more developed range of alternative measures to detention. Further, an account is given of the measures taken in order to improve the level of hygiene at Palermo-Ucciardone Prison as well as to reduce the in-cell occupancy rate at Bari Prison. to the impossibility of creating alternative mental health structures at the regional level) which have resulted in the postponement of the closure of the OPGs and the delay of the planned transfer of forensic psychiatric patients to new facilities at the regional level. As had been the case in previous visits to Italy, the CPT paid particular attention to the situation of prisoners subjected to the special detention regime under section “41-bis” of the Penitentiary Act. The Committee analysed the additional restrictions imposed on these prisoners since 2009, notably the additional curtailment of visit entitlements. It concluded that rather than combatting more efectively the phenomenon of organised crime, there were reasons to believe that such restrictions could be considered as a tool to increase pressure on the prisoners concerned in order to induce them to co-operate with the justice system. Report and response published in November 2013, CPT/Inf (2013) 32 and CPT/Inf (2013) 33 In their response, the Italian authorities state that consideration might be given to amending part of the above-mentioned restrictions, particularly in relation to the contacts with the outside world for prisoners subject to the “41-bis” regime. 66. The report notes that the situation in the Judicial Psychiatric Hospitals (OPGs) had not improved since the CPT’s visit in 2008. In particular, low healthcare stafng levels were observed at Barcellona Pozzo di Gotto OPG, where the number of psychiatrists and nurses was clearly insufcient for the needs of the psychiatric hospital. Other defciencies included the lack of individualised treatment programmes for patients and of a thorough inquiry into the death of every psychiatric patient at that OPG. The Italian authorities refer in their response to the obstacles and organisational constraints (related in particular General Report of the CPT, 2013-2014 ► Page 34 Report on the ad hoc visit to Latvia in September 2013 and response of the Latvian authorities (conditions of detention in police establishments and the situation in prisons, with a particular focus on the regime for life-sentenced prisoners and the provision of health care) 67. The CPT’s delegation carried out follow-up visits to the police detention facilities in Dobele, Jēkabpils, Jelgava and Saldus; these establishments displayed major defciencies in terms of material conditions at the time of the Committee’s 2011 periodic visit. The delegation noted that, with the exception of Jēkabpils Police Detention Facility where the situation had clearly improved, the general conditions of detention in the above-mentioned establishments had not improved (e.g. dilapidated and dirty cells, limited or no access to natural light, dim artifcial lighting, inadequate ventilation, etc.). In contrast, the delegation observed excellent material conditions in the new police detention facility in Daugavpils; as stated in the report, this establishment could well serve as a model for other police detention facilities in Latvia. The report also highlights that many persons remanded in custody by a court are held in police establishments for extended periods of time (up to