-5II. FACTS FOUND DURING THE VISIT TO THE ATTICA STATE MENTAL HOSPITAL FOR CHILDREN AND ACTION PROPOSED 1. Ill-treatment 8. The delegation heard no allegations and gathered no other evidence of ill-treatment of patients by staff at the Attica State Mental Hospital for Children. 9. The delegation noted that the medical and nursing staff were very attentive to the patients' well-being and fully committed to their work. The atmosphere in the units and pavilions visited appeared relaxed and friendly and staff-patient relations were good. 2. Patients' living conditions and treatment a. preliminary remarks 10. In the report on its first periodic visit to Greece (CPT/Inf(94)20), the CPT criticised the material conditions of accommodation in some of the pavilions of the hospital, particularly pavilions C, E and Z (cf paragraphs 226 and 234 of the report). It also expressed serious concern about the therapeutic activities offered to patients and the use of isolation and physical restraints. b. situation during the CPT's second visit 11. At the time of the second visit, the hospital had 139 patients, somewhat fewer than in 1993. These patients presented the same diagnoses as those described in paragraph 194 of the report on the first visit, namely behavioural disorders, moderate and severe mental deficiencies and/or motor handicaps. The delegation observed that, in addition, there were some patients suffering from mental illness. The great majority were adults (the average age was twenty); the others were aged between 5 and 20. As before, they were mainly civil law referrals; one had been remanded by a court for an evaluation of his mental state, in accordance with the provisions of the Penal Code. 12. The medical team in charge of the patients consisted of ten part-time child psychiatrists (as compared with 12 in 1993), three paediatricians, one neurologist and twelve doctors undergoing their training in the hospital. Twelve psychologists (one more than in 1993), three occupational therapists (compared with the previous five) and one physiotherapist were there to run therapeutic activities. As at the time of the previous visit, most of the staff divided their time between four outside units, the child guidance centre attached to the hospital and the hospital's internal services. The establishment had no speech therapist (speech therapy training was not established in Greece until 1996 and its beneficial effects have not yet been felt).