- 69 Both organisations were present at Korydallos Men’s and Female Prisons but neither of
them at Ioannina Prison; at Larissa and Komotini Prisons, continuation of substitution treatment is
possible, but there is no detoxification programme available. Prisoners wishing to participate in
such a programme have to request a transfer to another establishment such as Diavata, where a local
organisation, Ithaka, provides a detoxification programme.
The CPT calls upon the Greek authorities to draw up a comprehensive strategy for the
provision of assistance to prisoners with drug-related problems, as one aspect of a national
drugs strategy.
f.
medical confidentiality
130. Examples of good practice were found at Larissa, Diavata and Ioannina Prisons. Inmates
placed requests for a medical appointment in a locked box, available in each wing, which was
emptied by a nurse every day, and medical consultations took place out of hearing and sight of
prison officers.
By contrast, at Korydallos Men’s Prison, one inmate in each wing collected requests from
the prisoners to see a doctor or a nurse, and he often helped the prisoners to write the application. In
the health-care unit, the prisoners are seen in open spaces, with custodial staff, other patients and
inmate personnel present.73 There is no privacy when the prisoners talk to the health-care workers.
Furthermore, the inmates working in the health-care unit have access to all medical files. Indeed, at
Korydallos Men’s Prison the job of the inmates working in the health-care unit was specifically to
administer the medical files. At the Avlona Special Detention Facility for Juveniles, a similar
situation of lack of privacy and medical confidentiality was observed in the health-care unit.
By communication of 17 June 2013, the Greek authorities informed the CPT that the
Ministry of Justice would immediately send a reminder circular to prison administrations regarding
the obligations to ensure that prisoners employed in the infirmaries should not have access to
medical records.
The CPT recommends that the Greek authorities take the necessary steps to guarantee
medical confidentiality at Korydallos Men’s Prison and at the Avlona Special Detention
Facility for Juveniles, taking into consideration the above remarks.
131. In the prisons visited, the delegation was told that when prisoners could not make
themselves understood in a language the health-care staff spoke, other prisoners of the same
nationality or linguistic group within the prison, would be asked to interpret. There were no external
interpretation services available for medical consultations. This obviously results in a lack of
medical confidentiality and, potentially, a risk of misunderstandings, which could put the health of
an inmate at risk. An inmate should be offered the possibility of accessing external interpretation
services for medical consultations. Recourse to other prisoners should only take place in emergency
situations.
The CPT considers it inappropriate to use prisoners as interpreters apart from
emergency situations.
73
The situation was better at Korydallos Female Prison where the medical examination room provided an
acceptable level of medical confidentiality, with no other inmates normally present during consultations.
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