- 78 Furthermore, the CPT delegation learnt during the various consultations with staff that 80 of the 145 patients were over the age for treatment in a children's psychiatric hospital and consequently for participation in the existing activities (school, occupational therapy, gymnastics, etc.). These consultations also revealed that administrative obstacles, such as availability of transport, could be a frequent cause of patients' non-involvement in activities at the outside centres which were available for their rehabilitation. 243. The CPT recommends that the Greek authorities develop varied programmes of therapeutic activities using the full range of treatments (psycho-, socio- and occupational therapy) (see also the recommendation made in paragraph 213). b. medication 244. The drug prescription system in the institutions visited is another source of concern for the CPT. Prescriptions were made by the doctor on a medical instruction form and subsequently recopied on index cards. In several instances, the delegation noted that the medication administered did not correspond to what had been prescribed. The nursing staff explained these discrepancies as arising from the fact that new instructions had been received orally, although they were unable to specify the date and the name of the prescribing doctor. 245. Furthermore, examination of the files revealed that the courses of medical treatment were not re-evaluated on a regular basis; the same doses of the same medicines might be administered for long periods without blood testing or even an assessment of the clinical effects being carried out. The delegation observed, inter alia, in the Leros establishments, that many patients showed dyskinesia symptoms due to the secondary effects of neuroleptic drugs. 246. The CPT recommends that measures be taken to ensure: - that the administration of drugs is performed solely on the basis of a doctor's written prescription and strictly in accordance therewith; - that evaluations of drug treatments administered are carried out at sufficiently frequent intervals (cf. paragraph 249). * * * 247. Finally, with the exception of pavilion Tastsoglio C and certain patients in the Bodosakio building at the Attica State Mental Hospital, the delegation found only scant evidence of individualised treatment programmes. This represents a major lacuna. The CPT recommends that an individualised therapeutic programme be drawn up for each psychiatric patient.