CAT/OP/ESP/1 that the State party advocate the adoption and implementation of the protocol on persons held in incommunicado detention referred to in paragraph 64 above. D. Psychiatric patients 68. The Subcommittee visited a centre for patients with psychiatric disorders in Valencia. It observed that hygiene, treatment, medication and security conditions were appropriate. Although it was concerned to find a room specifically designed for situations where the use of restraints is necessary, the facilities met current standards with regard to mechanical restraints. The Subcommittee found a lack of familiarity with the Istanbul Protocol among the staff at this centre as well. 69. The Subcommittee was informed that some persons deprived of their liberty who had psychiatric disorders or disabilities were being held in the general medical confinement units of detention centres and in units set up for this purpose owing to insufficient capacity in psychiatric hospitals. 70. The Subcommittee recommends that psychiatrists who treat persons deprived of their liberty be familiarized with the Istanbul Protocol and trained in its application. 71. The Subcommittee also recommends, in keeping with rule 109 of the Nelson Mandela Rules, that places of confinement be established for patients with psychiatric disorders and that all inmates with such disorders who are being held in prisons, whether they were found to be not criminally responsible at the time of entry or whether they developed a psychiatric disorder at a later stage, be transferred to those facilities as quickly as possible. VI. Groups deprived of their liberty who are considered to be especially vulnerable A. Situation of women 72. To ascertain the situation of women deprived of their liberty, the Subcommittee visited the Leganitos Central District police station, the Soto del Real prison, the Melilla juvenile facility, the Melilla prison, the Puerto III prison, the Alhaurín de la Torre prison, the Picassent prison and the Bilbao (Basauri) detention facility. 73. The Subcommittee visited holding cells in courts in Madrid and in police stations and observed that male and female detainees were held separately. (a) Prisons 74. While visiting the various prisons, the Subcommittee received numerous and consistent reports regarding the limited recreational, physical and educational activities available and the lack of vocational training workshops for women deprived of their liberty. Female prisoners also reported that most of the paid work in prisons was done by men and that women had fewer opportunities to undertake such work. This situation constitutes discriminatory treatment against women deprived of their liberty, since male detainees have greater access to such activities and to paid work at the various prisons that the Subcommittee visited. 75. The Subcommittee recommends that the State party take the necessary measures to ensure that women deprived of their liberty have access to work and to educational, exercise, sports and recreational activities on an equal footing with men, in accordance with rule 42 of the United Nations Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders (the Bangkok Rules) and rules 104 and 105 of the Nelson Mandela Rules. Taking into account its statement on the prevention of torture and ill-treatment of women deprived of their liberty, the 12 GE.19-17184