118 Narcological organizations for mandatory treatment Overall the situation with medical services in this type of institutions is considered satisfactory. Monitoring of narcological institutions, conversations with the personnel and the patients make is possible to conclude that there are systemic problems in the treatment approaches to people with dependencies. There is no individualized approach to the treatment of patients, and the psychological treatment approach is a formality. Priority attention is given to drug-based treatment. It is necessary to expand the application of ergotherapy, psychotherapy, social work with the patients, in other words, rehabilitation activities. Based on the comments, the following narcological institutions may be noted: city narcological center of social and medical correction, Almaty. Of special concern to the NPM participants in the course of this visit was the situation of women undergoing mandatory CONSOLIDATED REPORT treatment in department #2, because the women are restricted in their rights to visits, walks, rest, work, sufficient living standards. There are significant issues with the enforcement of such patients’ rights to dignity and security of person on part of the personnel of the department. Furthermore, all patients undergoing mandatory treatment at the CNCMSC continue to complain about insufficient enforcement of their right to communication with the outside world in the form of visits by relatives because such visits are limited in time. For TSPE “East Kazakhstan oblast narcological dispensary” in UstKamenogorsk, in the opinion of NPM, the building of the narcological dispensary does not satisfy sanitary norms which significantly narrows the opportunities for successful treatment of drug and alcohol addiction. In this connection the rights of the patients to information, quality meals, comfort and personal hygiene are not fully

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