CAT/OP/ROU/1/Add.1
the obligation of respecting the rights of all persons with disabilities. One of the
strategic keys within this document is promoting alternative social services which
aim over other things, also at transforming a mainly institutionalized system into
a modern society through services such as half way houses, so that the persons
with disabilities especially those without a family or a family representative, may
benefit from a series of measures to facilitate their social integration (actions to
be developed: activities for an independent life, for developing a personal
autonomy, for developing a social autonomy, social integration, socialization,
normalizing adaptability).
2. Patients admitted by court decision
Para. 125 – Material conditions in the security psychiatric hospital Pădureni-Grajduri
In order to improve the living conditions of the patients in the security psychiatric
hospital Grajduri, Iasi County, the management has started the procedures to
rehabilitate and modernize the accommodations in order to reduce overcrowding
by transforming an administrative unit into a psychiatric ward for patients.
Furthermore, they have arranged special rooms where patients can be involved in
occupational therapy (i.e. tailoring, art-therapy, gym and seasonal gardening). The
occupational therapy program is financially supported by the Ministry of Health
through the National Mental Health and Psychosocial Rehabilitation Program.
Regarding the increase of human resources for mental health care, we indicate
that the distribution of the workload for mental health personnel (doctors, nurses,
occupational therapists, psychologists, social workers) is done in accordance with
ministry of health order no. 1224/2010 on approving the medical staff scheme and,
in our opinion, it needs to be revised in the sense of setting up the possibility for
the hospitals to hire occupational therapists, as currently occupational therapists
can only be employed by community mental health centers and not by psychiatric
hospitals. The National Mental Health and Antidrug Centre has initiated
consultations with all national psychiatric and forensic hospitals in order to submit
a comprehensive updated proposal to the Ministry of Health and change the
aforementioned order.
Upon the request of the Ministry of Health regarding the excessive use of
medication, the management of the forensic psychiatric hospital Grajduri has
reassured the proper use of medication following the diagnostic and treatment
guidelines only in order to achieve clinical remission of psychiatric symptoms and
not for other intents and purposes. Moreover, the management board of the
hospital notifies on the lack of family support of some of the patients that have
been admitted under compulsory placement and mentions the lack of community
based intermediate centers or half-way houses for providing support pending
discharge from the psychiatric hospital. Lack of any housing opportunities
sometimes influences the judicial courts opinion in keeping the compulsory
placement into psychiatric forensic hospitals, on the basis of article 110 of the
Criminal Code, thus providing the necessary accommodation and the inherent
overcrowding. The management board of Padureni-Grajduri psychiatric forensic
hospital states that the proposal for changing the statute from art. 110 to art. 109
in the Criminal Code is made by a commission appointed by the Medical Legal
Institute in Iasi and is composed of two forensic doctors and two psychiatrists, the
latter being members of the Padureni-Grajduri psychiatric forensic hospital. This
commission assesses both the medical andforensic issues as well as the social
circumstances of each patient. The medical andforensic commission's expertise is
then submitted as a report to the court, the only judicial body competent and
responsible for deciding on keeping the art. 110 measure or changing into art. 109
Criminal Code.
Regarding the recommendation from the paragraph 127, see the answer provided above at para. 122.
Para. 129 – Amending the legislation in the sense of creating an independent mechanism of representing
the persons with mental disabilities
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