2016 REPORT ON NATIONAL PREVENTION OF TORTURE Reception Centre, border inspection posts and the temporary detention and asylum seekers facilities available at the structural units of the State Border Guard Service (para. 14 to 16 of Annex 1 to the Procedure). participated in training which analysed the features of stress and fatigue at work, cases of actions of the medical staff in emergencies, methods of controlling patient’s verbal aggression, the reasons of violence and aggression in mental nursing and the tactics of employee actions, and discussed the specifics of dealing with mentally disabled aggressive patients and ways to identify the patients’ manipulative behaviours. 2. Concerning the comments relating to the application of restraints. It has been established that measures have been taken to ensure that patients are not restrained in the presence of other patients (the restraint bed has been moved to a single ward or patients are asked to leave the ward). A security guard is involved only where the number of the personnel in a unit is not sufficient. The restraint procedure is headed only by the institution’s health care professional who has not only received training in the use of restraints but also improves his qualification in this sphere regularly. The contract with the security guard company specifies that security guards must “know how to behave with patients”. A staff meeting has adopted a decision to register the use of restraints in a separate log. 3. Concerning the patients’ complaints about the poor food quality and small rations. It has been found that the hospital’s possibilities to substantially improve the quantity and quality of food supplied to the patients are limited, as in the process of organising patients’ meals and payment for them the institution cannot ignore the established hygiene, one patient daily energy and nutrients standards or differentiate the food rations according to the patients’ individual needs. The hospital has appointed separate persons to place patients catering orders and must control compliance of the product weight, yield and nutritional and energy value with the values MENTAL INSTITUTIONS With a view to finding out how the preliminary comments provided by the European Committee for the Prevention of Torture are complied with, a visit was paid to the Rokiškis mental institution. Members of the European Committee for the Prevention of Torture visited Rokiškis Mental Hospital in September 2016. The Committee provided comments on the patients’ complaints about the use of rough language by the nursing staff, the poor food quality and small rations, as well as about the privacy for female patients, the limited possibilities for patients in Unit B to use the courtyard, the presence of patients in lockable premises for 23 hours during the 24-four period, the insufficient participation of patients in the rehabilitation activities, the overcrowded wards, the use of restraints in the presence of other patients, the participation of the a security guard in this process and the absence of a separate log for recording information about the use of restraints. 1. Concerning the patients’ complaints about the use of rough language by the nursing staff. It has been found that in 2016 the hospital’s administration received no complaints of this kind, and has constantly reminded the personnel of the need to strictly observe the internal rules of procedure approved by the institution and the requirements of professional ethics. Also plans are developed for conducting patient surveys. In 2015–2016, the employees improved their qualification, 24