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.
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