CAT/C/CZE/CO/6 the Convention to provide full redress and the means for full rehabilitation to victims of torture. Treatment of persons in psychiatric institutions 32. While noting the reform of psychiatric care under way, and the recently issued methodological guidelines on the use of restraints, the Committee remains concerned at the continued use of net beds in psychiatric institutions. The Committee is concerned at reports that recommendations made by the Public Defender of Rights have not been fully implemented. It is also concerned at reports that the scope of the information contained in the central registry recording the use of restraints is limited for the purpose of monitoring (arts. 11 and 16). 33. The State party should: (a) Strengthen its efforts to implement the ongoing reform of psychiatric care, including by increasing the use of less restrictive alternatives to the forcible confinement of persons with mental and psychosocial disabilities; (b) Ensure that national legislation provides guarantees for effective legal safeguards for all persons with mental and psychosocial disabilities concerning involuntary psychiatric and medical treatment in psychiatric institutions, including with regard to chemical and physical restraints; (c) Prohibit, in practice, the use of cage beds in all psychiatric institutions and social institutions in which children with mental disabilities are held; amend the Health-Care Services Act (No. 372/2011) to include the prohibition of net beds in all psychiatric facilities; and ensure that the central registry recording the use of restraints includes sufficiently comprehensive information for the purpose of monitoring; (d) Take the necessary measures to enable the Public Defender of Rights, in its capacity as the national preventive mechanism, to continue its regular and unannounced visits to psychiatric institutions without any restriction, and to ensure that recommendations made by the Public Defender of Rights are effectively implemented; (e) Investigate all complaints of ill-treatment of persons with mental and psychosocial disabilities in psychiatric institutions, bring those responsible to justice and provide redress to victims. Surgical castration of sex offenders 34. While noting that surgical castration may only be carried out on a voluntary basis and that procedural safeguards have been introduced into the legal framework, the Committee regrets that the State party has not completely abolished the practice of surgical castration (arts. 2 and 16). 35. The Committee recommends that the State party take the necessary measures to review the policy of using surgical castration in the context of treatment of sex offenders, with a view to bringing it into line with international standards. Public Defender of Rights 36. While noting the State party’s report indicating that the process of amending the Act on the Public Defender of Rights of 2015 is under way (see CAT/C/CZE/6, para. 39), the Committee is concerned that the State party has not established a consolidated national human rights institution in compliance with the principles relating to the status of national institutions for the promotion and protection of human rights (the Paris Principles) and that, despite the recent expansion of its capacity, the Public Defender of Rights still lacks the broad mandate needed to promote and protect all areas of human rights (art. 2). 37. The State party should expedite its efforts to amend the Act on the Public Defender of Rights, with a view to strengthening and bringing the human rights mandate of the Public Defender of Rights into full compliance with the Paris 7

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