located in old buildings, with a single stove in the middle, so that all patients had to come close to get warm a bit; doors were closed, so that patients could not go out for a walk. • medical services in penitentiaries. Several aspects were discussed here: ▪ whether medical services in penitentiaries should be subordinated to the Ministry of Justice or the Ministry of Health, presenting the cases of Armenia and Finland, where medical services are probided by a penitentiary-independent institution; ▪ the fact that persons deprived from freedom showed more psychological troubles during the execution of their punishment than when they had entered the system, and having well-prepared professionals, with intervention and behavioural change programmes, was very difficult; these issues were held as the main problems in the Albanian penitentiary system; the Albanian representative underlined the necessity of providing very good conditions for people working in penitentiaries, not only for persons deprived from freedom; for the latter, psychological assessment and then intervention itself were highly important; ▪ about 2500 complaints from prisoners were received in Morocco on an annual basis, mostly related to food, the procedure for refusing food, the conditions in the penitentiary and bureaucracy; at least one refusal of food was seen every day and 1 of 5 deaths in the penitentiary was due to refusal of food; thus, one of the purposes of NPM members was to identify the reason of refusal of food; ▪ in Armenia, about 60% of the complaints in penitentiaries were related to medical services, but attempts were made to solve the issues (a reform was initiated in penitentiaries); the first issue identified by NPM was the physicians’ independence, i.e. physicians did not have access to certain prisoners, could not examine them, as the decision was not theirs, but of the penitentiary workers; another issue was that physicians were not prepared enough and did not take part in continuous professional training; furthermore, it was emphasized that physicians should have a physicianpatient approach, not a physician-person deprived from freedom one; physicians had to be trained to work in penitentiaries exclusively, and this solution was thought to be the best for the supply of high quality medical services in a penitentiary. 90

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