¾ The condition of some visited establishments indicated high wear of buildings, both
outside and inside. Therefore, the National Preventive Mechanism each time
ordered to perform general overhauls which would improve the living conditions.
¾ The NPM's visiting persons also recommended to equip the visited rooms with
facilities for persons with disabilities.
¾ Provision of medical services to intoxicated persons should take place in a room
adapted to that purpose and should be appropriately documented. In order that the
examination could be done with respect for privacy of the patient, it should be
performed in the separated room, without the presence of persons other than the
required medical staff. Due to the specific nature of the establishment, it is
important to equip the first aid kit with medicines with appropriate shelf-life and
reanimation equipment (a defibrillator).
¾ Awareness of rights constitutes a fundamental guarantee against bad treatment. In
connection with the above, NPM recommends preparing and making available in a
visible place the rules of procedure for persons staying in sobering stations.
¾ The use of direct coercive measures should take place in accordance with the legal
regulations in this regards, in a way not humiliating intoxicated persons. All cases
of application of direct coercive measures should be thoroughly documented. The
National Preventive Mechanism recommends thorough check of health of the
patient (not less frequently than every 15 minutes), with respect to whom direct
coercion in the form of immobilization was applied.
¾ Due to the cases of bad treatment of patients by the staff, observed during the visit,
the National Preventive Mechanism recommends systematic trainings in dealing
with intoxicated persons and applying direct coercive measures.
¾ The National Preventive Mechanism also encourages directors of sobering stations
to establish cooperation with psychologists or therapists having full knowledge in
the field of treatment of addictions. The work of such persons should be directed
solely towards preventive and incentive-based interviews with patients.
8.7.
Social care centres
¾ Since the use of direct coercive measures may lead to abuse and bad treatment, the
National Preventive Mechanism thinks that all employees of the care centres should
participate in systematic and comprehensive trainings regarding the use of direct
coercion and the procedures of conduct and the necessity of using such measures.
¾ In order to guarantee the adequate protection of the patients against bad treatment,
NPM recommends to record all oral and written complaints and motions in a
separate registry.
¾ It is also necessary to take required measures to eliminate the possibility of
violation of the right to privacy and dignity of the patients in the process of hygienic
procedures and relieving themselves.
¾ It is also important to verify the accuracy of booking thedeposit accounts of the
residents as well as to observe the rules of administering financial resources of the
residents by the guardians.
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