Psychiatric care in the establishments is limited to one-time or repeated consultations with a psychiatrist
and treatment with medications, which is not in line with the principles of modern bio-psycho-social
approach and evidence-based health care. There is no multidisciplinary work with patients in penitentiary
institutions, including the psychiatric ward of the N18 Accused and Convicts Medical Institution. It is
important the psychologist and social worker to be involved in the psychiatric assessment process and
management, for this, communication between the psychiatrist and the institution's social service should
be increased. It is important to regulate the basics of psychiatric care at the normative level, where the
functions and responsibilities of each member of the multidisciplinary team will be described in detailIt is
noteworthy that due to the epidemiological situation in the country, the restriction on access to
penitentiary establishments also affected psychiatrists. It should be noted that among the staff of
penitentiary institutions psychiatrists are only in N8 and N18 facilities, while in other establishments the
psychiatrist is an invited doctor. Psychiatrists from N8 and N18 institutions also consult prisoners in other
facilities. However, due to the fact that psychiatrists in N8 and N18 institutions have a large workload,
carrying out consultations in other establishments further increases their workload, which may also affect
the quality of service.
According to the response received from the Medical Department, three mobile groups staffed with civil
sector specialists, 138 which started operating in a pilot mode from November 2019, were carrying out the
work in the facility N8 to March 2020. The mentioned group provided multidisciplinary care to prisoners
with mental health problems and provided appropriate services to up to 150 beneficiaries. It is important
that this program continues. The Public Defender indicates in numerous reports that through inter-agency
coordination, certain services that are introduced in the community may become available in penitentiary
institutions as well.139 In order to provide prisoners with mental health problems with access to
appropriate psychosocial rehabilitation programs in the penitentiary establishments, along with
mobilizing the necessary staff,140 it is advisable to attract service providers and encourage civic
intervention.
2.6. Contact with the outside world
Measures taken to prevent the spread of the coronavirus have had the greatest impact on the realization
of prisoners' right to contact with the outside world. During this period, the need to implement the
recommendations issued by the Public Defender to the relevant agencies for years became clear. Even
the pre-pandemic normative framework and established practice did not ensure adequate contact of
prisoners with the outside world. In particular, the living area of their families was often neglected during
the placement of prisoners in the facility, resulting in inmates being denied the right to short and long
meetings. However, the Code on Imprisonment does not allow the possibility of replacing long meetings
with telephone calls or video meetings. Prisoners in special risk penitentiaries were also deprived of the
Based on the model in the civil sector, mobile groups are staffed by a psychiatrist, psychologist and nurse who work
with inmates with mental health problems.
139 Report “Impact of Detention Conditions on Prisoners' Health, p. 81.
140 Psychiatrist, psychologist, social worker.
138
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