ANNUAL SPECIAL REPORT 2018 51 5.b. Inspections During 2018, in chronological order, the NPM carried out the following inspections: • at the Psychiatric Department of the University General Hospital of Patras (1 February) • at the Psychiatric Clinic of the University General Hospital of Larissa (30 March), • at the Psychiatric Department of the General Hospital of Corfu (26 April), • at Post-Hospital Psychosocial Rehabilitation Facilities ("Ipsos", "Cleo" and "Erato" hostels, "N. Moros" and "Alkiona" hostels, 27 April) • and at the Psychiatric Clinics of Argos and Tripolis General Hospitals (14 November). 5.c. Special issues that emerged in 2018 i. Frequency and distribution of admissions for involuntary hospitalisation At the General Hospital of Tripolis, patients admitted involuntarily account for at least 90% of inmates. Similarly, at Patras University Hospital, the number of involuntary commitments that should be transferred to other structures but are referred to the National Centre of Healthcare Operations, without respecting the general principles of services of mental health at the place of residence and in appropriate units in the community, is very high and is constantly increasing. In the Patras University Hospital, cases of adolescents of 16-17 years old were noticed, despite the fact that the Psychiatric Department for Children at the Karamandaneion Children’s Hospital was on duty. The Ombudsman considers that the commitment of underage patients to a psychiatric clinic for adults is illegal and underlines the fact that there are certainly other safer measures for treatment. ii. Restrictive measures At the University General Hospital of Patras no one was found bed-ridden during the visit, while the average hospitalisation did not exceed 21-22 days. Nurses are trained in psychiatry and this positively affects the average hospitalisation and the avoidance of restrictive measures.