institutions therefore need to provide the practical possibility of suitable healthcare, thanks to a sufficient number of consultation rooms, equipped in accordance with needs. Deprivation of liberty needs in particular to represent an opportunity, for certain socially excluded persons, to renew their contact with the health care system: hence the importance of granting a central place to the health unit, which needs to be easily accessible to all. Provision for these places of exchange also needs to be made inside hospitals. It is regrettable that emergency departments cater for both patients who come due to psychiatric disorders and patients present for reasons of a somatic order, without being able to separate them. Moreover, in the absence of specific premises catering for them, psychiatry professionals have to go to the somatic emergency department in order to examine these patients. The creation, in several institutions, of reception and crisis centres equipped with a few beds, serving as a place for planning any admission that may be necessary, testifies to the solidarity of medical workers who have been able to pool the necessary resources. These places of healthcare have shown that hospitalisations without consent can thus be avoided. The Minister of Health needs to encourage the development, within general hospitals catering for patients showing psychiatric disorders in their emergency departments, of premises dedicated to the reception and care of psychiatric emergencies wherever these would be better-equipped for both assessing the state of health of arrivals and carrying out the procedures involved in the implementation of treatment without consent, and full hospitalisation in particular. 2.3.3 Layouts that Take Account of Differences Mixing of the Sexes Mixing of sexes is put in place in prisons for minors (EPM)236 – as far as accommodation is concerned – in child psychiatric units and in certain young offenders’ institutions (CEF)237. It enables better handling of the populations catered for. Yet, conversely, in prisons “men and women are incarcerated in separate institutions or separate wings of the same institution. In the latter case, all measures need to be taken to ensure that no communication is possible between them, with the exception of activities organised on the basis of article 28238 of the Prisons Act”. Furthermore, “female prisoners are only supervised by persons of their own sex. However, the management may include male staff”239. 236 Prisons for minors are places of deprivation of liberty reserved for young people between 13 and 18 years of age created by the Act laying down the basic principles for government action (loi d’orientation et de programmation) in the field of Justice of 9th September 2002 referred to as the “Perben I” Act. 237 In accordance with article 33 of the aforementioned statutory instrument (ordonnance) of 2nd February 1945 "young offenders' institutions are public institutions or private institutions authorised under the conditions provided for by decree of the Council of State, in which minors are placed in application of judicial supervision or probation orders or external placements or following release on parole". They were created by the Act laying down the basic principles for government action in the field of Justice of 9th September 2002. 238 This article provides that "subject to the maintenance of proper order and security in institutions and by way of exception, common activities may be organised for both sexes". 239 Cf. Article 1 of the model prison rules and regulations, appended to article R.57-6-18 of the Code of Criminal Procedure resulting from decree no.2013-368 of 30th April 2013 concerning model prison rules and regulations. 154

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