1.6 Visit to the Idrija psychiatric hospital Community treatment of patients, which is based on an interdisciplinary team and field work and covers the Primorska region has been performed since 2008. The team includes a psychiatrist, registered nurse, psychologist, social worker and occupational therapist along with the patient and their relatives. The team is partly located in Idrija (covers the northern and central part of Primorska region), and partly in Izola (covers the southern Primorska region or the Coastal-Karst region). The community treatment is a form of treatment and management of psychiatric patients who experience frequent relapses, who are frequently hospitalized, even against their will, who are less willing to participate in the treatment by omission of medication and follow-up visits, who have a dual diagnosis of addiction or repeated abuse of psychoactive substances. This form of treatment enables a more successful management of chronic mental disorders, difficult and serious health problems, which can lead to severe disability, suicidal behaviour, financial, social and health burden of the patients’ families and occasionally to actions, that may pose a danger to others. As the results of the community psychiatric treatment are positive, such treatment will be continued in the future. The number of patients is increasing and is greater than planed, which the hospital believes to be the result of a crisis. On the other hand, the operational resources are decreasing. Compared to other health care institutions of the entire health care system, the resources were most reduced in the field of psychiatry. This is particularly evident, because it is vital for the staff in psychiatric treatment to have professional training. This is not a question of expensive equipment, but the staff, since labour costs represent more than 70% of all hospital costs. Whereas, it is vital for the hospital to have some sort of standard on human resources. However, it was established that the reduction of costs is most notably reflected in financing of the staff. This also causes increased workload on the staff. The treatment of patients is more difficult, with somatic complications. Furthermore, the employment was put on hold, and the State would even like to reduce the number of employees. The consequences of the resources reduction is reflected in the number of the staff. It can be perceived that the staff is overburdened due to the reduction. The treatment of patients proves to be increasingly demanding, particularly in departments for elderly people, who suffer from associated diseases. Consequently, a lack of staff was already perceivable in the gerotopsychiatric department under special surveillance, when a patient with a life-threatening condition was referred to receive treatment in another hospital. In the response report, the hospital stated that the Department of gerontopsychiatry provides for a constant presence of nursing and other professionally trained staff (occupational therapist, social worker), in accordance with the existing systematisation of posts in the hospital and internal rules on allocation of human resources to hospital departments, in order to achieve optimal supply of necessary human resources to hospital departments to ensure continuous health care. For several years, the hospital has been striving to organise standards on human resources in the field of psychiatry and to recognize a higher standard on human resources than at present, particularly for the intensive care and the treatment of elderly people. Such efforts by the hospital are absolutely supported. The hospital holds 22 systematised posts for psychiatrists. It occupies 15 psychiatry specialists, 7 psychiatry residents and 1 internist. Compared to 2010 they managed to recruit another two specialists, which is a progress in the treatment of patients and reduces of the burden of the entire team. Two more posts are planned to be filled in the future and hopefully this will not be prevented by the reduction of employment. Therefore, the problems mostly arise, when one of the doctors is absent. The hospital attempts so solve this problem by internal re-allocations, which is not an appropriate solution for the long term. Furthermore, they employ six specialists in clinical psychology, one clinical psychology resident and one registered psychologist. They also employ seven social workers, one adult education teacher and 15 registered occupational therapists. The hospital assured that these employees are among the best in Slovenia and above all provide for additional quality of the treatment of patients. IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2013 NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT 119