SECTION 2. • use of unsuitable premises or even of metal cages for lengthy confinement of residents in an agitated state. During isolation such individuals have no opportunity to satisfy even their basic needs; 143 staff, especially doctors, is extremely low, which negatively affects the quality of specialized care wards and makes impossible proper psychiatric care services to chronic mental patients. For lack of personnel and their insufficient qualifications and for the reason of the low level of medical services the right to adequate medical care is violated: • in most inpatient units of the territorial centers of social services practically no medical assistance is provided, although most units are located within medical institutions. Another problem is availability of services of such health care professionals as ophthalmologists, prosthetists, surgeons, urologists and others. Examination of residents of Komarivka childcare institution revealed that resident K. had in inguinal hernia diagnosed by a surgeon back in 2011 but since then no medical assistance was ever provided; • delays with admission to psychiatric hospitals because such facilities “are not interested” (financially) in patients from neuropsychiatric homes; • lack of interaction between MSP neuropsychiatric residences in Kyiv and emergency unit of Kyiv Psychiatric Clinical Hospital No. 1. In case of a relapse mentioned emergency unit staff refuse to hospitalize the resident and do not even register such refusal. Hospitalization is possible only by agreement with representatives of the administration of the psychiatric clinic; • some health care personnel (dentist, gynecologist, psychiatrist, nurses) maintain medical records (the registers of medical examinations, manipulations, briefings, etc.) in Mukacheve neuropsychiatric residence • relocation of residents from sleeping rooms to the hallway of the medical building as punishment for use of alcohol; 2. Disrespectful treatment of residents by the staff (Rivne geriatric residence). 3. Violation of the right to a decent standard of living: • limited access to fresh air. Instead of breathing the fresh air in the courtyard of the institutions the residents stay on the upper floors of the dormitory building as they are unable to move on their own and have no personal wheelchairs; • no access to drinking water or its availability under a schedule. 4. Most residences are located in rural areas; as a result, availability of medical

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