Report of the Human Rights Defender on the activities of the National Preventive Mechanism in Poland in 2012 practice not observed in the places where patients (e.g. detained persons) stay for several years and are in fact unable to leave them. Such persons who are factually and legally deprived of liberty should be allowed to use tobacco products, since currently their situation is worse than of those serving custodial sentences who can use tobacco products in all types of establishments where they are placed. 8.3 Strengths and good practices 1.  Therapy in the establishment in Gorzów Wielkopolski The quality of therapy offered in the majority of visited hospitals was quite poor. Therefore, the therapeutic programme implemented in the ward with enhanced security in Gorzów Wielkopolski by a therapeutic team consisting of the head of the ward, doctors, psychologists, addiction therapists, occupational therapists, a  social worker and nurses deserves praise. The programme consists of 3 stages: Stage I – treatment of severe symptoms, formation of insight and cooperation; Stage II – acceptance of treatment and cooperation in therapy; Stage III – proper therapy, work on personal problems, individual and group therapy adjusted to the type and progression of mental disorders, work with the family to prepare them to support the patient discharged from hospital (psychoeducation). Each patient is classified into one of the three stages by a therapeutic team on the basis of his/her mental condition, psychological diagnosis, assessment of functioning and deficits. The team meets every three months, analyses the progress of therapy in each patient, their functioning and changes, and classifies the patients into subsequent stages of therapy. The stage may also be repeated or a patient may be moved back to an earlier stage. The representatives of the National Preventive Mechanism praise the said programme highly, appreciating in particular its informative function. The programme enables patients to monitor their own progress required to pass through the programme’s subsequent stages and in consequence to change the security conditions under which the preventive measures to which they are subject are implemented from enhanced to basic. The praise of the visiting team for the programme is also supported by favourable opinions of the patients interviewed by the representatives of the NPM during the visit to the said establishment. 94