Annual Report 2016 - Spain’s National Preventive Mechanism against Torture a “waiver of doctor’s recommendations” was signed and saved in each individual medical records. The DUE duly informed the psychiatrist and doctor, and did not know whether the family was also informed. At this facility, the healthcare age limit of 16 years did not apply to psychiatric treatment; a waiver of treatment was “signed by everybody, irrespective of age”. We were told that waivers were commonplace and that action was taken depending on the illness and type of medication: “if the inmate does not want to take a tranquiliser, that’s fine; but if he/she refuses to take something that is important, like an antipsychotic, the Judge and family are informed”. In Monteledo (Ourense), if the minor refused to take the medication prescribed, he/she had to sign a “waiver of medical recommendations”, irrespective of age, and, otherwise two educators had to sign as witnesses. Clinical records of 137. All facilities hold clinical records for each minor; of interest is Montefiz minors (Ourense), where each minor is subject to a “clinical evolution sheet”, §266 AR 2014 gathering healthcare details, and is filled in by three professionals: a DUE, doctor and psychiatrist, dated and signed by each one for identification purposes. Each morning, the DUE goes over any entries made by his/her peers and notes down his/her own records. 138. Medical and psychological assistance is guaranteed at all facilities. In order to request medical assistance, all minors fill in a specific form, which is Medical, psychological and kept in the file or on the medical facilities; no copy of this medical assistance psychiatric application is provided, except for El Madroño (Madrid), where all minors assistance §268 keep a receipt of their request. It is standard practice, when requesting AR 2014 healthcare, for minors to ask their educators for the application form to be completed. Consequently, suggestions have been made to endow these facilities with a computerised and detailed record of any requests, including applications for medical assistance, that all minors be provided with a copy of the application form without depending on an educator, and that they keep a copy of the dated and sealed request. Psychiatric assistance is provided at all facilities, with the difference that at institutions with therapeutic commitment facilities there are doctors specialising in psychiatry amongst the staff; other institutions offer psychiatric assistance by using the resources of the public mental health network. Injury reports §271 AR 2014 92 139. Facilities in Montefiz (Ourense), San Francisco-La Biznaga (Málaga), Vicente Marcelo Nessi (Badajoz), Maliaño (Cantabria) and El Limonar (Seville) lacked injury reports with the minimum information required to be

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