PART F – Reporting 43 III. WHAT SHOULD A PSYCHOLOGICAL EVALUATION REPORT INCLUDE? A psychological evaluation report should include the following sections in detail: Case information (Annex IV, section I in the Istanbul Protocol) • Circumstances of the interview/evaluation (e.g. any inappropriate conditions of the interview room, any threat , oppression to the examiner, any intervention from third parties, any time restriction, any difficulties and/or barriers during the interview/evaluation). (See also Istanbul Protocol, §§ 123-126) • Exact date, time and duration of the interview/evaluation • Name and identity of the interviewee • Description of physical and visible characteristic (e.g. height, weight, eye and hair color, visible scars, age) • Location, nature, address of the institution where the interview/evaluation is being conducted • Context of the interview and content of the request such as: who informed, who requested the interview (name, position, affiliation of the requesting person/ authority/institution), by which documents, reason of this request. Condition and circumstances of the interview/evaluation • Name, position and affiliation of those accompanying the patient • The condition of (and/or limitation on) privacy at any time during the interview/ evaluation; name, position and affiliation of those present during the interview and/or during the psychological evaluation, if there is anybody • Circumstances of the patient at the time of the interview/evaluation (e.g. nature of any restrains on arrival or during the examination, demeanour of those accompanying the detainee or threatening statements or behaviour to the the patient) Informed consent (If no informed consent, the reason should be documented appropriately). Interviewer/Clinician • Name, affiliation, position and qualification of the clinician who conducts the interview/evaluation. Background information (Annex IV, section IV in the Istanbul Protocol) (See also Istanbul Protocol, § 136 and § 279) • General information (age, occupation, education, family composition, etc.) • Past medical history • Review of prior medical evaluations of torture and ill-treatment • Psychosocial history pre-arrest. History of torture and ill-treatment (Annex IV, section V in the Istanbul Protocol) (See also chapter IV, sections E, F and G and § 276 in the Istanbul Protocol) • Detailed record of the subject’s story as given during the interview, including al-