Publication highlights 75. During a follow-up visit to the Special Prison Hospital in Belgrade, the CPT’s delegation found that the combination of severe overcrowding, dilapidated facilities, lack of staff and limited therapeutic options was leading to conditions that could be considered as inhuman and degrading. The Serbian authorities emphasise in their response that refurbishment of the hospital has been set as a priority and provide details on the work to be carried out during the period 2012 to 2014. 76. At Gornjia Toponica Special Psychiatric Hospital, the delegation observed that there was a considerable risk of inter-patient violence, a situation linked to low staff presence on the wards. As for psychiatric treatment, it was based essentially on pharmacotherapy; the range of psycho-social rehabilitative ­activ­ities was very limited, mainly as a result of understaffing. It was also found that certain patients had not had access to outdoor exercise for more than seven months; however, the report notes the prompt action taken by the Hospital’s Director to remedy this state of affairs. The CPT has recommended that efforts be made to expand the range of therapeutic options, to involve more patients in psycho-social rehabilitative activities and to draw up an individual treatment plan for each patient; this will require increasing the number and attendance hours of the relevant categories of staff. In their response, the Serbian authorities refer to new regulations aimed at enhancing the programme of occupational and social rehabilitation and which will involve the introduction of individual treatment plans. Report and response published in June 2012, CPT/Inf (2012) 17 and CPT/Inf (2012) 18 Preliminary observations made by the CPT’s delegation at the end of the ad hoc visit to Ukraine in November/December 2011 (treatment of persons in police custody, conditions of detention in police and pre-trial establishments, health care provided to certain persons held at the Kyiv SIZO) 77. The CPT’s delegation received numerous allegations from detained persons, including women and juveniles, that they had been subjected to physical ill-treatment at the time of arrest or during subsequent questioning by police officers. In a number of cases, the alleged ill-treatment was of such a severity that it could be considered to amount to torture (e.g. infliction of electric shocks; asphyxiation with a plastic bag or gas mask; suspension in a hyper-extended position; death threats with a gun put to the head). In some cases, the allegations made were supported by medical evidence. The information gathered during the visit suggests that the phenomenon of police ill-treatment remains widespread and that persons run a significant risk of being subjected to ill-treatment while in the hands of the police, in particular, when they do not rapidly confess to the criminal offence(s) of which they are suspected. 31