4 of their profile and individual needs. Finally, the dimension of diagnostic and functional homogeneity is explicitly mentioned in a ministerial decision, issued in July 2018, regarding the development of eleven new community-based Psychosocial Rehabilitation Units (boarding houses). Regarding ill-treatment (paragraphs 23, 24): The Ministry of Health has called upon Athina Vrilissia Private Clinic to take immediate action regarding the CPT’s observations, and report back on the steps taken by the end of November. More specifically, the document addressed to Athina Vrilissia Private Clinic’s management stresses out:  The necessity to communicate a clear message to all staff members that any kind of illtreatment of the patients is unacceptable, in order to avoid any such incidents in the future.  That all staff members working in contact with patients must be properly trained in verbal de-escalation techniques. (Regarding de-escalation techniques, it is worth mentioning that a ministerial decision was issued in September 2018 for the training of the personnel of public psychiatric units on verbal de-escalation techniques).  That the use of any means of restraint is not allowed in private psychiatric clinics.  That all injuries suffered by patients must be diligently recorded, that the patients concerned must be examined by a doctor who should treat, if necessary, and describe the injuries, and that all injuries indicative of possible ill-treatment or inter-patient violence must be brought to the attention of the relevant prosecutor, even in the absence of an allegation of illtreatment or other violence. Furthermore, the Ministry of Health addressed early November a Circular to all psychiatric establishments (Psychiatric Hospitals, Psychiatric Units of General Hospitals, private psychiatric clinics, and Psychosocial Rehabilitation Units ran by legal entities of public and private law), regarding injuries suffered by patients. The Circular stipulates the following:  That all injuries suffered by patients must be diligently recorded, both in a specific and in each patient’s personal medical record.  That the patients concerned must be examined by a doctor who should describe the injury in a detailed medical report, specifically mentioning if the injury is, in the doctor’s view, indicative of possible ill-treatment or inter-patient violence.  That the Director of the Hospital, or the Scientific Manager of the Psychosocial Rehabilitation Unit, must bring to the attention of the relevant prosecutor all aforementioned medical reports in which possible ill-treatment or inter-patient violence is mentioned, even in the absence of an allegation to this effect. Regarding incidents of inter-patient violence in Dromokaiteio Psychiatric Hospital, the Ministry of Health has called upon the Hospital’s management, among other things, to make sure the staff is vigilant as to relevant signs and can intervene effectively when needed. Regarding other issues concerning Athina Vrilissia Private Clinic: Τhe aforementioned document addressed to Athina Vrilissia Private Clinic’s management also stresses out:  That the number of patients accommodated in each room must be reduced, in order to ensure that patients enjoy sufficient privacy, and that efforts must be made to improve and personalize the patient’s living areas.  That the situation regarding incomplete record-keeping must be amended as a matter of priority.  That the contact of patients with their family and friends must be facilitated. (It should be mentioned that the same instruction has been included to the document addressed to Dromokaiteio Psychiatric Hospital).  That patients must be offered a wider range of recreational activities.

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