Long-term deprivation of liberty Treatment with dignity §328 AR 2014 Sufficient and adequately trained staff §331 and 344 AR 2014 warmly and kindly, and this was corroborated by the interviewed residents. 160. It is necessary to have sufficient staff and, particularly, that it be adequately trained. At the Unit for Acute Illnesses of Virgen de la Montaña Hospital we noticed that it was understaffed- particularly in the afternoonsand that the hospital attendants were not specifically informed about psychiatric patients. However, the nursing staff was in fact specialised in psychiatry. At Balcó de la Safor, the hospital psychologists arrange a quarterly workshop for the staff, entitled “user safety”; this constitutes an example of good practice to fight the “burnout” syndrome, by providing information on adequate tools to handle difficult situations with the residents, applying confrontation strategies to reduce stress and improve relations. We ascertained that there is a good working climate at this hospital, and that its professionals form a solid team that declared to feel at ease and well-treated. Range of activities §333 AR 2014 161. The range of activities available at the visited facilities should be updated and extended, in order to conform to the expectations and interests of the greatest number of residents possible. In fact, several residents we interviewed mentioned that the workshops were boring and monotonous. There are no programmed activities at the unit for acute illnesses of Virgen de la Montaña Hospital. 162. Rehabilitation and community reintegration is essential for the type of patient committed to these facilities. The therapeutic association of Puerto Rehabilitation and reintegration Real Hospital (Cádiz) constitutes an example of good practice that should be copied by the health services of other regions, given that its §332 and 336 AR 2014 comprehensiveness allows an adequate rehabilitation and reintegration of patients with serious mental disorders. Contact with relatives and the outside world should also be encouraged, by granting leave and regular releases, and reasonable flexibility in visiting hours, as we noticed at all facilities, except for the unit for acute illnesses of Virgen de la Montaña Hospital, where visiting hours (two hours in the afternoon) are strictly applied and patients cannot have a mobile telephone or make calls, but may only receive calls within a limited period of time. All of this hinders contact with persons on the outside. Internet access Furthermore, at Virgen de la Montaña Hospital (Cáceres) and Balcó de la Safor (Valencia) patients do not have Internet access. This should be remedied, as the use of digital supports and new technologies- under 103

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