September and December 2015. A total of forty five pupils had been screened. Of them three
were diagnosed with pervasive developmental disorder, one pupil had reduced vision, seven
pupils suffered from diseases of the ear and mastoid process, one pupil had deaf-mutism, seven
pupils suffered from chronic diseases of tonsils and adenoids, five pupils suffered from gastritis
and duodenitis, seven pupils had kyphosis and lordosis, and other deforming dorsopathies. The
assistant medical officer had drawn up personal medical records for most boarding school
inmates but they were not adequately kept. The NPM will follow up on actions taken to address
the medical conditions identified during the prophylactic screening assessments.
A previous inspection finding was identified again in that most students (twenty three) had been
admitted to the boarding school without any medical documents or record of their immunization
history.
All inmate students at the SPBS were registered with a GP practice and were also on a dentist’s
patient list. In October 2015, the dentist performed comprehensive dental exams of all pupils to
identify and prevent possible diseases of the teeth and oral cavity. Students with mental illness
had undergone an individual psychiatric assessment. M.K. had been diagnosed with moderate
mental retardation, paranoid schizophrenia, epilepsy, and severe behavioural disorder requiring
care and treatment. The court did not accept that the child had a mental illness when hearing
the parents’ appeal against the court-ordered involuntary placement in a SPBS. The NPM
considers that the provision of Article 17, para 3, item 2 of the Rules and Regulations on the
Setup and Operations of Correctional Boarding Schools and Social and Pedagogical Boarding
Schools should apply in this student’s case. A.I. suffers from behavioural disorder, mild mental
retardation, and attachment disorder of childhood. He therefore needs the support of a special
education resource teacher. I.D. suffers from mental illness requiring specific professional
assistance and medication treatment, which should have preceded the measures of correctional
education. The student had been previously placed involuntarily in a healthcare establishment
and had been prescribed a medication therapy. He had been refusing, however, to take his
medications under pressure from his mother. B.D. had displayed symptoms of mental illness.
D.I. has deaf-mutism and is supported by a special education resource teacher. The NPM
believes that he has to be medically certified and moved to a different type of social institution.
One student had been diagnosed with enuresis nocturna.
The previous inspection had found that the students’ medical documents were stored in
different places – at the GP’s office, at the dentist’s office, at the health room, and in the
students’ administrative files. At the time of inspection, this was found again to be the case.
The students, who were interviewed about their opinion of the medical services, reported that
they had been satisfied with the health and dental care at the boarding school.
2.4. Administration and Management
According to the staff establishment plan, the boarding school had a staff of twenty-four
members: one principal teacher, fifteen full-time teaching staff and eight non-teaching staff. The
boarding school had a full-time school counsellor who was in charge also of school
documentation and record-keeping. According to the principal, Mr. Angel Raibov, two members
of staff were present at the school at night, sleeping in or on walking night duty, who were
contactable by the children at any time of the night.
2.5. Protection Measures
In the course of the inspection at the ‘Hristo Botev’ SPBS in the village of Varnentsi the NPM
team identified evidence of favourable psychosocial safety climate. The children trusted the
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