Medical care offered to inmates did not raise any doubts. Also, inmates
themselves assessed it positively. The way it is organised varies depending on
establishment. In the majoraty of cases it is a nurse or a doctor, working in an
establishment infirmary who is responsible for medical care e.g. a nurse 1-5 times a
week, a doctor 1-2 times a week (YCC No 2 in Łódź, YCC No 3 in Łódź, YCC in
Bielice.) If needed, inmates may consult a doctor in regional institutions of general
practce, within NFZ (National Health Fund). Psychotropic drugs are prepared by a
nurse and taken in the presence of tutors. In emergency, an ambulance is called.
If there is no medical staff in the establishments, in case of health problems,
inmates are transported to the nearest health care institution. Drugs prescribed by a
doctor are portioned by tutors and given to juveniles according to prescription (YCC in
Kielce).
However, in the opinion of the National Preventive Mechanism
representatives, it is indispensable to employ a nurse on regular basis, taking into
account self-harm and psychotropic drug therapy.
g) Educational and therapeutic interventions
Recommendation of the Committee of Ministers CM/Rec(2008)11 on the European
Rules for juvenile offenders subject to sanctions or measures.
Principle 50.1 Juveniles deprived of their liberty shall be guaranteed a variety of
meaningful activities and interventions according to an individual overall plan that aims at
progression through less restrictive regimes and preparation for release and reintegration
into society. These activities and interventions shall foster their physical and mental health,
self-respect and sense of responsibility and develop attitudes and skills that will prevent
them from re-offending.
Principle 77 Regime activities shall aim at education, personal and social development,
vocational training, rehabilitation and preparation for release. These may include: .
a. schooling;
b. vocational training;
c. work and occupational therapy;
d. citizenship training;
e. social skills and competence training;
f. aggression management;
g. addiction therapy;
h. individual and group therapy;
i. physical education and sport;
j. tertiary or further education;
k. debt regulation;
l. programmes of restorative justice and making reparation for the offence;
m. creative leisure time activities and hobbies;
n. activities outside the institution in the community, day leave and other forms of
leave; and
o. preparation for release and aftercare.
UN Standard Minimum Rules for the Administration of Juvenile.
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