From the information gathered on the spot, while conducting confidential interviews with persons who were treated at this institution and with the staff of the institution, as well as through verification of documents, objects, equipment and facilities, it resulted that recommendations on; implementation of procedures for involuntary hospitalizations, assignment of a lawyer by DSHP Shkodër at the psychiatric hospital, setting in full function the surveillance system with cameras, storage of food samples in fridge conditions and locked, as well as inclusion of the hospital staff in judicial processes dealing with the removal of capacity of the patients of this institution, had been implemented, meanwhile the other recommendations have remained unfulfilled so far. As per above, at the end of the monitoring report, the following was recommended: 1. Taking immediate measures for finding a solution on the treatment of persons with the medical measure “mandatory medication” in conformity with Article 28 of the Law No. 44/2012 ”On Mental Health”. 2. Taking immediate measures for the provision of a special room for physical limitation in conformity with Article 27 of the Law No. 44/2012 “On Mental Health”. 3. Taking measures for the supply of this institution with physical limitation means in conformity with the European standards and sub-legal acts of the law on mental health. 4. Taking immediate measures for adding psychiatrists to the staff of this institution. 5. Taking measures for the display of the rights of the patient in all the premises of this institution. 6. To be taken measures by the psycho-social staff for documenting the pace and therapeutical treatments of patients in special psycho-social files, since the space provided in medical cards is insufficient. “Sadik Dinçi” Psychiatric Hospital, Elbasan - Date 16.10.2015 The periodic monitoring visit of the Ombudsman’s experts at “Sadik Dinçi” Psychiatric Hospital, Elbasan for the year 2015 was conducted in conformity with the monitoring procedure of NPM. The scope of the visit was the collection of information regarding the rights, conditions and treatment of patients at the institution, and the verification of implementation of the recommendations made by the Ombudsman through letter No. 201401340 Prot. K1/I31-2, dated 25.07.2014, with topic: “It is hereby recommended the improvement of conditions and treatment of patients at “Sadik Dinçi” Psychiatric Hospital Elbasan”. From the information gathered on the spot, while conducting confidential interviews with persons who were treated at this institution and with the staff of the institution, as well as through verification of documents, objects, equipment and facilities, it resulted that only three recommendations had been implemented; one on the inclusion of the psychiatrist with the relevant rights and obligations subject to an efficient service, one on the inclusion of the psychosocial staff in decision-taking for the cases treated at this institution, and the one related to the completion of the consultations’ register according to the items reflected on it. It was also partially realized the recommendation related to humidity in wards, showers and toilets due to the reconstruction with donation, meanwhile all the other recommendations have remained unfulfilled so far. 76

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