CAT/C/NOR/CO/8
adversely affect their health, that they enjoy procedural safeguards, and have the
right to file complaints and to submit their cases for judicial review;
(d)
Evaluate and assess the effects of the practice of isolation or full
exclusion on the mental and physical health of prisoners in order to reduce them and
use alternative and less intrusive measures whenever possible;
(e)
Ensure that de facto isolation of prisoners that is similar to solitary
confinement, such as full exclusion, is based on policy, law and guidelines, and set a
maximum number of days a prisoner can remain in full exclusion;
(f)
Provide prisoners with information about their legal rights and extend
the deadline for the administrative appeals of prisoners regarding their exclusion or
solitary confinement beyond the current 48 hours;
(g)
Review the existing mechanisms of control and legal remedies, provide
detailed statistics on the use of isolation and full exclusion from human contact,
provide them to the Committee and make them public;
(h)
Exempt from and not apply the administration ABE-reform, which has
imposed annual budget cuts for all government entities since 2014 as a measure to
contribute to the Government’s reforms to reduce bureaucratization and increase
efficiency, in all places in which persons are deprived of their liberty in order that
insufficient building capacities and conditions and insufficient staff do not jeopardize
the health and lives of persons deprived of their liberty.
Mental health care for prisoners
19.
The Committee is concerned about information that a very high percentage of
prisoners have mental health problems and are not always provided with appropriate
psychiatric health care. It remains concerned at the severe insufficiency of mental health
care services and of the capacities of inpatient psychiatric wards to accommodate prisoners
with serious mental illnesses, which often result in their placement in isolation, including
security cells, which leads to a further deterioration of their health. It is particularly
concerned at the reported absence of adequate health care for persons with symptoms of
severe mental illness in Ila, Ullersmo and Alna prisons (arts. 2, 11, 12, 13, 14 and 16).
20.
The Committee reiterates its recommendation (see CAT/C/NOR/CO/6-7,
para. 13) that the State party take all measures to ensure that prisoners with
psychosocial disabilities and serious mental health problems receive adequate mental
health care, by increasing the capacity of inpatient psychiatric wards, including the
security departments, and providing full access to mental health care services within
all prison facilities. It should abolish the use of full isolation of persons with mental
and psychosocial disabilities, in particular when their conditions would be
exacerbated by such measures.
Use of coercive measures in psychiatric health care
21.
While taking note of the amendments to the Mental Health Care Act in 2017 and the
appointment of a legislation committee to assess the use of coercive measures in health and
care services that is scheduled to report to the Government in June 2019, the Committee is
concerned:
(a)
About the continued widespread use in psychiatric and mental health
institutions of restraints and other coercive methods, including involuntary
electroconvulsive therapy, with the risk of lasting and irreversible adverse physical and
mental consequences, such as the involuntary administration of neuroleptic drugs and other
psychotropic medication;
(b)
About the weak procedural safeguards for patients and the lack of recourse to
less intrusive measures as a first resort in order to protect patients undergoing treatment
without consent, in particular electroconvulsive treatment; as well as insufficient
information and possibilities for patients to lodge complaints against their treatment and the
fear of retribution if they do so;
5