- 107 - a patient's file to contain a clear indication of his status (i.e. hospitalisation with or without his consent and, in the latter case, indication of the legal basis for committal) and all subsequent developments of a legal nature to be recorded in the file (paragraph 249). requests for information - information on existing social therapy activities at the Attica State Mental Hospital for children and on the number of children taking part (paragraph 242). 5. Isolation and instruments of physical restraint recommendations - the necessary measures to be taken, without delay, in order that:  the requisite physical improvements are made in all isolation rooms of the Attica State Mental Hospital for children to ensure that isolation of patients is carried out under acceptable material conditions (eg. provision of mattresses) and in conformity with suitable safety standards;  a detailed medical policy on recourse to isolation and instruments of physical restraint is laid down, dealing in particular with: the types of cases in which application of these measures is permissible; their purposes; their duration and frequent review; the provision of appropriate human contact, and the staff's duty of increased attention;  measures of isolation or physical restraint are applied only on the express instructions of a doctor or immediately brought to the attention of a doctor for approval;  every use of such measures is recorded in the patient's file and in an appropriate register, with an indication of the times at which the measure began and ended, the circumstances of the case and the reasons for resorting to the measure;  staff receive suitable training on control techniques (verbal communication techniques, postural techniques, etc.) vis-à-vis agitated or violent patients (paragraph 256). comments - the risk of injury to patients confined in the isolation rooms at the Attica State Mental Hospital for children was very high (paragraph 251); - isolation or instruments of physical restraint should never be used as a punishment, or their use prolonged for that purpose (paragraph 256).