However, overall, too few activities were offered to patients8 and most of them spent their days wandering about with nothing to do except smoke. Some patients remained in their beds for large parts of the day. Many of the cells and dormitories did not possess a television as the occupants could not afford one. The CPT recommends that efforts be made to increase the range of board games, sports and recreational activities available to patients. 26. As was the case in 2018, there were still no designated smoking areas in the hospital. Indeed, smoking in shared open and closed spaces was visibly widespread. Smokers and non-smokers should be offered separate accommodation and designated areas for smoking should be established in the common areas of the hospital. In the context of the establishment's transition towards a proper hospital, the CPT reiterates its recommendation that the Greek authorities put in place measures to ensure, at the very least, protection from the harms of passive smoking, such as designating smoke-free accommodation and a policy on the prohibition or restriction of smoking in areas of common use. Further, consideration should be given to offering programmes to assist patients end their nicotine dependence. c. treatment 27. The treatment offered to patients was based almost exclusively on pharmacotherapy, with no genuine occupational therapy activities, or facilities for them, in place. A review of medical files revealed an absence of treatment plans – confirmed by discussions with patients and staff – as well as a poor system of record keeping. Information concerning a specific patient was spread across numerous registers, none of which appeared to provide information about the psychiatric diagnoses and history of the mental illness. No reasoning was apparent in the records for the clinical decisions being taken regarding any particular patient. Further, the Hospital did not systematically apply an internationally recognised diagnostic system which would facilitate an understanding of the patient population and also be helpful for when patients are discharged or transferred to another hospital. The CPT recommends that comprehensive individual treatment plans, offering a range of treatment options in accordance with a multi-disciplinary approach, should be drawn up and regularly revised for each patient and should include the diagnosis, goals of treatment, therapeutic means used and the staff members responsible. Patients should be consulted and engaged in the drafting and revision of their individual treatment plans and be informed of their progress. Further, the Hospital should apply an internationally recognised diagnostic system for all patients. 28. The treatment of patients who did not speak Greek presented an additional challenge for the Hospital as there was no access to professional interpreters and the staff had to rely on other patients or prisoners for communication purposes. This is clearly neither appropriate nor reliable. Psychiatrists and other medical staff should be able call upon professional interpreters as required. The CPT recommends that steps be taken to address this matter. 8. For example, in the 3rd quarter of 2022, theatre and handicraft workshops had been organised as well as a Greek course. 10