CAT/OP/MNG/1 (d) Effective procedures for the independent scrutiny of decisions to detain persons at the detention centre for those addicted to drugs or alcohol be put in place, as well as appropriate complaint mechanisms and appeal procedures that can be effectively accessed by the detainees. Forced treatment 109. Although the Subcommittee did not receive complaints of ill-treatment from detainees, it was clear that admission to the detention centre for those addicted to drugs or alcohol entailed forced treatment against addiction without consent. 110. The Subcommittee recommends that all those admitted to the detention centre for those addicted to drugs or alcohol be medically screened and examined, including their mental health. A proper case-management and confidential medical records system should be established and maintained for all patients The medical file should contain details of any free and informed consent for medical treatment that has been given. Sanitary conditions 111. The Subcommittee is concerned at the appalling conditions of the toilets, which comprised an open pit and were located outside at a considerable distance from the living quarters. Shower facilities were even further away, in an old and dilapidated state and appearing to be barely usable. 112. The Subcommittee recommends that the sanitary arrangements for detainees at the Centre be radically improved as a matter of urgency and that renovations be conducted to install proper indoor sanitation with sufficient lighting and adequate ventilation in close proximity to the living quarters. VII. National Centre for Mental Health 113. The delegation visited the National Centre for Mental Health, which accommodates both persons whose confinement has been ordered in connection with criminal proceedings and patients deprived of their liberty as a result of civil proceedings or who have been admitted voluntarily. The Subcommittee took note of the recent renovation work carried out to improve material conditions in the Centre. The delegation also took note of the steps taken towards the establishment of a system of community care. The delegation did not receive allegations of ill-treatment in the institution it visited. 114. The Subcommittee notes, however, that the mental health system in Mongolia is largely hospital-based and that there is a need for community mental health facilities to be adequately funded, in order to facilitate the move from hospital-based to community-based care and to promote mental health in the community. 115. The Subcommittee recommends that adequate human and financial resources be allocated to the area of mental health. National legislation should be reviewed in order to guarantee the rights of so-called “voluntary” patients and to ensure the proper functioning of review procedures. 116. The Subcommittee recommends that additional measures be taken to support the establishment of community-based services, in order to aid in the discharge of patients who are only in long-term hospital care because of their lack of access to community care. 117. The Subcommittee further recommends that health professionals be provided with adequate training on international human rights standards, in particular the Convention on the Rights of Persons with Disabilities. In addition, the number of psychiatrists, nurses, psychologists, occupational therapists and social workers should be increased. Multidisciplinary care should be provided to the patients, and rehabilitation, occupational or recreational activities should be proposed. 18