57 deaths, coming from the external health institutions, issuing the death certificates. In order to enhance the living conditions and treatment of beneficiaries, the Home for the Blind “Zbrinjavanje“, ensured that the privacy of beneficiaries is respected and provided for a more frequent control of their health condition, particularly of those belonging to vulnerable groups. Also, measures were taken to secure the orthopaedic aids in order to support more effective rehabilitation and care of patients in this Home. NPM sent the recommendations in the Reports on visits made to home type institutions for social protection, 99 to adopt the Regulation that would set forth the issue of providing items for personal needs of inmates placed in homes, to develop a Protocol on acting in the event of an unexpected (sudden) death of beneficiaries, including to ensure the sufficient number of medical, nursery and other staff. It is encouraging that after the end of the reporting period, at the beginning of 2017, the Ministry of Labour, Employment, Veteran and Social Affairs submitted their answers to the previously addressed recommendations, which indicates their readiness to establish a dialogue in the near future, in order to seek for the best model for implementing the recommendations, primarily when it comes to the enhancement of human rights. Despite individual improvements towards the better treatment of beneficiaries, the NPM is concerned about the fact that there is still no system in place for providing the care and support to persons with mental disorders, outside the institutions, within the communities, and that there is no systemic concept of deinstitutionalization and no conditions have been met to provide care and support in the local community. Home type institutions for social protection continue to accommodate a huge number of beneficiaries for an extensive period. In addition, the beneficiaries are still being limited their freedom of movement outside the institution, although there are no legal grounds for that, nor any procedures in place laying down their detention in the institutions. The Protector of Citizens addressed the recommendation in relation with the deprivation of free movement of beneficiaries in the home type institutions for social protection to the Ministry of Labour, Employment, Veteran and Social Affairs, in order to take actions falling under its competence and regulate this segment. However, the Ministry did not provide any information to the Protector of Citizens about the legal grounds for limiting the freedom of movement outside the institutions, nor established any procedure about the limitation or approval of movement of beneficiaries outside the institutions. It is undoubtedly necessary to impose to certain persons, in their best interest and depending on their mental condition and intellectual capacities, the limited ability to leave the institution. However, such limitations must be precisely regulated. In order to protect the persons with mental and intellectual disorders, it is necessary to revise the provisions of regulations that provide general approach to providing the consent to a medical treatment. Subject to the applicable regulations, if such persons are economically deprived, the consent to such medical treatment is provided by their guardian who is often absent at the moment when the treatment needs to be administered. Also, it is crucial to regulate the role of the persons with mental and intellectual disorders in deciding about the 99 Report on the visit Home for adult persons Kulina, Report on the visit to the Home for adult and elderly persons ”Gvozden Jovančičević”, Veliki Popovac.

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