Daily life Freedom to come and go Healthcare institutions Emergency recommendations concerning the Ain psychotherapy centre Solitary confinement and restraint General rules Principles Traceability be put into practice and that substantive gender diversity be phased in within this single workshop for men and women. In prisons, self esteem must be encouraged; it must be possible for women to take care over their physical appearance. If there is not a broad choice in canteens, women must be allowed to receive hygiene products and makeup via the visiting rooms. Enforce free movement of patients, with any restriction to the freedom to come and go expressly justified by the patient's clinical condition. Encourage discussions within each institution on how patients' freedom to come and go could be extended and on how the restrictions placed on their day-to-day comfort (use of mobile phones, contact with family members, outings, Internet access and so on) can be eased so that only those restrictions that are justified by care or security requirements associated with a patient's clinical condition are maintained. The CGLPL notes with satisfaction the improvements announced by the Government and by the management of the Ain psychotherapy centre. It recommends that the Government do its utmost to ensure that the recommendations issued during this visit are brought to the attention of all mental health institutions and that, during inspections and audits conducted in these institutions, any similar deviations are sought. Adopt an implementing circular for the new provisions of Article L.3222-5-1 of the Public Health Code with the utmost urgency, in order to enable traceability of any solitary confinement and restraint measure taken, in whatever form it may take, and to expedite the definition and assessment of policies aimed at limiting these practices with account taken of the recommendations set out in the CGLPL's report on solitary confinement and restraint in mental health institutions. Everything must be tried in order to calm the person in crisis down with alternative approaches to a physical restraint measure. If, as a last resort, the decision to use a seclusion room or restraint must be taken, the methods for implementing this must guarantee the greatest respect of the patients' rights. Solitary confinement and restraint within the patient's room must be prohibited in particular with regard to the risk of this becoming common-place and there being a lack of traceability in terms of this measure. The requirement to wear pyjamas and not have any personal effects in the seclusion room should not be systematic but must be clinically justified. Solitary confinement practices must no longer be systematic, whether for detained people, for patients arriving at a care unit or in any other situation. The record provided for by Article L.3222-5-1 of the Public Health Code must be filled in every time a solitary confinement or restraint measure is implemented, no matter where the person concerned is being treated. 157 2 2 1 2 1 2 2 2 2 2