Report on the Performance of Activities of the National Preventive Mechanism for 2016 rights of persons with mental disorders, but also in frequent injuries at work, resulting in long sick-leave periods of nurses and medical technicians. Even though in its Report for 2007, CPT recommended that the Republic of Croatia should keep special separate records on the use of means of coercion, the manner in which this is performed is still very much inconsistent; instead, data are usually collected in separate medical records, which does not allow for their use to be monitored systematically. Persons with mental disorders should be provided with the same treatment conditions as other patients. While most psychiatric institutions have aligned their guidelines and forms regarding application of healthcare quality standards, with the recent amendments to regulations from the area of protection of persons with mental disorders, Pula General Hospital and Clinical Hospital Centre Rijeka have not yet done so; instead, they act pursuant to the provisions based on the former Act on Protection of Persons with Mental Disorders and other regulations on the right of patients, which may also cause violation of their rights. When in a stable phase, patients with mental disorders are often deprived of optimal treatment of their physical diseases in the so-called “somatic” departments and instead of being held there, they are being directed to the Department for Psychiatry in order to receive consultant treatment. Situation is the same in case of patients who undergo a surgical procedure, which is unacceptable, and patients with mental disorders should be provided with the same treatment conditions as other patients. Accommodation conditions in psychiatric departments are at an unacceptable level of quality and are contrary to the prescribed standards and CPT recommendations; in addition, they often represent a threat to the patient’s right to privacy, limit their freedom of movement, hinder treatment and rehabilitation and in certain cases, they may be the cause of degrading treatment. Therefore, all institutions that we visited should immediately start adjusting the existing premises and constructing new ones. The quality of accommodation conditions of premises for hospital treatment of children and youth, are particularly worrying. Hospital ward of the Psychiatric Hospital for Children and Youth is the only closed psychiatric ward for children and due to extremely cramped spatial dimensions, the department disposes of no open areas. Some patients are sent to hospital without being in need of closed-ward treatment, which means that their freedom of movement is restricted with no medically valid reason. Due to utterly inappropriate spatial conditions in the Psychiatric Hospital for Children and Youth, Department for Child and Adolescent Psychiatry of the Clinical Hospital Centre Osijek and that of the Clinical Hospital Centre Rijeka, treatment of children and performance by the staff is seriously Due to utterly inappropriate spatial conditions in the Psychiatric Hospital for Children and Youth, Department for Child and Adolescent Psychiatry of the Clinical Hospital Centre Osijek and that of the Clinical Hospital Centre Rijeka, treatment of children and performance by the staff is seriously impeded; and, therefore, it is necessary to ensure additional spatial capacities and equipment. 34

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