- 67 The total strength of the staff designated as nursing personnel (nurses/nursing assistants) amounted to 581 (the official number of posts being 1,162), in other words a ratio of approximately one nursing staff member per three patients. According to the information obtained, only two staff members had undergone full training (3 years). Other nursing staff had been trained for 9 months or thereabouts and some 450 had received either 3 months training as nursing auxiliaries or no training at all. 206. The Attica State Mental Hospital for children had a team of 12 part-time child psychiatrists and 15 assistant doctors. A team of 11 psychologists, 5 occupational therapists and 1 physiotherapist was counted as part of the hospital staff. Both the doctors and the members of the para-medical team also had duties outside the hospital. The staff classed as nursing personnel consisted of 185 persons, some 25 of whom were fully-trained. The ratio of nursing staff to patients was 1.27 staff member per patient (cf. however, paragraph 209, sub-paragraph 2). 207. The Lepida and Lakki establishments on Leros were staffed as follows: 39 doctors including 8 psychiatrists; 1 psychologist; 1 physiotherapist; 155 nurses, of whom about seven had undergone three years of nursing training and the remainder short (1-2 year) courses to approximately nursing assistant standard, and 234 persons with nursing auxiliary status. Consequently, the overall nursing staff to patients ratio was approximately 1 staff member per 2 patients. It should be pointed out, however, that the numbers given above include the Leros general hospital staff as well as the staff assigned to the Lepida and Lakki establishments. The delegation was not supplied with an exact breakdown of the staff allocated to each activity sector of the Public Health Establishments. Furthermore, since the administrative amalgamation early in 1993 of the Public Health Establishments and the Hospital for children with special needs, the Public Health Establishments' medical team had been required to care for the children hospitalised in the second establishment. It should be added that, under the Community programme, teams of practitioners not financed under the Public Health Establishments' budget were working in the establishments. These comprised 15 foreign professionals specialising in mental health, 54 psychologists, occupational therapists and social workers, and 4 physiotherapists. 208. The Hospital for children with special needs had been staffed since January 1993 by a team of five doctors sent on a part-time basis from the Public Health Establishments of Leros. The doctor in charge of the hospital was qualified as an orthopaedic surgeon and, at the same time, headed the orthopaedic clinic of the general hospital; he was assisted by a psychiatrist, a lung specialist and two general practitioners. Dental care was also provided by the Public Health Establishments. There were 35 persons classed as nursing staff, only one of whom had received nursing training (and who was engaged in administrative and supervisory duties). The ratio of nursing staff to inmates was approximately 1 staff member per 4 patients. The delegation was informed that, as from 29 March 1993, under the Community-financed biennial programme recently commenced, the hospital was to be assigned a team specifically responsible for implementing the programme, consisting, on a full-time basis, of 2 qualified nurses, 1 physiotherapist, 1 occupational therapist and 1 psychologist as well as, on a part-time basis, of 1 psychiatrist, 1 neurologist and 1 social worker. The CPT would like to receive confirmation of the above.

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