At the time of the visit, there were four transwomen present in the unit. All of them were provided with the necessary hygiene and cleaning products they required, and they all expressed that they felt supported by management and staff. In this respect, it is positive that prison management organised an awareness raising session for their staff on working with transgender women which was led by the NGO Positive Voice. 44. The general prison rules apply to the transgender unit meaning that, apart from two hours in the middle of the day, the unit is unlocked between 08:00 and 20:00. In addition to time spent within the unit itself, the women have access to their own courtyard. The concrete yard has a basketball hoop and is equipped with two benches, and the management stated it was their intention to install a shelter from the sun and rain. However, the four-meter-high fencing around the yard is covered with razor wire some of which is only a little above head height and clearly presents a safety hazard. The transwomen have been offered a few opportunities to participate in activities such as theatre, dance and a film showing together with other women on remand. However, increased efforts should be made to expand the offer of activities to the transwomen. 45. As regards treatment, it was evident that the women in the unit had all suffered traumatic experiences prior to entering prison and that there is a need to offer them psychological support. Further, those women who wish to continue their hormonal treatment ought to be able to do so. Two of the women stated that when they had first entered prison, they had been told that this was not possible and after more than a year the lack of continued hormonal treatment was having a physical impact on their bodies. A clear policy on such treatment should be put in place and the women should be informed about access to hormonal treatment upon their admission to the unit. 46. It is also important that the prison administration and social services assist the women in preparing to reintegrate into the community as far as possible, including by linking up with civil society organisations. At the time of the visit, three of the four women were expected to be discharged from prison within a few weeks. The remaining transwoman is potentially facing a very long time in prison and she is already suffering from anxiety and stress and does not associate with the other women. She should receive further mental healthcare assessment and treatment going forward, especially if she receives a long sentence. 47. The CPT welcomes the steps taken by the Greek authorities to improve the treatment and conditions of detention for transwomen and it encourages them to continue to strengthen the protection of these women. In particular, the CPT recommends that the Greek authorities: - - develop a clear policy framework for transgender persons in prison in accordance with the Yogyakarta Principles, which should include protocols on such issues as searches, use of force, staffing, healthcare and treatment (hormone and/or gender affirming surgery) and association and access to activities together with cisgender prisoners; pursue their training programmes for staff working with transgender persons; improve the access of transgender women to a range of purposeful activities; review the safety and security of the outdoor courtyard. The Committee would also like to be informed about the support being offered to the transgender woman potentially facing a long sentence of imprisonment and to be updated on the number of transgender women in the unit as of 1 May 2023. 16