Long-term deprivation of liberty effort from the staff. Psychiatric assistance §207 AR 2014 §52 AR 2015 88. Psychiatric assistance at CPs depends on the agreement signed between the prison and healthcare administrations. Usually, psychiatrists visiting CPs handle a small and brief number of appointments, generally focusing on updating prescription drugs and, exclusively, for those patients forwarded by the prison doctor. On occasion, as in CP Ocaña I (Toledo), Ocaña II (Toledo) and Teixeiro (A Coruña), no psychiatrist visits the CP which is why, if psychiatric assistance is required, inmates need to leave the prison. Furthermore, during our visit to CP León, a Suggestion was made to the SGIP in order for a psychiatrist to follow up on inmates and evaluate them, if subject to security measures. Appointments should be held as often as necessary to adequately cover psychiatric needs amongst the prison population, not only as regards psychotropic medication but also with respect to professional therapy. Of interest, as an example of good practice, is that the CP Barcelona has two psychiatrists on-site at the prison, Monday to Friday. Psychological assistance §207 AR 2014 §52 AR 2015 Treatment under direct observation §205 AR 2014 Suspended medication Comprehensive Assistance Programme for the Mentally Ill §207 AR 2014 §52 AR 2015 89. CPs still lack clinical psychological assistance; although psychologists belong to the treatment teams, assistance as such cannot be provided given that they are few in number and are over-worked. 90. The administration of psychotropic medication may encourage an accumulation and exchange of drugs by the inmates. Consequently, all psychotropic drugs should be dispensed as treatment under direct observation. This was suggested to the CPs in Araba/Álava, Dueñas (Palencia), Jaén and Teixeiro (A Coruña). 91. During the visit to CP Dueñas (Palencia), whilst going over medical records and following our interviews with the inmates, we noticed that on occasion medication is suspended or withdrawn from inmates as a sanction, if it is “misused”, constituting inadequate practice. 92. We have noticed that the Comprehensive Assistance Programme for the Mentally Ill (PAIEM) is unequally applied at the various CPs, both with respect to development of the Programme and the staff involved (in some, neither the medical services nor the psychiatrists visiting the CP are part of the programme). In some cases, we have considered that PAIEM application needs to be improved in the CPs of Araba/Álava, Cuenca, Dueñas (Palencia), Jaén and Tenerife II. On the other hand, at CP Teixeiro (A Coruña), the PAIEM was put into place in an exemplary manner. 73