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 55

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