
Persons with Mental Illness and the Improvement of Mental Health Care. If
and for so long as a patient is unable to understand such information, the
rights of the patient shall be communicated to the personal representative, if
any and if appropriate, and to the person or persons best able to represent
the patient's interests and willing to do so. The recommendations of CPT on
the rights of patients detained in the psychiatric institutions stress that an
introductory brochure setting out the establishment's routine and patients'
rights should be issued to each patient on admission, as well as to their
families. Any patients unable to understand this brochure should receive
appropriate assistance. In such kind of institution the patients should be
able to send and receive correspondence, to have access to the telephone,
and to receive visits from their family and friends.29
It was revealed that the general condition in the kitchen is normal,
hygienic rules were observed; the diversity in daily meal ration and menu
was ensured.
The main shortcoming and fault revealed during the visit to be
eliminated with no delay was necessity of capital repair of sanitary units.
According to relevant standards of the European Committee for the
Prevention of Torture and Inhuman or Degrading Treatment or Punishment
on detention conditions of patients in psychiatric institutions, relevant
conditions should be created for complying their needs of nature. Thus, the
conditions should be created for patients for complying their needs of
nature separately from the other patients. The needs of elderly and/or
handicapped patients should be taken into consideration. Thus, existence of
sanitarian unit of proper construction for them is important, special
29 https://rm.coe.int/16806cd43e p.7.
53
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