78 No form of solitary confinement of users should be used, because isolation of users, regardless of its duration, is cruel, unhuman and degrading treatment, and if such isolation lasts for a long period, it could constitute torture. Physical restraint should not be used as a correctional measure, taking into account that it is exclusively a medical measure which can only be prescribed by a physician. A sufficient number of physicians and other relevant medical specialists should be ensured for treatment of users. It is necessary to form a team of experts of various profiles which would make an individual rehabilitation plan with various contents for each individual user, including medical care and treatment, the manner and quality of diet, physical therapy, correction of speech disorders, correction of sensory disorders (vision, hearing), occupational therapy, work therapy, sociotherapy, recreation, hobbies… It is necessary to keep a rehabilitation plan in writing for each user. In case competent health institutions refuse to provide adequate health care outside the Centre, the head of the health service of the competent institution should be informed, as well as the management of the Centre which then should inform the Ministry of Health and provide relevant medical documentation. After admission, users and their family members should be informed about the code of conduct in the Institution and their rights. In addition, it is necessary to establish adequate formal procedures for submission of requests, complaints and appeals on the work of the Institution and its employees, which can be submitted by users or their parents or guardians, and to establish adequate procedures for handling of requests, complaints and appeals. It is necessary to keep records on submitted requests, complaints and appeals. I/III – 4 – Special Hospital for Psychiatric Disorders Kovin173: Worn out accomodation capasities should be adapted. The existing large rooms should be divided into smaller rooms. The hospital should provide necessary facilities where patients can place their personal belongings in patient rooms and other rooms where patients stay (day rooms, halls, dining room…) and should decorate them in such a manner as to ensure more humane environment and to reflect their individuality of patients who use them. The hospital should encourage patients to bring their personal belongings: books, magazines, photos. The hospital should encourage patients to wear day clothes during the day. Privacy should be ensured for patients in toilets and bathrooms. The Special Hospital for Psychiatric Disorders Kovin should place visible notices in writing on patients’ rights and duties in the Hospital in all units. The Hospital should, within its means, prepare brochures intelligible to patents to inform them about their rights and duties and the code of conduct, which will be available to patients and their families. The Special Hospital for Psychiatric Disorders Kovin should ensure that consent in writing of a patient or his/her guardian to apply a specific measure is required at subsequent introduction of each new medical measure. The Special Hospital for Psychiatric Disorders Kovin should inform the head of the competent court about the problems it faces when it commits persons without their consent and hospitalizes persons with mental disorders in the psychiatric institution without their consent, according to the provisions of the Law on Protection of Persons with Mental Disorders on the competence of the court in the commitment of persons without their consent. 173 Report of NPM on Visit to the Special Hospital for Psychiatric Disorders Kovin, No. 71 –73/ 13

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