the drawing up of a treatment plan for each patient. It should involve a wide range of rehabilitative and therapeutic activities, including access to occupational therapy, group therapy, individual psychotherapy, art, drama, music and sports. Patients should have regular access to suitably-equipped recreation rooms and have the possibility to take outdoor exercise on a daily basis; [...] § 40 Regular reviews of a patient's state of health and of any medication prescribed is another basic requirement. This will inter alia enable informed decisions to be taken as regards a possible dehospitalisation or transfer to a less restrictive environment. [...]   There were no experts (psychiatrists, psychologists) on the NPM team visiting psychiatric hospitals, and hence the team was not able to assess treatments offered to the patients. Representatives of the National Preventive Mechanism reviewed though access to therapy workshops in each visited establishment. In one hospital the room for therapy workshops was flooded and it was difficult to assess these activities, due to their temporary cessation. Patients could read books from modest libraries and had access to the tv room (the Institute of Psychology and Neurology in Warsaw). After the visit, the Deputy Director of the Institute informed that the room had been already repaired and that therapeutical workshops were held there. In another hospital, patients said there were no therapeutical workshops at all and they could only watch television, while „social life takes place in the smoking room”). They also complained about limited possibilities to walk outside. According to the medical personnel, those restrictions were linked to the state of the patients, to the aggravation of their state in some cases, and to security reasons (Klinika Psychiatrii Samodzielnego Publicznego Szpitala Klinicznego Nr 1 at Szczecin). The lack of an efficient system of social therapy and rehabilitations leads to the conclusion that only pharmacological treatment is delivered to those patients. c) Treatment of patient and direct restraint 8th General Report on the CPT's activities [CPT/Inf (98) 12] § 44 [...] the CPT also pays close attention to the attitude of doctors and nursing staff. In particular, the Committee will look for evidence of a genuine interest in establishing a therapeutic relationship with patients. It will also verify that patients who might be considered as burdensome or lacking rehabilitative potential are not being neglected. § 47 In any psychiatric establishment, the restraint of agitated and/or violent patients may on occasion be necessary. This is an area of particular concern to the CPT, given the potential for abuse and ill-treatment. § 48 [...] The CPT has on occasion encountered psychiatric patients to whom instruments of physical restraint have been applied for a period of days; the Committee must emphasise that such a state of affairs cannot have any therapeutic justification and amounts, in its view, to ill-treatment. § 49 [...]Seclusion should never be used as a punishment. § 50 Every instance of the physical restraint of a patient (manual control, use of instruments of physical restraint, seclusion) should be recorded in a specific register established for this purpose (as well as in the patient's file). The entry should include the times at which the measure began and ended, the circumstances of the case, the reasons for resorting to the measure, the name of the doctor who ordered or approved it, and an account of any injuries