- 104 C. Psychiatric Institutions 1. Preliminary remarks requests for information - comments of the Greek authorities on the point that although some improvements were observed, more significant progress might have been expected considering the time which has elapsed since the inception of the Community programmes in the psychiatric field and the resources made available (paragraph 199); - further information on the plans of the Greek authorities concerning the discharge of chronic patients from psychiatric hospitals and the setting-up of half-way houses (number and category of patients affected, types of programme implemented, institutions concerned, timetable for implementation of measures, etc.) (paragraph 200). 2. Administrative and legal questions recommendations - the nursing staff/patient ratio to be both significantly increased and adapted to the type of patients (paragraph 212); - a significant proportion of the nursing staff to be made up of qualified nurses (ie. at least three years training); training to include specialised instruction concerning the types of care to be administered (paragraph 212); - qualified nursing staff to be relieved, as far as possible, of secondary administrative duties and involved more in activities relating to the care of patients and supervision of staff members who have received little training (paragraph 212); - a permanent training budget to be allocated to each establishment and a staff member to be put in charge of co-ordinating training work (paragraph 212); - the psychiatrist/patient ratio to be improved, particularly in the Leros Public Health Establishments (paragraph 212); - psychiatrists to receive constant support from the appropriate professional associations and academic bodies during their on-going training and the exercise of their duties (paragraph 212); - the Greek authorities to strive to increase the number of staff conducting social therapy activities (paragraph 213); - appropriate measures to be taken, as a matter of urgency, to ensure that the provisions of the 1992 Act (on the modernisation and organisation of the health system) governing involuntary hospitalisation of patients and guarantees available to patients - in particular as regards their admission and discharge - are duly applied (paragraph 222).

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