In October and November 2020, COVID-19 infections occurred the Centre and (by the end of January 2021) 47 patients got infected430 and one died. Three patients, due to deterioration of their health condition, were hospitalised in the infectious wards in hospitals in Płock, Kutno and Pułtusk. As regards medical staff, as of 4 November 2020 there were 13 staff members in isolation and 24 in quarantine431. The situation was carefully monitored by the CHR432. In their letters sent to the CHR Office, the Gostynin Centre patients frequently mentioned problems with contacts with the Centre director and the staff members, their inaccessibility and unwillingness to meet and speak directly about the situation. The patients emphasised that they felt treated like objects and had to fight for their dignity. They did not see any willingness on the side of the therapeutic team and, above all, the Centre director to speak with them and understand their difficulties and problems in daily life of the Centre. They did not have any possibilities to complain verbally; and complaints could be filed only in writing. The Centre staff, on the other hand, were of the opinion that the patients did not identify themselves with the aims of their stay in the Centre and did not show any willingness to work on themselves. Additionally, they had a hostile and demanding attitude towards the world, including the Centre's personnel. It could be concluded that there was an atmosphere of conflict and lack of mutual understanding at the Centre, which was emphasised both by the patients and the Centre's personnel433. The tense atmosphere led to another hunger protest by the patients, which began on 1 February 2021. The patients’ demands related to systemic aspects, including systemic solutions for post-penal isolation in Poland, as well as aspects related to the living conditions and daily functioning in the Centre. The situation was monitored during an on-site visit by the Patient Ombudsman for Psychiatric Hospital Patients434. At the beginning of 2021, the Centre director refused, for the first time, to admit a patient who was to be placed in the Centre based on the provisions on civil security, and explained that admission of new patients was no longer possible due to overcrowding of the Centre. 430 https://www.hfhr.pl/zapobieganie-epidemii-covid-19-w-krajowym-osrodku-zapobiegania-zachowaniomdyssocjalnym/ 431 Letter of the Minister of Health of 7.11.2020 (ref.no.: ZPP.6142.3.2020.TM). 432 General intervention letter of the CHR of 3.11.2020 to the Prime Minister regarding coronavirus in the Gostynin Centre. General intervention letter of the Deputy CHR of 29.10.2020 to the Deputy Chief Sanitary Inspector. General intervention letters of the Deputy CHR of 27.10.2020 and29.10.2020 to Waldemar Kraska, Undersecretary of State at the Ministry of Health. General intervention letter of the Deputy CHR of 29.10.2020 to Michal Warchoł, Secretary of State at the Ministry of Justice (ref. no. of the cases: IX.517.1702.2017). General intervention letter of the Deputy CHR of 1.12.2020 to Maciej Mi��kowski, Undersecretary of State at the Ministry of Health (IX.517.2468.2018). 433 General intervention letter of the Deputy CHR of 2.02.2021 to Maciej Miłkowski, Undersecretary of State at the Ministry of Health (IX.517. 1702.2017). 434 154

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