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The Hospital should without delay submit to the Protector of Citizens a copy of the communication sent
to the court.
The Special Hospital for Psychiatric Disorders Kovin should inform auhtorities supervising the work of
guardianship authorities in case competent social work centres refuse cooperation.
In the Special Hospital for Psychiatric Disorders Kovin, patients should not be physically restrained in the
same rooms where other patients who are not physically restrained stay.
The Special Hospital for Psychiatric Disorders Kovin should also include in the records on the use of
physical restraint additional information on the following facts: whether less restrictive measures were
taken before physical restraint; information on visits of a competent psychiatrist and other medical staff
to a physically restrained patient; whether and when the legal representative of a patient was informed
about the measure; possible injuries suffered by patients or medical staff; and patients’ comments.
The content of individual treatment plans for patients in the Hospital should also include all necessary
psychosocial rehabilitation programs, including occupational (work) therapy, group therapy, individual
psychotherapy, drama, music and sport activities etc.
Educated experts of different profiles and patients themselves should participate in preparation of
treatment plans.
Individual plans should also include support plans after release from the hospital. These plans should be
enclosed in writing to each medical record.
The Hospital should take all available measures to include patients in an organized manner in passing
of important decisions relevant for their stay and treatment in the Hospital.
The Hospital should organize informative sessions for patients and for employees and should provide
technical support for the organization, election of members and operation of the Patients’ Council.
In case other health institutions refuse to provide adequate health care outside the Hospital, the Hospital
should inform director of the competent health institution and provide relevant medical documentation
and should inform the Ministry of Health.
The Hospital should without delay analyse the existing needs for relevant community mental health
protection services which can take care of patients after they are released from the Hospital for the
territory covered by the Hospital.
The Hospital should submit the analysis to the Ministry of Health, the Provincial Secretariat for Health
Care, Social Policy and Demography and the Protector of Citizens.
It is necessary to include as many patients as possible in social and psychological rehabilitation programs
by giving them certain tasks and duties, offering them to attend workshops, group sessions and one-onone talks etc. Such programs should be developed in all units, particularly in closed units. The Hospital
should improve the existing and introduce new psychosocial programs and rehabilitation activities.
Within the context of introduction of new activities, it is necessary to analyse the required number
of experts and necessary additional trainings in accordance with the plan for development of new
activities.
It is necessary that employees take more account of patients’ opinions and wishes in selection of
activities in which patients will participate.
It is necessary that the Hospital consider introducing round-the-clock working hours of the Central
Occupational Therapy unit and day care centre “Suncani kutak” to ensure increased work engagement
of patients and their increased involvement in occupational therapy.
It is necessary that the Hospital develops specific measures to ensure introduction of physical and other
leisure activities in all units, adjusted to patients, their health condition and interests.
It is necessary that the Hospital include patients themselves in the process of design of new activities.
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