2.6. Establishments of the MH There are 18 places, in the jurisdiction of the MH, which detainees are not permitted to leave at will32 and 8 visits were conducted to these places in 2012. Necessary conditions were provided to realize the visits as required by law. Relevant actions have been taken to eliminate the deficiencies and shortcomings revealed during the visits. It should be firstly mentioned that the MH took several purposeful actions during the year 2012 to eliminate the deficiencies mentioned in the previous report. As such, the treatment of patients by medical personnel, behavior of the latter, and prevention of violence among patients have been taken under strict control of the relevant bodies and management of psychiatric hospitals. The MH has also developed new guidelines on the application of restraints to patients in psychiatric hospitals and their isolation. Also, in 2012 more than 20 units of the mental hospitals were renovated and new buildings were built and provided for the use of 4 units. The units have been supplied with modern medical devices, beds, beddings, garments for patients, soft furniture, and TV sets. As well as, the quality of the daily nutrition of patients has been improved. The relevant structures of the MH have taken the application of new measures for the improvement of detention conditions in psychiatric hospitals and nutrition of patients, and immediate elimination of restraints and other unpleasant cases under regular control. During the reporting period the MH also took awareness raising actions; family members of every patient were provided with booklets about the internal rules of hospitals and patients’ rights, and a group of doctors and middle medical personnel was sent to Lithuania for practice. During the visit conducted to Gazakh District Psychiatric Hospital it was revealed that the sanitary facilities in the establishment were unfit for use, the canteen and kitchen were in insanitary conditions, patients were given meals which did not contain enough calorie as found out when reviewing the daily menu, also, very little meat was given, as well as the rooms where male patients were kept on the second floor of the hospital did not meet the minimum standards, though there were 2 renovated rooms, patients were not transferred to those rooms, and in the office of nurses and hospital attendants there were items not related to their service. At the conversation held with the Head Doctor of the hospital at the end of the visit the above mentioned cases were reported and relevant proposals were made to eliminate the deficiencies within the shortest time period. During the follow-up visit to the hospital at the end of the year it was observed that most of the mentioned deficiencies had been eliminated and corresponding actions were being taken to renovate wards for male patients. 32 See: Appendix 1 31