144 MONITORING OF CUSTODIAL SETTINGS IN UKRAINE: arbitrary form in contravention of the uniform requirements of the Ministry of Health Care of Ukraine. 5. The UN Declaration on the Rights of Disabled specifies the rights of persons with disabilities to “training and rehabilitation… which will enable them to develop their capabilities and skills to maximum and will hasten the processes of their social integration or reintegration”. However, the care homes under MSP do not ensure the right to receive comprehensive rehabilitation services for lack of rehabilitation professionals, of the conditions for physical culture/ sport and physical rehabilitation activities, and for insufficiency of individual rehabilitation programs for the disabled. In particular, • recommendations of medical commissions do not mention, apart from medical rehabilitation, any other kind or form of other rehabilitation measures/ activities (psychological, educational, physical, social or domestic); • there is an urgent need to provide the residents with technical and other means of rehabilitation; • lack of sport grounds for physical/ exercise rehabilitation; • residents of juvenile units are occasionally involved in cleaning works in the city or in the private sector; however, their individual rehabilitation programs contain no entries on indication of occupational therapy or such entries do not agree with the work really performed; • occupational therapy is not organized properly (work assignment loggers are maintained in a arbitrary form, with indication only of the number of people assigned to work but not their names; work assigned does not correspond to the work really performed by resident). 6. According to p. 10 of the List of social services and of the conditions and procedures for their provision by structural subdivisions of the territorial centers of social services (approved by Resolution of the Cabinet of Ministers of Ukraine “On certain matters of operation of the territorial centers of social services” of December 29, 2009, No. 1417) medical contraindications for provision of social services are infectious diseases, drug or alcohol dependence or mental illnesses that require special ambulatory registration. However, during monitoring visits the inpatient units of some territorial centers had residents with F- 20 diagnosis (schizophrenia) who required specialized medical care. This was in violation of the rules in the said regulation and negatively affected setting and psychological environment of the other residents. 7. Persons with disabilities who reside at institutions have opportunity to exercise their right to a family. Current regulations require significant changes to ensure the right to maternity and paternity to people with disabilities residing at special homes. 8. Access control and issuance of permissions to visitors restricts residents’ right to communication. In particular, the visit to Svyatoshynsky neuropsychiatric institution revealed that all visitors have to get special passes issued by the administration and explained by high incidence of