120 Reorganization of the medical complex into a branch of TSPE “Oblast narcological rehabilitation center” under the Health department of the Akim of Akmola province led the healthcare institution which dates back to 1982 to the verge of closure, despite it being a townforming government medical institution that provides stable employment to 105 people. The reorganization was caused by the outflow of a significant portion of healthcare personnel which led to increased psychological and physical pressure on the remaining healthcare professionals, abolishment of payment for night shifts and reduction of salaries. Since this institution is located in a “dead end” quite far from the oblast narcological center (more than 400 kms), its transfer to the Selety settlement, an administrative unit of the Eremeytaussky district, led to its degradation whereas its deprivation of its legal and financial autonomy dooms it to a slow extinction. There are difficulties related to any decision CONSOLIDATED REPORT including economic issues and the treatment process. NPM participants note that it would be more reasonable to give back its autonomy to this institution. Psychiatric hospitals During visits to various psychiatric and neuropsychiatric institutions, the NPM members identified various problems that need to be resolved. It should be noted that the number of violations of patients’ rights in Almaty region is very much bewildering, despite the existence of the Republican Scientific and Practical Center for Mental Health there (Almaty), whose management positions itself as the followers of the leading scientific community in the treatment of mental illness. In particular, the following violations were detected in the Republican Scientific and Practical Center for Mental Health in Almaty: lack of legally guaranteed rights for telephone calls, absence of walks in the winter as a violation of human rights

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