Long-term deprivation of liberty several also remarked that there are psychiatrists who only attend to patients who sign up on a list. Remarks by inmates included the following: “I would say that my treatment is adequately monitored but sometimes we’re left a bit adrift due to a lack of time and resources. Sometimes your desire and your willingness to improve and overcome your illness is not enough; you need a real and convincing explanation that you can believe and that will help you understand the reasons for your condition”; “the treatment is effective and adequate”; “they make an effort, sometimes there are too many of us”; “without calling into question the professionalism of the staff at the centre, I think it’s understaffed; there should be more personnel to treat patients. People get worn down working at a facility like this, and that has negative consequences for the inmates”; “sometimes they do attend to the patients, but on other occasions they don’t do it quickly enough or when it’s needed. Especially when people are sick”; “the doctor is wonderful, but there’s another one who is very irresponsible”; “when they do attend to me, they’re good”. The management of the facility report that there are major difficulties in finding psychiatric and technical staff. Reasons include pay, which is lower than that for equivalent posts in the healthcare sector; the difficulties staff have in returning to the health network after a few years, and the requirement to maintain an exclusive contractual relationship, which prevents them from combining their work with private practice or teaching/academic activities. All of these problems could be resolved, by implementing collaboration agreements allowing healthcare staff working in these institutions to be institutionally dependent on the regional health department in question, in this case Valencia. One inmate remarked: “This is the fifth psychiatrist we have had in 5 years. There’s a high staff turnover. If you put your name down on the list, you get to speak to the psychiatrist, but if not, you don’t... The care system varies from one psychiatrist to another, which means that it changes every time there’s a change in personnel”. with the health departments of the relevant regional governments Finally, it should be noted that in Figueres prison in Girona, we interviewed one of the doctors who said that due to the increase in Attention Deficit Hyperactivity Disorder (ADHD) among inmates with a drug addiction, for the last two years tests have been conducted at this centre to detect indications of the disorder, the degree of seriousness, the presence and importance of other psychiatric disorders and a range of behavioural problems, which will be of help when making a diagnosis. 133.  With regard to the medication administered to inmates, in the particular case of Castellón de la Plana prison, we noted that there was no direct supervision of the oral administration of psychopharmacological drugs (except in the case of patients in the infirmary). Instead the medication is dispensed three times in week, and it is left up to the patient to fulfil the instructions on treatment. This situation could be resolved by increasing the number of auxiliaries at the infirmary (at present there are only two, which is clearly insufficient) and by allowing demands for medical attention to be filtered in times when doctors are on-call. The psychiatrists on the inspection team were generally moderate in their appraisal of Fontcalent THE OMBUDSMAN OF SPAIN  Staff levels of auxiliaries at the infirmary in Castellón de la Plana prison need to be increased According to the psychiatrists on the multidisciplinary inspection team at Fontcalent psychiatric prison hospital  151