44
should be respected in residential institutions as well.119 Presumed or actual disability, including
psycho-social disability, may not provide lawful ground for treating or placing the person
concerned against his/her will in a psychiatric institution.120 It violates the prohibition of illtreatment, thus it may cause a fundamental rights-related impropriety, if a person with partially
limited capacity to act is placed in a residential institution against his/her will, based exclusively
on the statement of his/her guardian.
9.2.2. Persons with disabilities in the Closed Psychiatric Ward of the Merényi Gusztáv
Hospital
At the time of the visit, 37 patients were treated in the Closed Psychiatric Ward of the Merényi
Gusztáv Hospital that has the capacity of 51.
As far as the placements material conditions were concerned, the visiting delegation found
leaking roofs, rotting walls and furniture, peeling plaster and broken tiles. When it was raining
outside, rainwater was seeping through the dining hall’s ceiling upon the head of the patients who
had to negotiate buckets collecting rainwater. The windows in the small sickroom did not work
properly.
The toilet booths with a common anteroom, the mixed-gender bathroom, the doors that cannot
be closed, the lack of bathtub and shower curtains allowed the male and female patients to see
one another while using the toilet, taking a shower or taking/receiving a bath. The staff tried to
ensure that female patients under the age of 35, who could not bathe independently, were not
bathed by male nurses. In my report on the visit I pointed out that the sexual modesty of persons
deprived of their liberty is independent of their age and gender. Therefore, participation of nurses
of the opposite gender in bathing persons deprived of their liberty may be justified exclusively by
the patient’s physical state.
I also raised objection to the shortcomings of the rules on ordering and implementing restrictive
measures applicable in the closed ward. The visiting delegation registered the low number of the
nursing staff and the heavy workload resulting therefrom. Although the OPCAT plays a key role
in successfully preventing ill-treatment, the staff was not aware or had only superficial knowledge
thereof.
In order to prevent the ill-treatment of persons deprived of their liberty, treated in the closed
ward, I proposed to supplement and amend the rules regulating restrictive measures, and to brief
the staff on the OPCAT. I recommended the compulsory education of all members of the closed
ward’s staff on the rules regulating restrictive measures. The documents should be put on display
so that they were clearly visible to the persons deprived of their liberty, as well as to their
authorized legal representatives and the institution’s staff.
9.2.3. Persons with disabilities in the Central Prison Hospital
At the time of the visit, there were several–for a longer or shorter time period–disabled persons
in the Hospital; however, the tires of the wheelchairs found there were flat. The patients had a
hard time moving around with those wheelchairs even within the building. In addition to being
unable to negotiate the treatment rooms’ thresholds without help, they could not even get near
the courtyard.
119
120
See Articles 12 and 19 of the CRPD
See Articles 14 and 25 of the CRPD
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