in health care facilities of the correctional system. To do this, the accused or convicted person must file an appropriate application to the head of the PDF, indicating the type of additional therapeutic care which he/she would like to receive, as well as surname, name and patronymic name of a medical professional. When addressing this issue, the opinion of medical professionals of the PDFs shall be considered. Payment for additional therapeutic care can be made by relatives of the accused or convicted person or other persons. The application is considered within three days and the arrival time is determined by a medical professional. The monitoring revealed that detainees of the PDF or health care facilities do not even know the procedure of receiving additional therapeutic care, despite a willingness to pay for services at their own expense. Quality of medical care provided is at a low level and the availability of medicine is minimal. During interviews, two teenagers, one of whom has a heart disease and needs an operation, another one having an eardrum injury, contributing to a total loss of hearing, reported the following about the quality of health care: “No one examines, they just give pills and that’s it, for every illness they have analgin and amoxicillin.” The right to health care in mental health care facilities The level of health care is also low in mental health facilities. During the examination of the patients’ charts of the Republican Psychiatric Hospital in Chym Korgon, it was revealed that patients are prescribed mainly 2-3 type of drugs such as phenytoin, barbiphen, hardol, regardless of diagnosis. Despite the complaints of side effects from the drugs, the doctor does not change the treatment. Often patients use drugs purchased by their relatives. Mainly, low skilled personnel are running hospitals, there is the problem of staff turnover, lack of personnel, and in psychiatric institutions a minimum number of psychologists work. In some institutions there is a complete lack of psychologists, there are no social workers, doctors do not cooperate with the district social workers, which creates additional conditions for an extended stay of patients in the institution. The lack of decent work entails emotional and professional burnout of staff which subsequently is the cause of ill-treatment of patients of mental health facilities. Respondent: “I have a spinal disc herniation. From the local drugs, they mainly have hardol, I feel forged and shaky, many times I asked the doctor to change the medication, but he does not take any measures.” Patients of the National Mental Health Centre stated that the hospital mainly receives people with alcoholic intoxication from Bishkek. Despite the state of intoxication, such patients National Centre of the Kyrgyz Republic on the Prevention of Torture | 47

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