lavatories of a design which do allow the user to sit should be in the institutions for these groups of patients.30 At the end of the visit the administration of the hospital was given recommendations on further improvement of detention conditions, observing the diversity in menu for nutrition of patients. The Commissioner urged to the Minister of Health with regard the elimination of the abovementioned shortcomings. On the day of visit carried out in Sheki Inter-Regional Psychiatric Hospital there were 88 patients under treatment (56 of them were men and 32 - women). The overcrowding was observed in the institution; the number of rooms were insufficient, there were not a particular heating system in wards, the heaters were installed only in corridors, it was also observed that the institution was without repair and unfit for carrying out the treatment. From this standpoint, there is a need in speeding up the construction of new building of Sheki Inter-Regional Psychiatric Hospital. It was also observed that necessary conditions were created for realization of the patients’ rights to complain or to apply and for this aim special boxes for applications and complaints were installed there. The administration of the institution informed that the use of force or other means of restraint were minimal, if required short-term fixation was applied and registration was made in relevant journals, placing into seclusion room or other disciplinary measures were not applied. The situation with provision of patients in the institution with personal hygienic means and clothes in compliance with season can be assessed as satisfactory. There are 4 shower places in working condition in the bathroom. The hygienic situation in the bathroom is satisfactory as well. The regularity of bathing of persons is once or twice a week. The voluntarily employment of patients is provided in farm works in the institution. The condition in the canteen is sufficient and the hygiene condition in the kitchen is satisfactory. The condition of meeting rooms in the institution is good; there are no limits in regularity of meetings. According to the demands of the CPT regarding the detention of patients in the psychiatric establishments each patient should be provided with sufficient living space, there should not be overcrowding. In psychiatric institutions of some countries the experience of placing patients in manyplaced wards is being refused and this should be assessed as a positive 30 https://rm.coe.int/16806cd43e p.3. 54

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