with his/her consent, except in cases provided in Article 13, which addresses involuntary hospitalization. Under Article 40(2), a person admitted for treatment on a voluntary basis can leave by personal request, statement of his/her legal representative or by a decision of the treating physician. In practice, the vast majority of the patients of the psychiatric hospitals are placed there by the decision of their families. Another reason is homelessness and orphanage. The number of people subject to "supervision" in psychiatric institutions varies greatly from severe cases of "lost touch with the real world" to cases where individuals are placed in institutions who require preventive measures. In this case, there is a question of the expediency of placement in mental institutions of persons who are in need of prevention of mental disorders and who could receive the necessary services in regional hospitals and family medicine centers, which significantly would have contributed to the rational use of the state budget and reduce the physical and moral violence against persons in psychiatric institutions. However, in practice, patients are often treated in mental institutions for decades, which is inhuman treatment. Despite the article of the law on voluntary check-out of the patients, doctors argue that the patient is not entitled to check-out in the absence of relatives. If relatives refuse to take or are not taking the patient to their home, than he/she is forced to stay in a mental boarding school for a non-specific term, and sometimes for life. There is also indisputably a practice in which the initiators of such a long stay of treatment are relatives or close members attempting to seize property of a relative. Also, patients consent to treatment because of the threat from the institutions. When application is made to the court, the judges almost always take the side of institutions. Institutions receive funding for the number of beds, so they are interested in keeping as many patients as possible for the longest time. Independent monitoring of mortality is not provided, as pathologists who produce posthumous examination work for the same institution and have treated the person. In addition, patients who are on a "voluntary" hospitalization become "prisoners" of psychiatric institutions. Only those patients are free to move around the grounds of the facility who agree to perform work. For others, walks are limited in time not to exceed 2 hours and done in the courtyard, and in the winter - autumn season, walks are not provided, usually due to a lack of warm clothing, despite the fact that from the words of patients surveyed in an institution, a sufficient amount of humanitarian aid is received. National Centre of the Kyrgyz Republic on the Prevention of Torture | 63

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